HomeIowaBlack Hawk CountyHarmony House Health Care Center
B
Good

Harmony House Health Care Center

2950 West Shaulis Road · Waterloo, IA 50701

3192344495 · For profit - Limited Liability company

65 beds49.3 residents156 staff
CMS Five-Star Ratings
Overall
Staffing
Quality
Inspections
Staffing Grades
B
Good
Total Staff
B
Good
RN Staff
B
Good
Overall
CMS Benchmark(≥ 3.48 HPRD)
RN Recommendation(≥ 0.75 HPRD)
Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Harmony House Health Care Center receives an overall staffing grade of B (Good). With 3.6725 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.6096 HPRD, below the recommended 0.75. It is 0.22 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.87% compared to weekdays. The facility uses a moderate level of agency staff (8.68% of hours), suggesting some reliance on temporary workers.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (1)

⚠️RN staffing (0.6096 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

Strengths (2)

Meets the CMS staffing benchmark (≥ 3.48 HPRD)
No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.6725hrs/resident/day 0.22
CMS benchmark: 3.48
RN HPRD
0.6096hrs/resident/day 0.07
Recommended: 0.75
Weekend Drop-off
16.87%
3.8564 weekday → 3.2057 weekend
Agency Staff
8.68%
7.07% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.131hrs/resident/day
Direct care aides
LPN HPRD
0.4625hrs/resident/day
Licensed practical nurses
Consistency
0.4927std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Black Hawk County Average-0.08 HPRD
3.76
03.67 HPRD
vs. Iowa State Average-0.14 HPRD
3.82
03.67 HPRD
vs. National Average-0.22 HPRD
3.90
03.67 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Harmony House Health Care Center
Waterloo · This facility
B
3.67250.6096☆☆☆☆
Pinnacle Specialty Care
Cedar Falls
3.4 mi
C
3.47460.5824★★★☆☆
Harmony Waterloo
Waterloo
3.5 mi
B
3.51050.6267★★★☆☆
Friendship Village Retirement
Waterloo
3.6 mi
A
5.20740.7867★★★★★
Ravenwood Specialty Care
Waterloo
3.9 mi
C
3.26430.6668★★★☆☆
Cedar Falls Health Care Center
Cedar Falls
6.6 mi
C
3.02550.7366★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
19
Total Deficiencies
$0
Fines Assessed
Aug 6, 2025Health
13 deficiencies cited· Includes actual harm
Apr 16, 2025Health
1 deficiency cited
Sep 12, 2024Health
4 deficiencies cited
Jan 24, 2024Health
1 deficiency cited· Includes actual harm
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.