About Harmony House Health Care Center
Harmony House Health Care Center, located in Waterloo, IA, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Harmony House Health Care Center
- More Nursing Time: Staff spends 3.96 hours per resident daily (National Avg: 3.87).
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 3.96 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the LEGACY HEALTHCARE network. This chain operates 89 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Above Average Staffing
Harmony House Health Care Center provides more care hours than the state average and more than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 3 |
|
| Staffing | 3 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 258 | Aug 06, 2025 |
| Weighted Average | 209 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending Jun 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 27.8% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 16.7% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | N/A |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | N/A |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 13.4% |
| Percentage of long-stay residents who lose too much weight (QM404) | 3.2% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.7% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 3.6% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 0.6% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 0.5% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 76.0% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 63.3% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 13.6% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 24.6% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 95.9% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 80.0% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 3.4% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 22.0% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 31.4% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2024: 3 complaints
- 2025: 3 complaints
- 2026: 11 complaints
- Total: 17 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Apr 16, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Apr 16, 2026 | Ensure that residents are free from significant medication errors. |
| Apr 16, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Apr 16, 2026 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| Apr 16, 2026 | 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. |
| Apr 16, 2026 | Provide enough food/fluids to maintain a resident's health. |
| Apr 16, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Apr 16, 2026 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Apr 16, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Apr 16, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. |
| Apr 16, 2026 | Respond appropriately to all alleged violations. |
| Sep 15, 2025 | Reasonably accommodate the needs and preferences of each resident. |
| Aug 07, 2025 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. |
| May 16, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| Oct 12, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Oct 12, 2024 | Employ staff that are licensed, certified, or registered in accordance with state laws. |
| Jan 30, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
Nearby Hospitals
ALLEN HOSPITAL
WATERLOO, IA
MERCYONE WATERLOO MEDICAL CENTER
WATERLOO, IA
VIRGINIA GAY HOSPITAL
VINTON, IA
WAVERLY HEALTH CENTER
WAVERLY, IA
SARTORI MEMORIAL HOSPITAL, INC
CEDAR FALLS, IA
GRUNDY COUNTY MEMORIAL HOSPITAL
GRUNDY CENTER, IA
Owner & Operator Information
Business Entity
SHAULIS IA SKILLED NURSING FACILITY LLC
Ownership Structure
- CHAIM RAJCHENBACH Direct: 50%
Management & Direction
- KARLA BEASLEY OPERATIONAL/MANAGERIAL CONTROL
- LINSEY BEHOUNEK OPERATIONAL/MANAGERIAL CONTROL
- JENNY BORCHERDING OPERATIONAL/MANAGERIAL CONTROL
- SHERI BURKEN OPERATIONAL/MANAGERIAL CONTROL
- CASCADE CAPITAL HOLDINGS LLC ADP OF THE SNF
- CASCADE CAPITAL PARTNERS LLC ADP OF THE SNF
- CCG GORGONA LLC ADP OF THE SNF
- DARRON CUTLER OPERATIONAL/MANAGERIAL CONTROL
- LISA ELWICK OPERATIONAL/MANAGERIAL CONTROL
- LAURA FRIEDENBERG OPERATIONAL/MANAGERIAL CONTROL
- BRIAN FRIEDMAN TRUSTEE OF THE SNF
- MARY GEIGER OPERATIONAL/MANAGERIAL CONTROL
- GORGONA HOLDCO LLC ADP OF THE SNF
- GORGONA PROPCO HOLDINGS LLC ADP OF THE SNF
- GORGONA SUB HOLDCO LLC ADP OF THE SNF
- JENNIFER HEDBERG OPERATIONAL/MANAGERIAL CONTROL
- CHRISTINA HENNAGER OPERATIONAL/MANAGERIAL CONTROL
- LARINA HEYING OPERATIONAL/MANAGERIAL CONTROL
- MINDY HOUSTON OPERATIONAL/MANAGERIAL CONTROL
- KRYSTLE JAEGER OPERATIONAL/MANAGERIAL CONTROL
- MICHELE KNUTSON OPERATIONAL/MANAGERIAL CONTROL
- MELISSA LARSON OPERATIONAL/MANAGERIAL CONTROL
- LEGACY HEALTHCARE FINANCIAL SERVICES LLC OPERATIONAL/MANAGERIAL CONTROL
- DOROTHY MCCLURE OPERATIONAL/MANAGERIAL CONTROL
- MN8 RH HOLDCO LLC ADP OF THE SNF
- PATRICIA OTTERBECK OPERATIONAL/MANAGERIAL CONTROL
- AVRUM RAJCHENBACH TRUSTEE OF THE SNF
- CHAIM RAJCHENBACH OPERATIONAL/MANAGERIAL CONTROL
- RIVKA RAJCHENBACH TRUSTEE OF THE SNF
- KATHLEEN SCOTT OPERATIONAL/MANAGERIAL CONTROL
- JOSHUA SEU OPERATIONAL/MANAGERIAL CONTROL
- AHUVA SHABAT TRUSTEE OF THE SNF
- MENACHEM SHABAT OPERATIONAL/MANAGERIAL CONTROL
- MENACHEM SHABAT CORPORATE OFFICER
- KILEY SHEAR OPERATIONAL/MANAGERIAL CONTROL
- SANDRA STAUDT OPERATIONAL/MANAGERIAL CONTROL
- ELIZABETH VAN VEGHEL OPERATIONAL/MANAGERIAL CONTROL
- BOBBIE WIERSCHEM OPERATIONAL/MANAGERIAL CONTROL
- ROSEMARY WOOD OPERATIONAL/MANAGERIAL CONTROL
- AMY WRIGHT OPERATIONAL/MANAGERIAL CONTROL
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Virginia Gay Nursing and Rehab, LLC | N/A | 5 |
| Creekside | N/A | 5 |
| Denver Sunset Home | N/A | 4 |
| The Suites at Western Home Communities | N/A | 5 |
| Sunrise Hill Care Center | N/A | 5 |
| Friendship Village Retirement | N/A | 5 |
| Oakview Nursing Home | N/A | 4 |
| Maple Manor Village | N/A | 4 |
| Laporte City Specialty Care | N/A | 5 |
| Westbrook Acres | N/A | 3 |
Related Analysis
Best Nursing Homes in Waterloo, IA
Compare Harmony House Health Care Center to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Harmony House Health Care Center directly at 3192344495. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.