Harmony Waterloo

Nursing Home · Waterloo, IA

CMS overall rating 1/5 Abuse citation For profit - Limited Liability company

CMS certification number165034
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

201 West Ridgeway Avenue
Waterloo, IA 50701
Black Hawk County
Phone
(319) 234-7777
ZIP code
50701 – all care providers

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Facility details

Certified beds
88
Residents per day
74.5 (85% occupied)
Ownership
For profit - Limited Liability company
Legal name
Waterloo Skilled Nursing Facility LLC
Chain
Legacy Healthcare (89 facilities, avg 2.9★)
Medicare certified since
January 19, 1967
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.1
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.7
Quality measures★★★★★ 4/5
State avg 3.3
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.24 (state 3.82 · U.S. 3.86)
Registered nurses (RN)
0.67 (state 0.74 · U.S. 0.69)
Licensed practical nurses
0.52 (state 0.56 · U.S. 0.86)
Nurse aides
2.04 (state 2.51 · U.S. 2.32)
Weekend total
2.93 (state 3.37 · U.S. 3.42)
Nursing staff turnover
48.8 (state 44.0 · U.S. 45.8)%
RN turnover
30.0 (state 42.1 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
January 14, 2026
Health deficiencies (last cycle)
8.0 (state 6.5 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
22 health · 35 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-11 Ensure 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-07-01
2026-01-14 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-02-13
2026-01-14 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F0802 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-02-13
2026-01-14 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.
F0803 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-02-13
2026-01-14 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-02-13
2026-01-14 Provide 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.
F0688 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-13
2026-01-14 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-13
2025-10-30 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-11-12
2025-05-01 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-08
2025-01-15 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-07
2025-01-15 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-07
2025-01-15 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-10
2025-01-15 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-07
2025-01-15 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-07
2024-11-21 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-22
2024-08-08 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-08-22
2024-08-08 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-22
2024-05-22 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-12
2024-05-22 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-12
2024-05-22 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-12
2024-05-22 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-12
2023-10-18 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-11-09

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $95,440 in fines.

DateTypeAmount
2025-10-30Fine$95,440

Ownership & management

NameRoleSince
Doros Generation Trust U/A/D 1/3/12 (organization)5%+ Direct Ownership Interest · 26%
GPN Family Trust U/A/D 4/28/08 (organization)5%+ Direct Ownership Interest · 60%
Oakway Operations LLC (organization)5%+ Direct Ownership Interest · 15%
Shabat, Menachem (individual)Corporate Officer · NOT APPLICABLE
Legacy Healthcare Financial Services LLC (organization)Operational/managerial Control · NOT APPLICABLE
Knapp, Justin (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Harmony Waterloo?

Harmony Waterloo has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Iowa.

How many beds does Harmony Waterloo have?

It has 88 certified beds and cares for about 75 residents per day.

Has Harmony Waterloo been fined?

Yes. CMS lists 1 penalty totaling $95,440 in the last three years.

Who owns Harmony Waterloo?

It is part of Legacy Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Harmony Waterloo?

(319) 234-7777. The facility is located at 201 West Ridgeway Avenue, Waterloo, IA 50701.

Other nursing homes in Waterloo

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.