Assisted living
Harmony Marshalltown
0.00 reviews · 0 verifiedMarshalltown, IALic. 165385
JKLRecent citation with immediate-jeopardy / high severity (J/K/L)Source: CMS Health Citations
FINECMS fine: $78,878Source: CMS Penalties
VBP-SLow SNF VBP readmission measure score (1.3)Source: CMS SNF VBP (PDC)
Provided by facility
Harmony Marshalltown offers a welcoming environment focused on healing and wellness through personalized care. The facility provides short-term rehabilitation, wound care, and orthopedic rehabilitation, ensuring a comprehensive approach to recovery. With a multi-disciplinary team, residents receive tailored treatments aimed at enhancing mobility and overall quality of life in a tranquil setting.
TherapiesOn-Site Rehabilitation Services
CMS Care CompareView on Medicare.gov →
Medicare overall
1/5Medicare.gov Care Compare stars are shown for context only. They are never part of the Unbeatable composite score.
Staffing (PBJ)
3.47 total HPRDRN 0.49 · weekend 91%Oct 2025 – Dec 2025
Survey history
12 inspections74 deficiencies on record
Federal IDs
CCN 165385
Overall: 1/5 · Health: 1/5 · Staffing: 3/5 · QM: 3/5
Unbeatable ratings come only from verified family, staff, and professional reviews on this site. CMS stars, staffing, and citations are public regulatory signals — useful for context, not blended into our score.
Recent inspections
Fire safetyJan 2026 · STATE FIRE MARSHAL13 deficiencies
- K-222SS D — Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- K-223SS D — Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- K-293SS E — Have properly located and lighted "Exit" signs.
- K-321SS E — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- K-324SS D — Provide properly protected cooking facilities.
- K-325SS D — Have properly installed hallway dispensers for alcohol-based hand rub.
- K-353SS D — Inspect, test, and maintain automatic sprinkler systems.
- K-511SS E — Have properly installed electrical wiring and gas equipment.
- K-712SS F — Have simulated fire drills held at unexpected times.
- K-741SS D — Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- K-914SS F — Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- K-918SS F — Have generator or other power source capable of supplying service within 10 seconds.
- K-921SS F — Ensure that testing and maintenance of electrical equipment is performed.
Health surveyJan 2026 · CMS4 deficiencies
- F-677SS D — Provide care and assistance to perform activities of daily living for any resident who is unable.
- F-732SS D — Post nurse staffing information every day.
- F-812SS F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F-880SS D — Provide and implement an infection prevention and control program.
Health surveyAug 2025 · CMS8 deficiencies
- F-550SS D — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F-580SS D — Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F-627SS J — Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- F-686SS G — Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F-689SS J — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-725SS E — Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F-842SS D — Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F-926SS E — Have policies on smoking.
Fire safetyJul 2025 · STATE FIRE MARSHAL1 deficiencies
- K-222SS E — Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Health surveyApr 2025 · CMS4 deficiencies
- F-684SS D — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F-689SS D — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-726SS D — Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- F-842SS D — Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Fire safetyDec 2024 · STATE FIRE MARSHAL6 deficiencies
- K-321SS E — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- K-324SS F — Provide properly protected cooking facilities.
- K-341SS E — Install a fire alarm system that can be heard throughout the facility.
- K-347SS F — Properly provide smoke detection systems in areas open to corridors.
- K-353SS E — Inspect, test, and maintain automatic sprinkler systems.
- K-712SS F — Have simulated fire drills held at unexpected times.
Health surveyDec 2024 · CMS10 deficiencies
- F-583SS D — Keep residents' personal and medical records private and confidential.
- F-644SS D — Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- F-657SS D — Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F-690SS D — Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- F-695SS D — Provide safe and appropriate respiratory care for a resident when needed.
- F-727SS D — Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- F-812SS E — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F-880SS D — Provide and implement an infection prevention and control program.
- F-883SS D — Develop and implement policies and procedures for flu and pneumonia vaccinations.
- F-887SS D — Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Health surveySep 2024 · CMS1 deficiencies
- F-584SS D — 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.
Health surveySep 2024 · CMS7 deficiencies
- F-584SS E — 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.
- F-658SS D — Ensure services provided by the nursing facility meet professional standards of quality.
- F-725SS D — Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F-803SS D — 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.
- F-804SS D — Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F-812SS D — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F-880SS D — Provide and implement an infection prevention and control program.
Fire safetyFeb 2024 · STATE FIRE MARSHAL9 deficiencies
- E-39SS F — Conduct testing and exercise requirements.
- K-271SS E — Have exits that are accessible at all times.
- K-324SS E — Provide properly protected cooking facilities.
- K-346SS F — Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- K-354SS F — Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- K-363SS E — Install corridor and hallway doors that block smoke.
- K-711SS F — Provide a written emergency evacuation plan.
- K-918SS F — Have generator or other power source capable of supplying service within 10 seconds.
- K-921SS F — Ensure that testing and maintenance of electrical equipment is performed.
Health surveyFeb 2024 · CMS9 deficiencies
- F-550SS D — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F-607SS D — Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- F-656SS D — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F-698SS D — Provide safe, appropriate dialysis care/services for a resident who requires such services.
- F-755SS D — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F-801SS B — Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F-803SS D — 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.
- F-804SS E — Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F-812SS E — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Health surveySep 2023 · CMS2 deficiencies
- F-689SS G — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-883SS D — Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Write a reviewOperated by LEGACY HEALTHCARE (privately held) since 1998.
- Aug 2024
operator transition — GARDEN, DANIEL
INDIRECT OWNERSHIP INTEREST (NOT APPLICABLE) — GARDEN, DANIEL - Aug 2024
operator transition — BURKEN, SHERI
5% OR GREATER INDIRECT OWNERSHIP INTEREST (NO PERCENTAGE PROVIDED) — BURKEN, SHERI - Aug 2024
operator transition — NINIO, MORDECHAY
INDIRECT OWNERSHIP INTEREST (NOT APPLICABLE) — NINIO, MORDECHAY