Data / Nursing homes / Iowa / Harmony Marshalltown
Harmony Marshalltown, Marshalltown, IA: 1 star rating, fined $78,878 across 1 fine
Harmony Marshalltown in Marshalltown, IA is owned by 3 individuals whom CMS lists (names not shown), is rated 1 of 5 stars by Medicare, and was fined $78,878 across 1 fine in the three years to October 1, 2026. CMS lists 44 health citations from inspections in that time, the latest survey on May 20, 2026, and 3 of them found actual harm or immediate jeopardy.
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- Address
- 910 East Olive, Marshalltown, IA 50158
- Overall rating
- 1 of 5 stars
- Health inspection rating
- 1 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 3 of 5
- Certified beds
- 72
- Residents per day
- 51 on average
- Ownership type
- For profit, corporation
- Legal business name
- Marshalltown Skilled Nursing Facility LLC
- Chain
- Legacy Healthcare, 96 facilities
- Fines
- $78,878 across 1 fine, three years to October 1, 2026
- Payment denials
- 0
- Health citations
- 44, of which 3 with actual harm or immediate jeopardy
- Latest survey
- May 20, 2026
- CMS Certification Number
- 165385
- 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.
| Date | Type | Fine amount | Denial starts | Denial days | Source |
|---|---|---|---|---|---|
| August 5, 2025 | Fine | $78,878 | Not listed | data.cms.gov |
Recent health citations
Citations from health inspections, newest first.
| Survey date | Tag | What CMS cited | Scope and severity | Status | Corrected on | Source |
|---|---|---|---|---|---|---|
| May 20, 2026 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 1, 2026 | data.cms.gov |
| January 14, 2026 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 13, 2026 | data.cms.gov |
| January 14, 2026 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | February 13, 2026 | data.cms.gov |
| January 14, 2026 | F732 | Post nurse staffing information every day. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 13, 2026 | data.cms.gov |
| January 14, 2026 | F677 | Provide 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 harm | Corrected | February 13, 2026 | data.cms.gov |
| August 5, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J: isolated, immediate jeopardy | Corrected | September 5, 2025 | data.cms.gov |
| August 5, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G: isolated, actual harm | Corrected | September 5, 2025 | data.cms.gov |
| August 5, 2025 | F627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | J: isolated, immediate jeopardy | Corrected | September 5, 2025 | data.cms.gov |
| August 5, 2025 | F926 | Have policies on smoking. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | September 5, 2025 | data.cms.gov |
| August 5, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | September 5, 2025 | data.cms.gov |
| August 5, 2025 | F725 | Provide 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 harm | Corrected | September 5, 2025 | data.cms.gov |
| August 5, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | September 5, 2025 | data.cms.gov |
| August 5, 2025 | F550 | Honor 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 harm | Corrected | September 5, 2025 | data.cms.gov |
| April 10, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 9, 2025 | data.cms.gov |
| April 10, 2025 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 9, 2025 | data.cms.gov |
| April 10, 2025 | F689 | Ensure 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 harm | Corrected | May 9, 2025 | data.cms.gov |
| April 10, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 9, 2025 | data.cms.gov |
| December 12, 2024 | F887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 9, 2025 | data.cms.gov |
| December 12, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 9, 2025 | data.cms.gov |
| December 12, 2024 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 9, 2025 | data.cms.gov |
| December 12, 2024 | F812 | Procure 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 harm | Corrected | January 9, 2025 | data.cms.gov |
| December 12, 2024 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 9, 2025 | data.cms.gov |
| December 12, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 9, 2025 | data.cms.gov |
| December 12, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 9, 2025 | data.cms.gov |
| December 12, 2024 | F657 | Develop 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 harm | Corrected | January 9, 2025 | data.cms.gov |
| December 12, 2024 | F644 | Coordinate 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 harm | Corrected | January 9, 2025 | data.cms.gov |
| December 12, 2024 | F583 | Keep residents' personal and medical records private and confidential. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 9, 2025 | data.cms.gov |
| September 25, 2024 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 25, 2024 | data.cms.gov |
| September 12, 2024 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 25, 2024 | data.cms.gov |
| September 12, 2024 | F812 | Procure 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 harm | Corrected | October 25, 2024 | data.cms.gov |
| September 12, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 25, 2024 | data.cms.gov |
| September 12, 2024 | F803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 25, 2024 | data.cms.gov |
| September 12, 2024 | F725 | Provide 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 harm | Corrected | October 25, 2024 | data.cms.gov |
| September 12, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 25, 2024 | data.cms.gov |
| September 12, 2024 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | October 25, 2024 | data.cms.gov |
| February 1, 2024 | F812 | Procure 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 harm | Corrected | February 22, 2024 | data.cms.gov |
| February 1, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | February 22, 2024 | data.cms.gov |
| February 1, 2024 | F803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 22, 2024 | data.cms.gov |
| February 1, 2024 | F801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | B: pattern, minimal harm potential | Corrected | February 22, 2024 | data.cms.gov |
| February 1, 2024 | F755 | Provide 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 harm | Corrected | February 22, 2024 | data.cms.gov |
| February 1, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 22, 2024 | data.cms.gov |
| February 1, 2024 | F656 | Develop 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 harm | Corrected | February 22, 2024 | data.cms.gov |
| February 1, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 22, 2024 | data.cms.gov |
| February 1, 2024 | F550 | Honor 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 harm | Corrected | February 22, 2024 | data.cms.gov |
Owners and managers
Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 32 individual or personal trusts (3 owners, 26 managers, 1 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.
| Organization | Role | Share | Since | Source |
|---|---|---|---|---|
| Legacy Healthcare Financial Services LLC | Operational or managerial control | Not listed | August 15, 2024 | data.cms.gov |
| Cascade Capital Holdings LLC | Additional disclosable party | Not listed | January 17, 2025 | data.cms.gov |
| Cascade Capital Partners LLC | Additional disclosable party | Not listed | January 17, 2025 | data.cms.gov |
| CCG Gorgona LLC | Additional disclosable party | Not listed | January 17, 2025 | data.cms.gov |
| Gorgona HOLDCO LLC | Additional disclosable party | Not listed | January 17, 2025 | data.cms.gov |
| Gorgona PROPCO Holdings LLC | Additional disclosable party | Not listed | January 17, 2025 | data.cms.gov |
| Gorgona Sub HOLDCO LLC | Additional disclosable party | Not listed | January 17, 2025 | data.cms.gov |
| Mn8 RH HOLDCO LLC | Additional disclosable party | Not listed | January 17, 2025 | data.cms.gov |
Also on SpecStream
- All nursing homes in Iowa
- Every nursing home Legacy Healthcare Financial Services LLC owns or manages
- Every nursing home Cascade Capital Holdings LLC owns or manages
- Every nursing home Cascade Capital Partners LLC owns or manages
- Every nursing home CCG Gorgona LLC owns or manages
- Every nursing home Gorgona HOLDCO LLC owns or manages
- Every nursing home Gorgona PROPCO Holdings LLC owns or manages
- This facility on Medicare Care Compare
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.