Harmony House Health Care Center: Staffing, Turnover, and Inspection Record
Harmony House Health Care Center is a 65-bed for-profit nursing home in Waterloo, Iowa, part of Legacy Healthcare. In the CMS August 2026 release it reported 2.73 nurse aide hours per resident per day, 9% above the Iowa average of 2.51, and 61.5% nursing staff turnover (Iowa average 44.0%).
Harmony House Health Care Center
2950 West Shaulis RoadWaterloo, IA 50701
Black Hawk County
CMS Care Compare, August 2026 release
Special Focus Facility candidate. CMS lists this home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Harmony House Health Care Center, nurse aides logged 2.73 hours per resident per day, 9% above the Iowa average. With about 43 residents a day, that works out to roughly 118 aide hours a day, or about 15 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 7% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.73 | 2.51 | 2.32 |
| Licensed practical nurses | 0.54 | 0.56 | 0.86 |
| Registered nurses | 0.57 | 0.74 | 0.69 |
| All nursing staff | 3.84 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.58 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
61.5% of nursing staff at Harmony House Health Care Center left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 33.3%.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 6, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 32 health deficiencies (Iowa average 6.5). CMS lists 1 fine totaling $48,825 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Mar 25, 2026 | Fine | $48,825 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Harmony House Health Care Center holds 1 of 5 overall; the Iowa average is 3.1.
About Harmony House Health Care Center
- Ownership: For profit - Limited Liability company
- Chain: Legacy Healthcare, 89 homes
- Legal name: Shaulis Ia Skilled Nursing Facility LLC
- Medicare and Medicaid certified since: Mar 30, 1989
- Area: urban
Nursing homes near Harmony House Health Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Pinnacle Specialty Care Cedar Falls | 3.4 | 100 | 2.15 | 3.31 | 27.4% | 2 | $8,362 |
| The Suites at Western Home Communities Cedar Falls | 3.5 | 72 | 3.10 | 4.56 | 43.6% | 5 | None |
| Harmony Waterloo Waterloo · abuse citation | 3.5 | 88 | 2.04 | 3.24 | 48.8% | 1 | $95,440 |
| Friendship Village Retirement Waterloo | 3.6 | 72 | 3.09 | 4.78 | 28.3% | 5 | None |
| Ravenwood Specialty Care Waterloo | 3.9 | 176 | 2.17 | 3.35 | 30.2% | 1 | None |
| Newaldaya Lifescapes Cedar Falls | 5.1 | 112 | 3.13 | 4.52 | 41.6% | 2 | $132,074 |
| Martin Health Center, INC Cedar Falls | 6.1 | 50 | 2.97 | 4.21 | 39.7% | 5 | None |
| Cedar Falls Health Care Center Cedar Falls | 6.6 | 70 | 1.87 | 2.72 | 43.8% | 2 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.