Nursing homeFAID #4293
Harmony Marshalltown
910 EAST OLIVE, MARSHALLTOWN, IA, 50158
(641) 752-4581
72 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections3/5 staffing3/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
72
CMS facility ID
165385
Care type
Nursing home
County
Marshall
Facility name
Harmony Marshalltown
Street address
910 EAST OLIVE
City / state / ZIP
Marshalltown, IA 50158
Phone
(641) 752-4581
About this facility — Harmony Marshalltown
Harmony Marshalltown is a Medicare/Medicaid-certified skilled nursing facility in Marshalltown, Iowa. It is licensed for 72 beds — above the median for skilled nursing facilities in Iowa (57 beds).
It is one of 10 senior care facilities in Marshalltown 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 Marshalltown 75 times across 16 inspections in the last three years, including 9 food-safety citations, and CMS has imposed $78,878 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 - Corporation
Registered owners & officers
Beasley, Karla
Operational control — since 2025
Behounek, Linsey
Operational control — since 2025
Borcherding, Jenny
Operational control — since 2025
Burken, Sheri
Indirect owner — since 2024
Cascade Capital Holdings Llc
Additional disclosable party — since 2025
Cascade Capital Partners Llc
Additional disclosable party — since 2025
Ccg Gorgona Llc
Additional disclosable party — since 2025
Dhondt, Justina
Operational control — since 2025
Friedenberg, Laura
Operational control — since 2025
Garden, Daniel
Indirect owner — since 2024
Gorgona Holdco Llc
Additional disclosable party — since 2025
Gorgona Propco Holdings Llc
Additional disclosable party — since 2025
Gorgona Sub Holdco Llc
Additional disclosable party — since 2025
Hedberg, Jennifer
Operational control — since 2025
Hennager, Christina
Operational control — since 2025
Heying, Larina
Operational control — since 2025
Houston, Mindy
Operational control — since 2025
Jaeger, Krystle
Operational control — since 2025
Knutson, Michele
Operational control — since 2025
Larson, Melissa
Operational control — since 2025
Legacy Healthcare Financial Services Llc
Operational control — since 2024
Maitland, Grace
Operational control — since 2024
Mcclure, Dorothy
Operational control — since 2025
Mn8 Rh Holdco Llc
Additional disclosable party — since 2025
Ninio, Mordechay
Indirect owner — since 2024
Otterbeck, Patricia
Operational control — since 2025
Rajchenbach, Chaim
Operational control · Additional disclosable party — since 2025
Scott, Kathleen
Operational control — since 2025
Scurr, Steven
Operational control — since 2025
Seu, Joshua
Operational control — since 2025
Shabat, Menachem
Officer · Operational control · Additional disclosable party — since 2024
Shear, Kiley
Operational control — since 2025
Staudt, Sandra
Operational control — since 2025
Van Veghel, Elizabeth
Operational control — since 2025
Wierschem, Bobbie
Operational control — since 2025
Wood, Rosemary
Operational control — since 2025
Wright, Amy
Operational control — since 2025
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
1998-02-01
CMS overall rating
1 of 5 stars
Health deficiencies
13 at the last standard inspection
Federal fines
$78,878 total
Last standard inspection
2026-01-14
Nurse staffing
4.0 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$319 per day (≈ $9,700/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
45% Medicaid · 9% Medicare · 46% private/other
Occupancy
54% (fiscal year 2023)
Vs. state median
7% below the IA median of $342/day — full state cost breakdown
Services & coverage
Licensed beds
72
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 9 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-20Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-06-01
2026-01-14Health inspection4 citations
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-02-13
F-0732
D · No harm found
Post nurse staffing information every day.
Corrected 2026-02-13
F-0812
F · 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 2026-02-13
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-02-13
11 earlier / fire-safety inspections (70 citations)
2025-08-05Health inspectionComplaint-triggered8 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 2025-09-05
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-09-05
F-0627
J · Immediate jeopardyFrom a complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-09-05
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-09-05
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-05
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 2025-09-05
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-09-05
F-0926
E · No harm foundFrom a complaint
Have policies on smoking.
Corrected 2025-09-05
2025-04-10Health inspectionComplaint-triggered4 citations
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-09
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 2025-05-09
F-0726
D · No harm foundFrom a complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2025-05-09
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-05-09
2024-12-12Health inspectionComplaint-triggered10 citations
F-0583
D · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2025-01-09
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-01-09
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 2025-01-09
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-01-09
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-01-09
F-0727
D · No harm found
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2025-01-09
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 2025-01-09
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-01-09
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-01-09
F-0887
D · No harm found
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-01-09
2024-09-25Health inspectionComplaint-triggered1 citation
F-0584
D · No harm foundFrom a complaint
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.
Corrected 2024-10-25
2024-09-12Health inspectionComplaint-triggered7 citations
F-0584
E · No harm foundFrom a complaint
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.
Corrected 2024-10-25
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-25
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.
Corrected 2024-10-25
F-0803
D · No harm foundFood safetyFrom a complaint
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.
Corrected 2024-10-25
F-0804
D · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-10-25
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 2024-10-25
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-10-25
2024-02-01Health inspectionComplaint-triggered9 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 2024-02-22
F-0607
D · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-02-22
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 2024-02-22
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-02-22
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 2024-02-22
F-0801
B · No harm foundFood safety
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2024-02-22
F-0803
D · No harm foundFood safetyFrom a complaint
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.
Corrected 2024-02-22
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-02-22
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 2024-02-22
2023-09-18Health inspectionComplaint-triggeredInfection control2 citations
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-21
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-09-21
2026-01-14Fire-safety inspection13 citations
K-0222
D · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2026-01-22
K-0223
D · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2026-01-23
K-0293
E · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2026-01-23
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-01-23
K-0324
D · No harm found
Provide properly protected cooking facilities.
K-0325
D · No harm found
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2026-01-21
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-01-23
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2026-01-19
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2026-01-23
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2026-01-22
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2026-02-06
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-01-23
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2026-02-06
2025-07-17Fire-safety inspectionComplaint-triggered1 citation
K-0222
E · No harm foundFrom a complaint
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-07-18
2024-12-12Fire-safety inspection6 citations
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-12-31
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2025-01-17
K-0341
E · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-12-18
K-0347
F · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-12-26
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-23
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-12-31
2024-02-01Fire-safety inspection9 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2024-02-08
K-0271
E · No harm found
Have exits that are accessible at all times.
Corrected 2024-03-01
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2024-02-07
K-0346
F · No harm found
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-02-07
K-0354
F · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-02-07
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-02-07
K-0711
F · No harm found
Provide a written emergency evacuation plan.
Corrected 2024-02-22
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-02-07
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-02-21
Federal penalties
2025-08-05Fine$78,878
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 165385.
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 75 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 onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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