Harmony Waterloo

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

54.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 53 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 63.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 22 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.26 therapist hours per resident per day in 2026Q1 — more than 37% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 14% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 88 beds and averages 74.5 residents a day — about 85% occupied, or roughly 14 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.24 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.67 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.04 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.93 hrs/resident/day on weekends vs 3.36 on weekdays — 13% thinner on weekends. RN hours go from 0.78 to 0.41 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 49% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

22 citations, most serious first. The 11 most serious are shown; the remaining 11 are one tap away and print in full.

• Immediate jeopardy · J2025-10-30 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, resident and staff interviews and policy review, the facility deprived a resident of care by failing to communicate in a respectful manner during bedtime care, abandoned the resident in a vulnerable state and failed to respond to the resident's requests for necessary care resulting in the resident's ongoing fear and anxiety. Resident #4 stated on 10/13/25 one of the two nursing staff was arguing with her about her preference of care. Both nursing staff knowingly left Resident #4 on her bed, soiled with urine, without a cover and no staff answered the light for approximately an hour. Resident #4 began crying and expressed fear as her phone was placed out of reach by staff and she had no way of getting assistance as staff would not come when she called out for help. When Resident #4 requested the staff to get the Director of Nursing (DON) so she could report the abuse, the DON refused to respond. The State Agency informed the facility of the Immediate Jeopardy (IJ) that began…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-06-11 · tag F0761 — failed to label and store drugs safely — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, and record and policy reviews, the facility failed to ensure that staff securely stored all medications for 2 of 2 residents reviewed (R#2 and R#8). The facility also failed to maintain a safe environment because staff left the medication carts and treatment carts unlocked and unsupervised. The facility reported a resident population of 68. Findings include: 1. Resident R#2's Minimum Data Set (MDS) admission assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 4, indicating severe cognitive impairment. The MDS listed diagnoses of major depressive disorder (severe depression), coronary artery disease (heart disease), high blood pressure, dementia (memory loss), stroke (brain tissue damage from blood flow blockage), sleep apnea (nighttime breathing interruptions), and chronic tension-type headaches (frequent severe headaches). The facility's Investigation reflected on 5/2/26 Staff J, Certified Medication Aide (CMA), passed out having…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-14 · tag F0732 — pattern
  Post nurse staffing information every day.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, and staff interview the facility failed to keep the daily nurse staff posting current for 2 of 4 days during the survey. In addition, the facility failed to post the number of hours nursing staff worked for 4 of 4 days during the survey. The facility reported a census of 71 residents. Findings include: On 1/11/26 at 11:23 AM witnessed the facility's Nurse Staff Posting dated 1/10/26 (the day before) posting up. In addition, it lacked the number of hours staff worked. On 1/12/26 at 2:03 PM observed the facility's Nurse Staff Posting lacked the number of hours staff will work. On 1/13/26 at 12:51 PM witnessed the facility's Nurse Staff Posting lacked the number of hours staff will work. On 1/14/26 at 9:14 AM observed facility's Nurse Staff Posting dated 1/13/26 (the day before) staff posting up. In addition, it lacked the number of hours staff worked. On 1/14/26 at 10:04 PM the Administrator reported the facility's night shift nurse completed the Nurse Staff Posting. The Administrator explained it should be current every day. She acknowledged the staff didn't…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-14 · tag F0802 — failed to prepare enough nourishing food — pattern
  Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interviews, and policy review the facility failed to have 2 of 2 cooks able to explain the puree process and procedure. The facility reported a census of 71 residents. Findings include: The review of the Week 4, Week at a Glance with Portion (facility menu) instructed to serve 3 ounces (oz.) of roast beef and 4 oz. of roasted butternut squash. On 1/13/26 at 10:59 AM observation of the puree process for 4 residents revealed Staff E, Cook, didn't measure the roast beef or squash after pureeing in the blender to ensure they provided equal portions. On 1/13/26 at 11:12 AM Staff E reported she didn't use a measuring cup after pureeing the food. She instead uses the scoop size as directed on the menu and never got trained to measure the pureed food. She asked Staff D, Cook, who oversaw the kitchen while the Certified Dietary Manager is off, to help her. Staff D explained they didn't measure the pureed food after pureeing; they use the scoop size directed on the menu. Staff D and Staff E added they didn't use a guide to instruct them on what serving size to use.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-14 · tag F0803 — failed to meet residents' dietary needs — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interviews, and policy review the facility failed to use an 8 ounce (oz.) scoop to serve mashed potatoes as the menu instructed and instead used a 6 oz. scoop resulting in an unknown amount of room trays and 13 of 13 residents in the dining room receiving less mashed potatoes than the menu instructed. The facility reported a census of 71 residents. Findings include: The review of Week 4, Week at a Glance with Portion (facility menu) instructed to serve mashed potatoes with a #8 scoop and roast beef with a 3-ounce (oz.) scoop. On 1/13/26 at 12:28 PM after completion of meal service Staff D, Cook, reported she used a green scoop and thought it was a #8 scoop but instead it was a #6 scoop. She explained she used it for all residents she served mashed potatoes. She added she used a 6 oz. scoop to serve roast beef to all the residents as well and not a 3 oz. as the menu instructed. An observation on 1/13/26 at 12:29 PM of the dining room revealed 8 of 13 resident plates had no mashed potatoes left on their plates, indicating they ate them all. In an interview…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-14 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, policy review, staff, and resident interviews, the facility failed to serve rooms trays at or above 135 degrees Fahrenheit ( F) for 3 of 3 test trays and 4 of 12 resident interviews (Resident #54, #34, #78, and #63). The facility reported a census of 71 residents. Findings include: 1. Resident #54's Minimum Data Set (MDS) assessment for Resident #54 dated 10/13/25 documented a Brief Interview for Mental Status (BIMS) of 15 indicating no cognitive impairment. On 1/12/26 at 9:00 AM Resident #54 reported she ate in her room and the food is not always the hottest. 