Harmony Waterloo
201 West Ridgeway Avenue, Waterloo, IA, 50701
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Order the reportFederal 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.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Legacy Healthcare
- Certified beds
- 88 · avg 72 residents/day
- Total nursing staff turnover
- 50.5% — higher than most Iowa nursing homesIowa avg: 44.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 27.3% — lower than most Iowa nursing homesIowa avg: 42.9% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Iowa averageIowa avg: 0.5 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $95,440 total
Medicare certification
- CMS Certification Number
- 165034
- Certified beds
- 88 beds · avg 72 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Waterloo Skilled Nursing Facility Llc
- Chain affiliation
- Legacy Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Legacy Healthcare chain — 89 facilities across 3 states. Chain-wide average overall rating 2.9 / 5.
Disclosed owners (6 on record)
- Chaim Rajchenbach Descendants tr ua 04282008
5% or Greater Direct Ownership Interest · 60% · since 2023
- Doros Generation Trust U/a/d 1/3/12
5% or Greater Direct Ownership Interest · 26% · since 2023
- Legacy Healthcare Financial Services Llc
Operational/managerial Control · since 2023
- Menachem Shabat
Corporate Officer · since 2023
- Oakway Operations Llc
5% or Greater Direct Ownership Interest · 15% · since 2023
- Justin r Knapp
W-2 Managing Employee · since 2023
Recent change of ownership
April 2023 (3 years ago) · acquired from Promedica Skilled Nursing And Rehabilitation (waterloo)
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
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 21)
- E0804·Jan 14, 2026
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E0803·Jan 14, 2026
Nutrition and Dietary Deficiencies
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.
- E0802·Jan 14, 2026
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- D0688·Jan 14, 2026
Quality of Life and Care Deficiencies
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.
- E0732·Jan 14, 2026
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
- D0760·Jan 14, 2026
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- J0600·Oct 30, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0602·May 1, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Federal penalties
By year
- 20251 fine · $95K
Most recent events
- Oct 30, 2025Fine · $95K
Fire-safety citations
35 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 Waterloointo 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.
Order the full background report — $249Where 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.