Harmony Waterloo
201 West Ridgeway Avenue, Waterloo, IA 50701 · (319) 234-7777
For profit - Limited Liability company · 88 certified beds
Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.
Harmony Waterloo has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in January 2026, found 6 citations (the Iowa average is 6.5). It was fined 1 time in the last three years, $95,440 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. | ★★★★★ 4 out of 5 stars · Above 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 6 citations. What an inspection citation means
- Post nurse staffing information every day.January 14, 2026 · F0732 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.January 14, 2026 · F0802 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.January 14, 2026 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.January 14, 2026 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.January 14, 2026 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.January 14, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 11 citations.
- 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.June 11, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.October 30, 2025 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Protect each resident from the wrongful use of the resident's belongings or money.May 1, 2025 · F0602 · 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.January 15, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 21, 2024 · F0684 · 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 8, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.August 8, 2024 · F0755 · 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.May 22, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.May 22, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.May 22, 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.October 18, 2023 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $95,440October 30, 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 | 3.24 | 3.82 | 3.86 |
| Registered nurses (RN) | 0.67 | 0.74 | 0.69 |
| Licensed practical nurses (LPN) | 0.52 | 0.56 | 0.86 |
| Nurse aides | 2.04 | 2.52 | 2.32 |
| Total nursing staff turnover | 48.8% | 44% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 88 |
| Average residents per day | 74.5 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Friendship Village Retirement Waterloo · ★★★★★ 5 out of 5 stars
- Northcrest Specialty Care Waterloo · ★★★★★ 2 out of 5 stars
- Pillar of Cedar Valley Waterloo · ★★★★★ 1 out of 5 stars
- Harmony House Health Care Center Waterloo · ★★★★★ 1 out of 5 stars
- Ravenwood Specialty Care Waterloo · ★★★★★ 1 out of 5 stars
Compare every nursing home in Waterloo, IA · Nursing homes in Iowa · Home health agencies in Waterloo, IA
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Data from Medicare (CMS), updated October 2026, from Harmony Waterloo on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.