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.
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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 May 4, 2026) measured against Iowa averages across 390 facilities tracked by ElderVoice.
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
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