CareWitness
Federal record · CMS Care Compare · CCN 165385 · Processed JUN 1 2026
CareWitnessIowaMarshalltownNursing HomesHarmony Marshalltown

Harmony Marshalltown

910 East Olive, Marshalltown, IA, 50158

Type
Nursing home
Medicare/Medicaid certified · CCN 165385

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Federal Quality Data

Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.

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CMS Star Ratings

Overall1 / 5
Health inspections1 / 5
Staffing3 / 5
Quality measures3 / 5

Facility & Staffing

Ownership
For profit - Corporation · Chain: Legacy Healthcare
Certified beds
72 · avg 47 residents/day
Total nursing staff turnover
56.1%higher than most Iowa nursing homesIowa avg: 44.4% · National avg: 46.1% · per CMS Care Compare
RN turnover
91.7%higher than most Iowa nursing homesIowa avg: 42.9% · National avg: 43.3% · per CMS Care Compare

Enforcement & Citations

Fines (past 3 years)
1 fine · $78,878 total
Infection control citations
1

Medicare certification

CMS Certification Number
165385
Certified beds
72 beds · avg 47 residents/day
Ownership type
For profit - Corporation
Continuing-care community
No

CMS Care Compare, processing date June 1, 2026

Ownership & operations

Legal business name
Marshalltown Skilled Nursing Facility Llc
Chain affiliation
Legacy Healthcare

CMS Care Compare, processing date June 1, 2026

Federal ownership record

For-profitLlcHolding company in ownership

Chain affiliation

Part of the Legacy Healthcare chain — 89 facilities across 3 states. Chain-wide average overall rating 2.9 / 5.

Parent entity

Iowa Portfolio Opco Holdings Llc

Disclosed owners (44 on record)

  • Amy Wright

    Operational/managerial Control · since 2025

  • Bobbie Wierschem

    Operational/managerial Control · since 2025

  • Cascade Capital Holdings LlcHolding

    Adp of The Snf · since 2025

  • Cascade Capital Partners LlcHolding

    Adp of The Snf · since 2025

  • Ccg Gorgona LlcHolding

    Adp of The Snf · since 2025

  • Chaim z Rajchenbach

    Operational/managerial Control · since 2025

+ 38 additional owners on the federal record.

Recent change of ownership

August 2024 (1 year ago) · acquired from Grandview Heights Rehab & Healthcare

Transaction type: Change of Ownership

Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.

Federal inspection record

45 health citations on file2 immediate-jeopardy findings26 from complaints1 federal fine totalling $79K

Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.

Recent health-deficiency citations (most recent 8 of 45)

  • D0880·Jan 14, 2026

    Infection Control Deficiencies

    Provide and implement an infection prevention and control program.

  • F0812·Jan 14, 2026

    Nutrition and Dietary Deficiencies

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • D0732·Jan 14, 2026

    Nursing and Physician Services Deficiencies

    Post nurse staffing information every day.

  • D0677·Jan 14, 2026

    Quality of Life and Care Deficiencies

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • E0926·Aug 5, 2025Complaint

    Environmental Deficiencies

    Have policies on smoking.

  • D0842·Aug 5, 2025Complaint

    Resident Assessment and Care Planning Deficiencies

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • E0725·Aug 5, 2025Complaint

    Nursing and Physician Services Deficiencies

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  • J0689·Aug 5, 2025Complaint

    Quality of Life and Care Deficiencies

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

View the full inspection history on CMS Care Compare →

Federal penalties

By year

  • 20251 fine · $79K

Most recent events

  • Aug 5, 2025Fine · $79K

Fire-safety citations

29 Life-Safety-Code citations on file. Most recent: Jan 14, 2026. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.

Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.

Facility background report

The entire federal paper trail on this facility, in one report.

We compile everything the government publishes about Harmony Marshalltowninto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.

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Where this information comes from

  • Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.

Data comes unaltered from the federal files. See every source we publish from.