Harmony Marshalltown: Staffing, Turnover, and Inspection Record
Harmony Marshalltown is a 72-bed for-profit nursing home in Marshalltown, Iowa, part of Legacy Healthcare. In the CMS August 2026 release it reported 2.97 nurse aide hours per resident per day, 18% above the Iowa average of 2.51, and 50.7% nursing staff turnover (Iowa average 44.0%).
Harmony Marshalltown
910 East OliveMarshalltown, IA 50158
Marshall County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Harmony Marshalltown, nurse aides logged 2.97 hours per resident per day, 18% above the Iowa average. With about 51 residents a day, that works out to roughly 152 aide hours a day, or about 19 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 9% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.97 | 2.51 | 2.32 |
| Licensed practical nurses | 0.60 | 0.56 | 0.86 |
| Registered nurses | 0.44 | 0.74 | 0.69 |
| All nursing staff | 4.01 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.65 | 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
50.7% of nursing staff at Harmony Marshalltown left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 90.9%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jan 14, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 13 health deficiencies (Iowa average 6.5). CMS lists 1 fine totaling $78,878 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Aug 5, 2025 | Fine | $78,878 |
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 Marshalltown holds 1 of 5 overall; the Iowa average is 3.1.
About Harmony Marshalltown
- Ownership: For profit - Corporation
- Chain: Legacy Healthcare, 89 homes
- Legal name: Marshalltown Skilled Nursing Facility LLC
- Medicare and Medicaid certified since: Feb 1, 1998
- Councils: resident council
- Area: rural
Nursing homes near Harmony Marshalltown
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Accura Healthcare of Marshalltown Marshalltown · abuse citation · many days without an RN | 1.2 | 84 | 2.59 | 3.60 | 42.3% | 1 | $9,350 |
| Southridge Specialty Care Marshalltown | 1.4 | 82 | 2.46 | 3.65 | 29.2% | 2 | $45,406 |
| Iowa Veterans Home Marshalltown | 2.5 | 702 | 3.34 | 4.74 | 24.7% | 5 | None |
| Oakview Nursing Home Conrad | 13.6 | 46 | 2.47 | 3.42 | 54.3% | 4 | None |
| Westbrook Acres Gladbrook | 14.1 | 54 | 2.21 | 3.51 | 32.4% | 2 | None |
| State Center Specialty Care State Center | 14.1 | 39 | 2.34 | 3.41 | 40.0% | 5 | None |
| Accura Healthcare of Toledo Toledo | 16.2 | 55 | 2.31 | 2.89 | 56.5% | 3 | None |
| Sunny Hill Care Center Tama | 16.6 | 57 | 2.11 | 3.00 | — | 1 | $24,756 |
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.