Harmony Waterloo
Nursing home in Waterloo, Iowa, CMS certification number 165034
201 West Ridgeway Avenue, Waterloo, IA 50701 · Black Hawk County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 88
- Certified for
- Medicare and Medicaid
- Last standard inspection
- January 14, 2026
- Deficiencies at that inspection
- 8
- Fines in 3 years
- $95,440 (1)
Does Harmony Waterloo take Medicare and Medicaid?
Yes to both. Harmony Waterloo is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 3 of 5 |
| Quality of resident care | 4 of 5 |
| Long-stay quality | 4 of 5 |
| Short-stay quality | 5 of 5 |
Nurse staffing hours and turnover
These are the hours Harmony Waterloo reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.32
- Registered nurse hours
- 0.71
- Licensed practical nurse hours
- 0.52
- Nurse aide hours
- 2.09
- Weekend total hours
- 3.00
- Nursing staff turnover
- 47.6%
- Registered nurse turnover
- 25%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on January 14, 2026 and cited 8 deficiencies, plus 2 from complaint visits.
The visit before, on January 15, 2025, found 5.
CMS shows an abuse icon for Harmony Waterloo. That means inspectors cited it for abuse, neglect or exploitation in the past year or two.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Harmony Waterloo 1 time in the past 3 years, for $95,440 in total.
Beds and residents
On an average day 71.5 residents live here, about 81% of its 88 certified beds.
- Certified beds
- 88
- Average residents per day
- 71.5
- Certified since
- January 19, 1967
- Resident or family council
- Resident
Who owns Harmony Waterloo
- Legal business name
- Waterloo Skilled Nursing Facility LLC
- Ownership type
- For profit - Limited Liability company
- Chain
- 96 homes nationally under Legacy Healthcare, 3-star chain average
Other nursing homes near Harmony Waterloo
- Friendship Village Retirement600 Park Lane, Waterloo 50702
- Ravenwood Specialty Care2651 St Francis Drive, Waterloo 50702
- Harmony House Health Care Center2950 West Shaulis Road, Waterloo 50701
- Northcrest Specialty Care2001Health Street, Waterloo 50703
- Pinnacle Specialty Care1223 Prairieview Road, Cedar Falls 50613
See also all nursing homes in Waterloo.
Who inspects nursing homes in Iowa
Iowa's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Iowa, the 6 in Waterloo, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Harmony Waterloo, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Harmony Waterloo
What is the CMS star rating of Harmony Waterloo?
1 out of 5 stars overall.
Does Harmony Waterloo accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Harmony Waterloo?
8 cited at the last standard visit.
Who owns Harmony Waterloo?
Waterloo Skilled Nursing Facility LLC, for profit - limited liability company.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.