Harmony Marshalltown
910 East Olive, Marshalltown, IA 50158 · (641) 752-4581
For profit - Corporation · 72 certified beds
Harmony Marshalltown has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in January 2026, found 4 citations (the Iowa average is 6.5). It was fined 1 time in the last three years, $78,878 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on January 14, 2026 found 4 citations. What an inspection citation means
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.January 14, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide care and assistance to perform activities of daily living for any resident who is unable.January 14, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Post nurse staffing information every day.January 14, 2026 · F0732 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.January 14, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 26 citations.
- Provide and implement an infection prevention and control program.May 20, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.August 5, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.August 5, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.August 5, 2025 · F0627 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.August 5, 2025 · F0686 · Level of harm: Actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 5, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.August 5, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.August 5, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Have policies on smoking.August 5, 2025 · F0926 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.April 10, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 10, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.April 10, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.April 10, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Keep residents' personal and medical records private and confidential.December 12, 2024 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.December 12, 2024 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.September 25, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.September 12, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure services provided by the nursing facility meet professional standards of quality.September 12, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.September 12, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.September 12, 2024 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.September 12, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.September 12, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.September 12, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.February 1, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.February 1, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.February 1, 2024 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $78,878August 5, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Iowa average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 4.01 | 3.82 | 3.86 |
| Registered nurses (RN) | 0.44 | 0.74 | 0.69 |
| Licensed practical nurses (LPN) | 0.60 | 0.56 | 0.86 |
| Nurse aides | 2.97 | 2.52 | 2.32 |
| Total nursing staff turnover | 50.7% | 44% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 72 |
| Average residents per day | 51.3 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Iowa Veterans Home Marshalltown · ★★★★★ 5 out of 5 stars
- Southridge Specialty Care Marshalltown · ★★★★★ 2 out of 5 stars
- Accura Healthcare of Marshalltown Marshalltown · ★★★★★ 1 out of 5 stars
- State Center Specialty Care State Center · ★★★★★ 5 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Harmony Marshalltown on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.