Home›Browse›Iowa›Waterloo›Harmony Waterloo

Nursing homeFAID #4099

Harmony Waterloo

201 WEST RIDGEWAY AVENUE, WATERLOO, IA, 50701

(319) 234-7777

88 licensed beds

★★★★★1/5CMS Five-Star overall1/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

201 West Ridgeway Avenue

Waterloo, IA 50701

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

165034

Care type

Nursing home

County

Black Hawk

Facility name

Harmony Waterloo

Street address

201 WEST RIDGEWAY AVENUE

City / state / ZIP

Waterloo, IA 50701

Phone

(319) 234-7777

About this facility — Harmony Waterloo

Harmony Waterloo is a Medicare/Medicaid-certified skilled nursing facility in Waterloo, Iowa. It is licensed for 88 beds — well above 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 Waterloo 57 times across 14 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $95,440 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

Gpn Family Trust U/a/d 4/28/08

Direct owner — 60% stake — since 2023

Doros Generation Trust U/a/d 1/3/12

Direct owner — 26% stake — since 2023

Oakway Operations Llc

Direct owner — 15% stake — since 2023

Knapp, Justin

Managing employee — since 2023

Legacy Healthcare Financial Services Llc

Operational control — since 2023

Shabat, Menachem

Officer — since 2023

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

1967-01-19

CMS overall rating

1 of 5 stars

Health deficiencies

8 at the last standard inspection

Federal fines

$95,440 total

Last standard inspection

2026-01-14

Nurse staffing

3.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$440 per day (≈ $13,380/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

70% Medicaid · 5% Medicare · 25% private/other

Occupancy

71% (fiscal year 2023)

Vs. state median

29% above the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds

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 4 food-safety citations on its three-year record — flagged below among the inspections.

2026-06-11Health inspectionComplaint-triggered1 citation

F-0761

E · No harm foundFrom a complaint

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.

Corrected 2026-07-01

2026-01-14Health inspection6 citations

F-0688

D · No harm found

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.

Corrected 2026-02-13

F-0732

E · No harm found

Post nurse staffing information every day.

Corrected 2026-02-13

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2026-02-13

F-0802

E · No harm foundFood safety

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2026-02-13

F-0803

E · No harm foundFood safety

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 2026-02-13

F-0804

E · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2026-02-13

10 earlier / fire-safety inspections (50 citations)

2025-10-30Health inspectionComplaint-triggered1 citation

F-0600

J · Immediate jeopardyFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-11-12

2025-05-01Health inspectionComplaint-triggered1 citation

F-0602

D · No harm foundFrom a complaint

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-05-08

2025-01-15Health inspectionComplaint-triggered5 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 2025-02-07

F-0584

D · No harm found

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 2025-02-07

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-02-10

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-02-07

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-02-07

2024-11-21Health inspectionComplaint-triggered1 citation

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-11-22

2024-08-08Health inspectionComplaint-triggered2 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 2024-08-22

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 2024-08-22

2024-05-22Health inspectionComplaint-triggered4 citations

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 2024-06-12

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 2024-06-12

F-0695

D · No harm foundFrom a complaint

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-06-12

F-0812

D · 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 2024-06-12

2023-10-18Health inspectionComplaint-triggered1 citation

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 2023-11-09

2026-01-14Fire-safety inspection10 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2026-02-04

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2026-01-29

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-01-22

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-01-14

K-0374

F · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2026-01-14

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2026-02-03

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2026-02-18

K-0911

E · No harm found

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2026-01-14

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-02-13

K-0921

F · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2026-02-09

2025-01-15Fire-safety inspection12 citations

E-0006

F · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2025-01-30

E-0007

F · No harm found

Address patient/client population and determine types of services needed.

Corrected 2025-01-30

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2025-01-30

K-0291

F · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-01-30

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2025-02-08

K-0347

F · No harm found

Properly provide smoke detection systems in areas open to corridors.

Corrected 2025-02-04

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-29

K-0374

F · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-01-30

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-02-10

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 2025-01-23

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-01-27

K-0921

F · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-02-04

2024-05-22Fire-safety inspection13 citations

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-06-12

K-0222

F · 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 2024-06-10

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 2024-06-17

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2024-06-12

K-0341

F · No harm found

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-06-24

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-07

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-06-12

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-06-07

K-0700

D · No harm found

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

Corrected 2024-05-29

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-06-06

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-06-24

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-06-17

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-06-07

Federal penalties

2025-10-30Fine$95,440

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 165034.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 57 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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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