Harmony Waterloo
201 West Ridgeway Avenue, Waterloo, IA 50701
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
CMS Abuse/Neglect Flag
This facility has been flagged by CMS for abuse or neglect concerns. Please research carefully and contact the facility for current information.
Vetting This Facility? Get Answers They Don't Volunteer
Free guide: the exact questions to ask Harmony Waterloo, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
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Care Quality Indicators
Lower is better
Lower is better
Lower is better
Lower is better
How Harmony Waterloo Compares
Harmony Waterloo is a 88-bed for-profit nursing facility in Waterloo, Iowa. It holds an overall CMS rating of 1 out of 5 stars, below the Iowa average of 3.1 stars. Its strongest area is quality measures (4 stars), while health inspections (1 star) is its weakest. Its rate of falls resulting in major injury (1.1%) is below the Iowa average of 3.7%, a favorable sign for resident care. With 88 certified beds, it maintains moderate occupancy at roughly 81% occupied.
Among the 6 nursing facilities ElderVoice tracks in Waterloo, 1 hold a 5-star rating and the local average is 2.3 stars.
By the numbers vs. Iowa average
- Long-stay antipsychotic medication use: 24.7% — worse than the Iowa average of 19.4% (27% higher).
- Falls with major injury: 1.1% — better than the Iowa average of 3.7% (69% lower).
- High-risk pressure ulcers: 4.8% — worse than the Iowa average of 4.3%.
- Short-stay rehospitalization: 13.1% — better than the Iowa average of 21.6% (39% lower).
CMS has flagged this facility with an abuse icon, indicating a recent citation involving abuse, neglect, or misappropriation of resident property. This is an important point to raise directly during any tour or call.
Comparisons use CMS Care Compare data (updated June 5, 2026) measured against Iowa averages across 390 facilities tracked by ElderVoice.
Questions to Ask Harmony Waterloo
Use these facility-specific questions when calling admissions, touring the building, or comparing Harmony Waterloo with other nursing homes in Waterloo.
What incident led to the CMS abuse icon for Harmony Waterloo, and what changed afterward?
Ask for the citation date, plan of correction, staff retraining steps, and how leadership monitors for repeat issues.
How is Harmony Waterloo addressing its health inspections rating?
CMS currently rates this category 1 out of 5 stars, so ask what specific improvements are underway and when the next survey update is expected.
What is Harmony Waterloo doing to reduce long-stay antipsychotic medication use?
Long-stay antipsychotic medication use is 24.7% here versus 19.4% across Iowa. Lower is generally better for this CMS measure.
What practices help Harmony Waterloo keep falls with major injury below the state average?
Falls with major injury is 1.1% here versus 3.7% across Iowa. Lower is generally better for this CMS measure.
How can a new family connect with existing councils at Harmony Waterloo?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
Where does Harmony Waterloo lag behind other Waterloo options?
Its 1-star overall rating is below the local average of 2.3 stars across 6 facilities. Ask administrators what differentiates this home despite the rating gap.
The Senior Community Around Waterloo
Waterloo sits in Black Hawk County, where adults 65 and older make up about 16.5% of the population — a share of seniors in line with Iowa as a whole (17.1% statewide). The area's median household income is lower than the state average, reflecting a more affordable area.
- Residents 65+
- 21,730 (16.5%)
- Median age
- 35.4 years
- Median household income
- $54,774
- Median home value
- $150,200
Demographics for Black Hawk County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Waterloo.
Facility Details
Other Facilities in Waterloo
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