1 / 5CMS Care Compare
Most reviewers describe Harmony House as a clean, well-run skilled nursing facility with caring CNAs and nurses, good food, and helpful therapy staff, with several residents saying they've been happy there for years. One more recent review, however, raises serious concerns about changes following a management/ownership transition, including loss of therapy services and experienced staff.
AI-generated from reviews and community data.
Harmony House Health Care Center is a senior living community in Waterloo, Iowa offering Skilled Nursing / Long Term Care. Amenities include Restaurant style Dining Room, Gathering / Activity Spaces and Social Activities. Families rate it 4.0 out of 5 across 31 reviews.
Harmony House Health Care Center is a skilled nursing / long term care community in Waterloo, Iowa. The community is licensed for up to 65 residents.
Families rate Harmony House Health Care Center 4 out of 5 based on 31 Google reviews.
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Help Me Choose4overall · 31 ratings combined
4★ on Google (31)
Julie
Jun 2026
I have been at Harmony House for 4 years next week. The staff here is great and they are great help to me. The facility is always nice and clean. The house keeping team is great they always work hard. I love the food here - cheesecake and the vegetable lasagna are my top fav. I'm currently working with therapies and therapy team is great.
Amanda Ray
Jun 2026
I've been a resident here for a long time. The food here is great. The staff here is nice and respectful towards me. The facility is very clean. Activities are fun and I like interacting with other residents. If a family member would ever need care I would love for them to be my roommate.
Meagan Hunter
Jun 2026
I have had a wonderful experience working with Harmony House and their dedicated staff. Their team consistently goes above and beyond to provide compassionate, high-quality care to their residents. Communication is excellent, and they work collaboratively with other healthcare organizations to ensure seamless coordination of care for mutual residents. Their commitment to teamwork and resident well-being truly makes a difference, and we appreciate the strong partnership we've built together.
Niko C
Jun 2026
My mother still lives here, I am looking for a new place pronto. Since Legacy has taken over EVERYTHING and everyone has changed for the worse. No physical therapy, no therapy, no employees that had been there nearly a decade! Used to be something. Now it's sad EVERY SINGLE time I'm there. I'm almost afraid for the people there. Legacy has taken the food, has taken the pay from employees, have taken what used to make this place awesome.
Rik Charbonneaux
May 2026
Having come into Harmony two weeks ago from 102 continuous days in the hospital, I feel that this is the best healthcare facility I have ever been served by, and that includes the four major Iowa hospitals and two of the Waterloo Rehabilitation Facilities. The main reason I feel this way is the dedication and commitment displayed by all of the CNAs in caring for all their charges. They are absolutely amazing and are key to a very successful business model for Harmony House. This level of service comes from a caring heart and a willingness to serve, and is rare in healthcare today. Additionally, all of my Nurses have been excellent, and I know that I am in good and confident hands, as well as those top-tier professionals from RT, OT & PT Departments and the Labs. Another reason I appreciate being here is for the excellent “in-house” Kitchen and Cooks who provide full-flavored, old-fashioned, delicious food that is so uncommon today. Superior cooking skills, especially by Fry Chef Dan, whose ability to transform quick frozen items into perfectly browned and moist entrees is amazing and consistent. Further, it is so nice to be in a facility in the green suburbs with such pleasant views of the landscapes and nature just outside my window. What a huge difference from the city! Finally, I love how all employees here maintain a clear focus on the importance of residents, the quality of their care and lives, and their rightful expectations. Again, especially among the fine Cadre of CNAs. I highly recommend Harmony House Health Care Center to all.
7 inspection visits in the last three years, 34 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 27, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 27, 2026
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 27, 2026
Provide enough food/fluids to maintain a resident's health.
Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected 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.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Apr 16, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 16, 2026
Respond appropriately to all alleged violations.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 16, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 16, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 16, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 16, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected 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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 16, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 16, 2026
Ensure that residents are free from significant medication errors.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 16, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity J of L: immediate jeopardy, isolatedCorrected Sep 9, 2025
Respond appropriately to all alleged violations.
Severity J of L: immediate jeopardy, isolatedCorrected Sep 9, 2025
Reasonably accommodate the needs and preferences of each resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 15, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 15, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 7, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 9, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 15, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 15, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 15, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 15, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 15, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 15, 2025
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 15, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected May 16, 2025
Conduct testing and exercise requirements.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 16, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 12, 2024
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 12, 2024
Employ staff that are licensed, certified, or registered in accordance with state laws.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 12, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 12, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Jan 30, 2024
Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.
Harmony House Health Care Center offers Skilled Nursing / Long Term Care.
Harmony House Health Care Center is located at 2950 West Shaulis Road in Waterloo, Iowa.
Most reviewers describe Harmony House as a clean, well-run skilled nursing facility with caring CNAs and nurses, good food, and helpful therapy staff, with several residents saying they've been happy there for years. One more recent review, however, raises serious concerns about changes following a management/ownership transition, including loss of therapy services and experienced staff.
Harmony House Health Care Center had 7 government inspection visits in the last three years, with 34 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.
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