Harmony Waterloo: Staffing, Turnover, and Inspection Record
Harmony Waterloo is a 88-bed for-profit nursing home in Waterloo, Iowa, part of Legacy Healthcare. In the CMS August 2026 release it reported 2.04 nurse aide hours per resident per day, 19% below the Iowa average of 2.51, and 48.8% nursing staff turnover (Iowa average 44.0%).
Harmony Waterloo
201 West Ridgeway AvenueWaterloo, IA 50701
Black Hawk County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Harmony Waterloo, nurse aides logged 2.04 hours per resident per day, 19% below the Iowa average. With about 75 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 10% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.04 | 2.51 | 2.32 |
| Licensed practical nurses | 0.52 | 0.56 | 0.86 |
| Registered nurses | 0.67 | 0.74 | 0.69 |
| All nursing staff | 3.24 | 3.82 | 3.86 |
| All nursing staff, weekends | 2.93 | 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
48.8% of nursing staff at Harmony Waterloo left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 30.0%. 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 8 health deficiencies (Iowa average 6.5). CMS lists 1 fine totaling $95,440 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Oct 30, 2025 | Fine | $95,440 |
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 Waterloo holds 1 of 5 overall; the Iowa average is 3.1.
About Harmony Waterloo
- Ownership: For profit - Limited Liability company
- Chain: Legacy Healthcare, 89 homes
- Legal name: Waterloo Skilled Nursing Facility LLC
- Medicare and Medicaid certified since: Jan 19, 1967
- Councils: resident council
- Area: urban
Nursing homes near Harmony Waterloo
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Friendship Village Retirement Waterloo | 0.5 | 72 | 3.09 | 4.78 | 28.3% | 5 | None |
| Ravenwood Specialty Care Waterloo | 0.9 | 176 | 2.17 | 3.35 | 30.2% | 1 | None |
| Harmony House Health Care Center Waterloo · SFF candidate | 3.5 | 65 | 2.73 | 3.84 | 61.5% | 1 | $48,825 |
| Northcrest Specialty Care Waterloo | 3.7 | 94 | 1.96 | 3.29 | 46.7% | 2 | None |
| Pinnacle Specialty Care Cedar Falls | 4.1 | 100 | 2.15 | 3.31 | 27.4% | 2 | $8,362 |
| The Suites at Western Home Communities Cedar Falls | 4.3 | 72 | 3.10 | 4.56 | 43.6% | 5 | None |
| Newaldaya Lifescapes Cedar Falls | 5.5 | 112 | 3.13 | 4.52 | 41.6% | 2 | $132,074 |
| Martin Health Center, INC Cedar Falls | 6.0 | 50 | 2.97 | 4.21 | 39.7% | 5 | 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.