Harmony Marshalltown

910 East Olive, Marshalltown, IA 50158 · CCN 165385 · 72 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing3 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2025-08-05 IMMEDIATE JEOPARDY (tag F0627, severity J)
Resident Rights Deficiencies · correction not recorded in CMS data
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
2025-08-05 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-08-05 ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2023-09-18 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

3.02

state median 3.10

Weekend staffing gap

+0%

more nursing hours on weekends · state median −7%

RN hours / resident / day

0.22

registered nurses only

Contract (agency) staff

12%

share of all nursing hours

Days with zero RN hours reported

24

with residents present

Nursing staff turnover

51%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $78,878 in fines.

DateTypeAmount
2025-08-05Fine$78,878

Ownership

Ownership type: For profit - Corporation. Part of the LEGACY HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 2 · Potential for more than minimal harm: 41 · Immediate jeopardy: 2

Survey dateTagCategorySeverityCorrected
2026-05-20F0880Infection Control DeficienciesDnot recorded
2026-01-14F0677Quality of Life and Care DeficienciesDnot recorded
2026-01-14F0732Nursing and Physician Services DeficienciesDnot recorded
2026-01-14F0812Nutrition and Dietary DeficienciesFnot recorded
2026-01-14F0880Infection Control DeficienciesDnot recorded
2025-08-05F0550Resident Rights DeficienciesDnot recorded
2025-08-05F0580Resident Rights DeficienciesDnot recorded
2025-08-05F0627Resident Rights DeficienciesJnot recorded
2025-08-05F0686Quality of Life and Care DeficienciesGnot recorded
2025-08-05F0689Quality of Life and Care DeficienciesJnot recorded
2025-08-05F0725Nursing and Physician Services DeficienciesEnot recorded
2025-08-05F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2025-08-05F0926Environmental DeficienciesEnot recorded
2025-04-10F0684Quality of Life and Care DeficienciesDnot recorded
2025-04-10F0689Quality of Life and Care DeficienciesDnot recorded
2025-04-10F0726Nursing and Physician Services DeficienciesDnot recorded
2025-04-10F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2024-12-12F0583Resident Rights DeficienciesDnot recorded
2024-12-12F0644Resident Assessment and Care Planning DeficienciesDnot recorded
2024-12-12F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2024-12-12F0690Quality of Life and Care DeficienciesDnot recorded
2024-12-12F0695Quality of Life and Care DeficienciesDnot recorded
2024-12-12F0727Nursing and Physician Services DeficienciesDnot recorded
2024-12-12F0812Nutrition and Dietary DeficienciesEnot recorded
2024-12-12F0880Infection Control DeficienciesDnot recorded
2024-12-12F0883Infection Control DeficienciesDnot recorded
2024-12-12F0887Infection Control DeficienciesDnot recorded
2024-09-25F0584Resident Rights DeficienciesDnot recorded
2024-09-12F0584Resident Rights DeficienciesEnot recorded
2024-09-12F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2024-09-12F0725Nursing and Physician Services DeficienciesDnot recorded
2024-09-12F0803Nutrition and Dietary DeficienciesDnot recorded
2024-09-12F0804Nutrition and Dietary DeficienciesDnot recorded
2024-09-12F0812Nutrition and Dietary DeficienciesDnot recorded
2024-09-12F0880Infection Control DeficienciesDnot recorded
2024-02-01F0550Resident Rights DeficienciesDnot recorded
2024-02-01F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-02-01F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2024-02-01F0698Quality of Life and Care DeficienciesDnot recorded
2024-02-01F0755Pharmacy Service DeficienciesDnot recorded
2024-02-01F0801Nutrition and Dietary DeficienciesBnot recorded
2024-02-01F0803Nutrition and Dietary DeficienciesDnot recorded
2024-02-01F0804Nutrition and Dietary DeficienciesEnot recorded
2024-02-01F0812Nutrition and Dietary DeficienciesEnot recorded
2023-09-18F0689Quality of Life and Care DeficienciesGnot recorded
2023-09-18F0883Infection Control DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Harmony Marshalltown, Marshalltown” at medicare.gov/care-compare.