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C
Below Standard

Harmony Marshalltown

910 East Olive · Marshalltown, IA 50158

6417524581 · For profit - Limited Liability company

72 beds49.2 residents111 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Harmony Marshalltown receives an overall staffing grade of C (Below Standard). With 3.8558 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4931 HPRD, below the recommended 0.75. It is 0.04 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.83% compared to weekdays. The facility has low agency staff usage (7.96% of hours), suggesting a mostly permanent workforce.

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

🔍 Areas of Concern (1)

⚠️RN staffing (0.4931 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
3.8558hrs/resident/day▼ 0.04
CMS benchmark: 3.48
RN HPRD
0.4931hrs/resident/day▼ 0.19
Recommended: 0.75
Weekend Drop-off
15.83%
4.0364 weekday → 3.3976 weekend
Agency Staff
7.96%
29.45% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.206hrs/resident/day
Direct care aides
LPN HPRD
0.5604hrs/resident/day
Licensed practical nurses
Consistency
0.4178std 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. Marshall County Average+0.15 HPRD
3.71
03.86 HPRD
vs. Iowa State Average+0.04 HPRD
3.82
03.86 HPRD
vs. National Average-0.04 HPRD
3.90
03.86 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 Marshalltown ★
Marshalltown · This facility
—
C
3.85580.4931★☆☆☆☆
Southridge Specialty Care
Marshalltown
1.4 mi
C
3.45690.6116★★☆☆☆
Oakview, Inc.
Conrad
13.6 mi
C
3.69690.5483★★★★★
State Center Specialty Care
State Center
14.1 mi
C
3.25940.8081★★★★☆
Zearing Health Care, LLC
Zearing
22.2 mi
B
3.90421.0048★★★★★
Grundy Care Center
Grundy Center
23.8 mi
C
3.31590.6533★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

8
Inspections
58
Total Deficiencies
$121,350
Fines Assessed
Aug 5, 2025Health
8 deficiencies cited· Includes actual harm
▼
Apr 10, 2025Health
4 deficiencies cited
▼
Dec 12, 2024Health
10 deficiencies cited
▼
Sep 25, 2024Health
1 deficiency cited
▼
Sep 12, 2024Health
7 deficiencies cited
▼
Feb 1, 2024Health
9 deficiencies cited
▼
Sep 18, 2023Health
2 deficiencies cited· Includes actual harm
▼
Dec 6, 2022Health
17 deficiencies cited
▼

Penalty History

Aug 5, 2025Fine
$121,350
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.