Overview
Harmony House Health Care Center has a Medicare overall rating of 1 out of 5, below the Iowa average of 3.1. It ranks 4th of 6 nursing homes in Waterloo. It scores best on quality of care (4 of 5) and lowest on health inspections (1 of 5).
Residents receive about 3.9 hours of nursing care per day, more than at 61% of nursing homes in Iowa (the state average is 3.9 hours). Of that, 0.7 hours come from registered nurses.
Its most recent standard inspection, on August 6, 2025, found 32 health deficiencies, more than the Iowa average of 6.5. 21 of them came from complaint investigations. Medicare records 1 fine totaling $31,736 in the past three years.
Harmony House Health Care Center is a for-profit facility with 65 certified beds, caring for about 49 residents on an average day. It accepts both Medicare and Medicaid and has participated since 1989.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 67%
Top 84%
Top 85%
Family reviews
No reviews yet. If your family has experience with Harmony House Health Care Center, your review helps others decide.
Inspections and penalties
- Most recent standard inspection
- August 6, 2025
- Health deficiencies cited
- 32
- Complaint-related deficiencies
- 21
- Fines in the last 3 years
- 1 totaling $31,736
- Payment denials
- 0
- Total penalties
- 1
Staffing
Average hours of care each resident receives per day.
- All nursing staff3.92 hrs
- Registered nurses (RN)0.67 hrs
- Licensed practical nurses (LPN)0.45 hrs
- Nurse aides2.79 hrs
- Physical therapists0.10 hrs
Facility details
- Ownership
- For profit - Limited Liability company
- Certified beds
- 65
- Average residents per day
- 49
- Participates in
- Medicare and Medicaid
- Medicare/Medicaid since
- March 30, 1989
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- None
- Sprinklers in all required areas
- Yes