Harmony House Health Care Center
Nursing Home · Waterloo, IA
CMS certification number165152
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
Contact & location
2950 West Shaulis RoadWaterloo, IA 50701
Black Hawk County
- Phone
- (319) 234-4495
- ZIP code
- 50701 – all care providers
Facility details
- Certified beds
- 65
- Residents per day
- 43.0 (66% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Shaulis Ia Skilled Nursing Facility LLC
- Chain
- Legacy Healthcare (89 facilities, avg 2.9★)
- Medicare certified since
- March 30, 1989
- Participates in
- Medicare and Medicaid
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.84 (state 3.82 · U.S. 3.86)
- Registered nurses (RN)
- 0.57 (state 0.74 · U.S. 0.69)
- Licensed practical nurses
- 0.54 (state 0.56 · U.S. 0.86)
- Nurse aides
- 2.73 (state 2.51 · U.S. 2.32)
- Weekend total
- 3.58 (state 3.37 · U.S. 3.42)
- Nursing staff turnover
- 61.5 (state 44.0 · U.S. 45.8)%
- RN turnover
- 33.3 (state 42.1 · U.S. 42.9)%
Inspections
- Last standard inspection
- August 6, 2025
- Health deficiencies (last cycle)
- 32.0 (state 6.5 · U.S. 9.3)
- From complaints
- 21
- Citations on record (3 years)
- 38 health · 1 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-30 | 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 · complaint inspection |
E No actual harm, potential for more than minimal harm |
Deficient, Provider has no plan of correction |
| 2026-06-30 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Deficient, Provider has no plan of correction |
| 2026-06-30 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Deficient, Provider has no plan of correction |
| 2026-06-30 | 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 |
Deficient, Provider has no plan of correction |
| 2026-06-30 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Deficient, Provider has no plan of correction |
| 2026-05-18 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-27 |
| 2026-05-18 | 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 · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-27 |
| 2026-05-18 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-27 |
| 2026-03-25 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-04-16 |
| 2026-03-25 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-16 |
| 2026-03-25 | 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 2026-04-16 |
| 2026-03-25 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-16 |
| 2026-03-25 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-16 |
| 2026-03-25 | 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 2026-04-16 |
| 2026-03-25 | 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 2026-04-16 |
| 2026-03-25 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-16 |
| 2026-03-25 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-16 |
| 2026-03-25 | 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 2026-04-16 |
| 2026-03-25 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-16 |
| 2025-08-06 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
J Immediate jeopardy to resident health or safety |
Corrected 2025-09-09 |
| 2025-08-06 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
J Immediate jeopardy to resident health or safety |
Corrected 2025-09-09 |
| 2025-08-06 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-15 |
| 2025-08-06 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-15 |
| 2025-08-06 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-07 |
| 2025-08-06 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-09 |
| 2025-08-06 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-15 |
| 2025-08-06 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-15 |
| 2025-08-06 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-15 |
| 2025-08-06 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-15 |
| 2025-08-06 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-15 |
| 2025-08-06 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-15 |
| 2025-08-06 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-15 |
| 2025-04-16 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-16 |
| 2024-09-12 | 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 2024-10-12 |
| 2024-09-12 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2024-10-12 |
| 2024-09-12 | Employ staff that are licensed, certified, or registered in accordance with state laws. F0839 · Administration Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-10-12 |
| 2024-09-12 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-10-12 |
| 2024-01-24 | 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 |
G Actual harm |
Corrected 2024-01-30 |
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 $48,825 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-03-25 | Fine | $48,825 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Rajchenbach, Chaim (individual) | 5%+ Direct Ownership Interest · 50% | |
| Cascade Capital Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Cascade Capital Partners LLC (organization) | Administrator · NOT APPLICABLE | |
| CCG Gorgona LLC (organization) | Administrator · NOT APPLICABLE | |
| Gorgona Holdco LLC (organization) | Administrator · NOT APPLICABLE | |
| Gorgona Propco Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Gorgona Sub Holdco LLC (organization) | Administrator · NOT APPLICABLE | |
| MN8 RH Holdco LLC (organization) | Administrator · NOT APPLICABLE | |
| Shabat, Menachem (individual) | Corporate Officer · NOT APPLICABLE | |
| Beasley, Karla (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Behounek, Linsey (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Borcherding, Jenny (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Burken, Sheri (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Cutler, Darron (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Elwick, Lisa (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Friedenberg, Laura (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Geiger, Mary (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Hedberg, Jennifer (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Hennager, Christina (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Heying, Larina (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Houston, Mindy (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Jaeger, Krystle (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Knutson, Michele (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Larson, Melissa (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Legacy Healthcare Financial Services LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| McClure, Dorothy (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Otterbeck, Patricia (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Rajchenbach, Chaim (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Scott, Kathleen (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Seu, Joshua (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Shabat, Menachem (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Shear, Kiley (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Staudt, Sandra (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Van Veghel, Elizabeth (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Wierschem, Bobbie (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Wood, Rosemary (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Wright, Amy (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Friedman, Brian (individual) | Trustee Of The Snf · NOT APPLICABLE | |
| Rajchenbach, Avrum (individual) | Trustee Of The Snf · NOT APPLICABLE | |
| Rajchenbach, Rivka (individual) | Trustee Of The Snf · NOT APPLICABLE | |
| Shabat, Ahuva (individual) | Trustee Of The Snf · NOT APPLICABLE |
Frequently asked questions
What is the rating of Harmony House Health Care Center?
Harmony House Health Care Center 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 House Health Care Center have?
It has 65 certified beds and cares for about 43 residents per day.
Has Harmony House Health Care Center been fined?
Yes. CMS lists 1 penalty totaling $48,825 in the last three years.
Who owns Harmony House Health Care Center?
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 House Health Care Center?
(319) 234-4495. The facility is located at 2950 West Shaulis Road, Waterloo, IA 50701.
Other nursing homes in Waterloo
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Friendship Village Retirement
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Northcrest Specialty Care
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Harmony Waterloo
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Pillar of Cedar Valley
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Ravenwood Specialty Care
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.