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Data / Nursing homes / Iowa / Harmony House Health Care Center

Harmony House Health Care Center, Waterloo, IA: 1 star rating, fined $31,736 across 1 fine

Harmony House Health Care Center in Waterloo, IA is owned by 1 individual whom CMS lists (names not shown), is rated 1 of 5 stars by Medicare, and was fined $31,736 across 1 fine in the three years to October 1, 2026. CMS lists 38 health citations from inspections in that time, the latest survey on June 30, 2026, and 4 of them found actual harm or immediate jeopardy.

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Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Iowa
Address
2950 West Shaulis Road, Waterloo, IA 50701
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measure rating
4 of 5
Certified beds
65
Residents per day
49 on average
Ownership type
For profit, limited liability company
Legal business name
Shaulis Ia Skilled Nursing Facility LLC
Chain
Legacy Healthcare, 96 facilities
Special focus
Special focus candidate
Fines
$31,736 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
38, of which 4 with actual harm or immediate jeopardy
Latest survey
June 30, 2026
CMS Certification Number
165152
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
March 25, 2026Fine$31,736Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
June 30, 2026F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 30, 2026data.cms.gov
June 30, 2026F695Provide safe and appropriate respiratory care for a resident when needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 30, 2026data.cms.gov
June 30, 2026F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 30, 2026data.cms.gov
June 30, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 30, 2026data.cms.gov
June 30, 2026F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 30, 2026data.cms.gov
May 18, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 27, 2026data.cms.gov
May 18, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 27, 2026data.cms.gov
May 18, 2026F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 27, 2026data.cms.gov
March 25, 2026F692Provide enough food/fluids to maintain a resident's health.G: isolated, actual harmCorrectedApril 16, 2026data.cms.gov
March 25, 2026F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 16, 2026data.cms.gov
March 25, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 16, 2026data.cms.gov
March 25, 2026F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 16, 2026data.cms.gov
March 25, 2026F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 16, 2026data.cms.gov
March 25, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 16, 2026data.cms.gov
March 25, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 16, 2026data.cms.gov
March 25, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 16, 2026data.cms.gov
March 25, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 16, 2026data.cms.gov
March 25, 2026F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 16, 2026data.cms.gov
March 25, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 16, 2026data.cms.gov
August 6, 2025F610Respond appropriately to all alleged violations.J: isolated, immediate jeopardyCorrectedSeptember 9, 2025data.cms.gov
August 6, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.J: isolated, immediate jeopardyCorrectedSeptember 9, 2025data.cms.gov
August 6, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 15, 2025data.cms.gov
August 6, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 15, 2025data.cms.gov
August 6, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 15, 2025data.cms.gov
August 6, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 15, 2025data.cms.gov
August 6, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 15, 2025data.cms.gov
August 6, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 15, 2025data.cms.gov
August 6, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 15, 2025data.cms.gov
August 6, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 9, 2025data.cms.gov
August 6, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 7, 2025data.cms.gov
August 6, 2025F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 15, 2025data.cms.gov
August 6, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 15, 2025data.cms.gov
April 16, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 16, 2025data.cms.gov
September 12, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 12, 2024data.cms.gov
September 12, 2024F839Employ staff that are licensed, certified, or registered in accordance with state laws.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 12, 2024data.cms.gov
September 12, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 12, 2024data.cms.gov
September 12, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 12, 2024data.cms.gov
January 24, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.G: isolated, actual harmCorrectedJanuary 30, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 33 individual or personal trusts (1 owners, 27 managers, 5 officers, directors or trustees). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Legacy Healthcare Financial Services LLCOperational or managerial controlNot listedAugust 15, 2024data.cms.gov
Cascade Capital Holdings LLCAdditional disclosable partyNot listedAugust 15, 2024data.cms.gov
Cascade Capital Partners LLCAdditional disclosable partyNot listedAugust 15, 2024data.cms.gov
CCG Gorgona LLCAdditional disclosable partyNot listedAugust 15, 2024data.cms.gov
Gorgona HOLDCO LLCAdditional disclosable partyNot listedAugust 15, 2024data.cms.gov
Gorgona PROPCO Holdings LLCAdditional disclosable partyNot listedAugust 15, 2024data.cms.gov
Gorgona Sub HOLDCO LLCAdditional disclosable partyNot listedAugust 15, 2024data.cms.gov
Mn8 RH HOLDCO LLCAdditional disclosable partyNot listedAugust 15, 2024data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.