2. Resident #34's MDS assessment dated [DATE] documented a BIMS of 13, indicating no cognitive impairment. On 1/12/26 at 10:36 AM Resident #34 said sometimes the food is not hot enough. 3. Resident #78's MDS assessment dated [DATE] documented a BIMS of 15, indicating no cognitive impairment. On 1/11/26 at 11:02 AM Resident #78 reported the hot food is not always hot enough. 4. Resident #63's MDS assessment dated [DATE] documented a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-14 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, policy review, resident and staff interviews the facility failed to implement and maintain a restorative program for 2 of 2 residents reviewed (Resident #17 and # 26). The facility reported a census of 71 residents. Findings include:1. Resident #17's Minimum Data Set (MDS) assessment dated [DATE] the Staff Assessment for Mental Status listed her with severely impaired cognition. Resident #17 required maximal assistance to roll in bed. The staff didn't attempt sit to stand due to medical conditions. The MDS listed Resident #17 as dependent with bed to chair transfers. The MDS included diagnoses of encephalopathy (disease or disorder that changes brain function causing altered mental state), leukemia (cancer of the blood), high blood pressure, chronic kidney disease (gradual loss of kidney function), hyperlipidemia (high cholesterol), dementia (decline in mental ability), convulsions, anxiety, depression, irregular heartbeat, and reduced mobility. The MDS lacked documentation…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-14 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, policy review, manufactures instructions for use, and staff interviews, the facility failed to properly prime an insulin pen before administering for 1 of 2 residents observed (Resident #22). The facility reported a census of 71.Findings include:On 1/12/26 at 11:20 AM, observed Staff A, Licensed Practical Nurse (LPN), attempt to prime the insulin pen. Staff A turn the dial on the Humalog insulin pen to 2 units without the needle on and pressed the plunger of the insulin pen. After Staff A placed the needle on the pen and set the insulin pen to 10 units, she indicated being ready to administer the insulin to Resident #22. Resident #2's Minimum Data Set (MDS) assessment dated [DATE] showed a Brief Interview for Mental Status (BIMS) score of 14, indicating intact cognition. The MDS listed a diagnosis of diabetes mellitus. Resident #2 used insulin seven days a week in the lookback period. The Order Review History Report acknowledged by the provider on 1/8/26 listed the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-01 · tag F0602 — failed to protect residents from theft of their belongings — isolated
  Protect each resident from the wrongful use of the resident's belongings or money.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, document review, policy review, resident and staff interviews, the facility failed to keep resident's free from financial exploitation (abuse) when a staff member utilized a resident's credit card to pay their personal cell phone bill for 1 of 4 resident's sampled (Resident #7). The residents gave the staff money, credit, and/or debit cards to purchase pop for them from the vending machine. The staff reported they always did this, especially for residents who couldn't get out of bed to get the pop themselves. After 1 resident discharged from the facility, the resident received a phone call from her bank regarding an overdraft charge for a cellular phone bill, the resident contacted the police who started an investigation. The investigation determined the name on the cellular phone account belong to a staff member, Staff A, Certified Nurse Aide (CNA), who worked at the facility during the time Resident #7 lived at the facility. The facility identified a census of 74…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-15 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, resident and staff interviews, the facility failed to treat residents with dignity and respect ensuring the resident 's rights were met for 2 of 3 residents reviewed (Resident #65 and #8). The facility reported a census of 80 residents. Finding include: 1.The Minimum Data Set ( MDS) for Resident #65 dated 12/19/24 revealed Brief Interview for Mental Status (BIMS) score of 15 indicating intact cognition. The MDS further documented she has diagnoses of congestive heart failure, hypertension, diabetes and anxiety. During an interview on 1/12/25 at 1:12 PM Resident #65 reported Staff A, Licensed Practical Nurse (LPN) is not a nice nurse she at times talks rude and degrading toward her. Resident #65 reported when her roommate (Resident #11) was in the hospital, Resident #8 came around to deliver the monthly newsletter for the facility. When Resident #8 asked where Resident #11 , Resident #65 told her she was in hospital. Resident #65 reported they both were saying they hoped Resident #11 felt better soon. Resident #65 reported they didn't feel that they did…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-15 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, resident and staff interviews, the facility failed to keep the shower room at a comfortable temperature to meet within regulation of 71 to 81 degrees per resident request (Resident#38 and #65). The facility reported a census of 80 residents. Findings include: 1. The Minimum Data Set (MDS) for Resident #38 dated 12/25/24 identified a Brief Interview for Mental Status (BIMS) score of 15 indicating intact cognition. The MDS documented the resident needs supervision or touching assistance with bathing and dressing (Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently). The MDS further documented the resident had diagnoses of anxiety, hypertension, localized edema and chronic back pain. During an interview on 1/12/25 at 2:05 PM Resident #38 reported the temperature in the shower room is cold. The water is warm but the room itself is cold. He reported it was discussed since November at resident council but nothing gets done. In an…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$95,440 in federal fines across 1 penalty.

• $95,440 — penalty dated 2025-10-30

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to LEGACY HEALTHCARE — 89 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

4 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 70% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $336K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IA