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Nursing homeFAID #4112

Harmony House Health Care Center

2950 WEST SHAULIS ROAD, WATERLOO, IA, 50701
(319) 234-4495
65 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare

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Address

2950 West Shaulis Road
Waterloo, IA 50701
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Public record summary

What we can show you for free.
Bed capacity
65
CMS facility ID
165152
Care type
Nursing home
County
Black Hawk
Facility name
Harmony House Health Care Center
Street address
2950 WEST SHAULIS ROAD
City / state / ZIP
Waterloo, IA 50701
Phone
(319) 234-4495

About this facility — Harmony House Health Care Center

Harmony House Health Care Center is a Medicare/Medicaid-certified skilled nursing facility in Waterloo, Iowa. It is licensed for 65 beds — close to the median for skilled nursing facilities in Iowa (57 beds).

It is one of 13 senior care facilities in Waterloo and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Harmony House Health Care Center 39 times across 13 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $48,825 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Legacy Healthcare
Ownership type
For profit - Limited Liability company

Registered owners & officers

Rajchenbach, Chaim
Direct owner · Operational control — 50% stake — since 2024
Beasley, Karla
Operational control — since 2024
Behounek, Linsey
Operational control — since 2024
Borcherding, Jenny
Operational control — since 2024
Burken, Sheri
Operational control — since 2024
Cascade Capital Holdings Llc
Additional disclosable party — since 2024
Cascade Capital Partners Llc
Additional disclosable party — since 2024
Ccg Gorgona Llc
Additional disclosable party — since 2024
Cutler, Darron
Operational control — since 2024
Elwick, Lisa
Operational control — since 2024
Friedenberg, Laura
Operational control — since 2024
Friedman, Brian
Trustee — since 2012
Geiger, Mary
Operational control — since 2024
Gorgona Holdco Llc
Additional disclosable party — since 2024
Gorgona Propco Holdings Llc
Additional disclosable party — since 2024
Gorgona Sub Holdco Llc
Additional disclosable party — since 2024
Hedberg, Jennifer
Operational control — since 2024
Hennager, Christina
Operational control — since 2024
Heying, Larina
Operational control — since 2024
Houston, Mindy
Operational control — since 2024
Jaeger, Krystle
Operational control — since 2024
Knutson, Michele
Operational control — since 2024
Larson, Melissa
Operational control — since 2024
Legacy Healthcare Financial Services Llc
Operational control — since 2024
Mcclure, Dorothy
Operational control — since 2024
Mn8 Rh Holdco Llc
Additional disclosable party — since 2024
Otterbeck, Patricia
Operational control — since 2024
Rajchenbach, Avrum
Trustee — since 2008
Rajchenbach, Rivka
Trustee — since 2008
Scott, Kathleen
Operational control — since 2024
Seu, Joshua
Operational control — since 2024
Shabat, Ahuva
Trustee — since 2012
Shabat, Menachem
Officer · Operational control — since 2024
Shear, Kiley
Operational control — since 2024
Staudt, Sandra
Operational control — since 2024
Van Veghel, Elizabeth
Operational control — since 2024
Wierschem, Bobbie
Operational control — since 2024
Wood, Rosemary
Operational control — since 2024
Wright, Amy
Operational control — since 2024

Regulatory standing

Federal court records
20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1989-03-30
CMS overall rating
1 of 5 stars
Health deficiencies
32 at the last standard inspection
Federal fines
$48,825 total
Last standard inspection
2025-08-06
Nurse staffing
3.8 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$505 per day (≈ $15,350/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
96% Medicaid · 0% Medicare · 4% private/other
Occupancy
61% (fiscal year 2023)
Vs. state median
48% above the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
65
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-30Health inspectionComplaint-triggered5 citations
F-0561
D · No harm foundFrom a complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
F-0688
E · No harm foundFrom a complaint
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.
F-0695
E · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
F-0725
D · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
2026-05-18Health inspectionComplaint-triggered3 citations
F-0804
D · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2026-05-27
F-0812
D · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-05-27
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-05-27
6 earlier / fire-safety inspections (31 citations)
2026-03-25Health inspectionComplaint-triggered11 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-04-16
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2026-04-16
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-04-16
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-04-16
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-04-16
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-04-16
F-0692
G · Actual harmFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-04-16
F-0693
D · No harm foundFrom a complaint
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.
Corrected 2026-04-16
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2026-04-16
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-04-16
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2026-04-16
2025-08-06Health inspectionComplaint-triggered13 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-09-15
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-09-15
F-0582
D · No harm foundFrom a complaint
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-08-07
F-0600
D · No harm found
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-09-09
F-0609
J · Immediate jeopardy
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-09-09
F-0610
J · Immediate jeopardy
Respond appropriately to all alleged violations.
Corrected 2025-09-09
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-09-15
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-09-15
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-09-15
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-15
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-09-15
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-15
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-09-15
2025-04-16Health inspectionComplaint-triggered1 citation
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-05-16
2024-09-12Health inspectionComplaint-triggered4 citations
F-0550
E · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-12
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-12
F-0839
E · No harm foundFrom a complaint
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected 2024-10-12
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-10-12
2024-01-24Health inspectionComplaint-triggered1 citation
F-0550
G · Actual harmFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-01-30
2024-09-12Fire-safety inspection1 citation
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2024-09-16

Federal penalties

2026-03-25Fine$48,825
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165152.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 39 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered