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Data / Nursing homes / Iowa / Harmony Waterloo

Harmony Waterloo, Waterloo, IA: 1 star rating, fined $95,440 across 1 fine

Harmony Waterloo in Waterloo, IA is owned by Oakway Operations LLC, is rated 1 of 5 stars by Medicare, and was fined $95,440 across 1 fine in the three years to October 1, 2026. CMS lists 22 health citations from inspections in that time, the latest survey on June 11, 2026, and 1 of them found actual harm or immediate jeopardy.

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Address
201 West Ridgeway Avenue, Waterloo, IA 50701
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measure rating
4 of 5
Certified beds
88
Residents per day
72 on average
Ownership type
For profit, limited liability company
Legal business name
Waterloo Skilled Nursing Facility LLC
Chain
Legacy Healthcare, 96 facilities
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$95,440 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
22, of which 1 with actual harm or immediate jeopardy
Latest survey
June 11, 2026
CMS Certification Number
165034
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
October 30, 2025Fine$95,440Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
June 11, 2026F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 1, 2026data.cms.gov
January 14, 2026F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2026data.cms.gov
January 14, 2026F803Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2026data.cms.gov
January 14, 2026F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2026data.cms.gov
January 14, 2026F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2026data.cms.gov
January 14, 2026F732Post nurse staffing information every day.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2026data.cms.gov
January 14, 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2026data.cms.gov
October 30, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyCorrectedNovember 12, 2025data.cms.gov
May 1, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 8, 2025data.cms.gov
January 15, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 7, 2025data.cms.gov
January 15, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 7, 2025data.cms.gov
January 15, 2025F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 10, 2025data.cms.gov
January 15, 2025F584Honor 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 harmCorrectedFebruary 7, 2025data.cms.gov
January 15, 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 harmCorrectedFebruary 7, 2025data.cms.gov
November 21, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2024data.cms.gov
August 8, 2024F755Provide 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 harmCorrectedAugust 22, 2024data.cms.gov
August 8, 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 harmCorrectedAugust 22, 2024data.cms.gov
May 22, 2024F812Procure 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 harmCorrectedJune 12, 2024data.cms.gov
May 22, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 12, 2024data.cms.gov
May 22, 2024F677Provide 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 harmCorrectedJune 12, 2024data.cms.gov
May 22, 2024F584Honor 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 harmCorrectedJune 12, 2024data.cms.gov
October 18, 2023F584Honor 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 harmCorrectedNovember 9, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 4 individual or personal trusts (2 owners, 1 managers, 1 officers, directors or trustees). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Oakway Operations LLCDirect owner15%April 1, 2023data.cms.gov
Legacy Healthcare Financial Services LLCOperational or managerial controlNot listedApril 1, 2023data.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.