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Medicare-certifiedSkilled Nursing

Harmony Marshalltown

Marshalltown, IowaMedicare inspection record
(641) 752-4581

About Harmony Marshalltown

Harmony Marshalltown brings skilled nursing and rehabilitation care to Marshalltown, Iowa families with a focus on personalized recovery plans and compassionate support. Our team helps seniors regain strength and independence after surgery or illness, with services designed around each resident's individual needs and goals.

Community at a glance

Capacity

72 residents

Location

Marshalltown, IA

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

910 East Olive, Marshalltown, Iowa 50158

(641) 752-4581

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on January 14, 2026, state inspectors cited 5 health deficiencies (the Iowa average is 6.5).

Nurses and nurse aides spend 4 hours with each resident a day, about the same as the Iowa average.

Medicare fined Harmony Marshalltown once in the last three years, $78,878 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day4 hours
Registered nurse time per resident, per day26 minutesBelow the Iowa average
Nursing staff who left in the past year51%Above the Iowa average

1 administrator has left the home in the past year.

Inspections

44 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

May 20, 2026 · Complaint investigation · 1 citation

  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jun 1, 2026

January 14, 2026 · Standard inspection · 4 citations

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Feb 13, 2026
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 13, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Feb 13, 2026
  • Post nurse staffing information every day.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Feb 13, 2026
August 5, 2025 · Complaint investigation · 8 citations+
  • Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Immediate danger to residents, a few residents (level J)Resident RightsFrom a complaintCorrected Sep 5, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Sep 5, 2025
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Sep 5, 2025
  • Have policies on smoking.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Sep 5, 2025
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Sep 5, 2025
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Sep 5, 2025
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Sep 5, 2025
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Sep 5, 2025
April 10, 2025 · Complaint investigation · 4 citations+
  • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected May 9, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected May 9, 2025
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected May 9, 2025
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 9, 2025
December 12, 2024 · Standard inspection · 9 citations+
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jan 9, 2025
  • Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jan 9, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jan 9, 2025
  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jan 9, 2025
  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jan 9, 2025
  • Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Jan 9, 2025
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jan 9, 2025
  • Keep residents' personal and medical records private and confidential.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jan 9, 2025
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jan 9, 2025
December 12, 2024 · Complaint investigation · 1 citation+
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 9, 2025
September 25, 2024 · Complaint investigation · 1 citation+
  • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Oct 25, 2024
September 12, 2024 · Complaint investigation · 7 citations+
  • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Oct 25, 2024
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Oct 25, 2024
  • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Oct 25, 2024
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Oct 25, 2024
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Oct 25, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Oct 25, 2024
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Oct 25, 2024
February 1, 2024 · Standard inspection · 9 citations+
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Feb 22, 2024
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Feb 22, 2024
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 22, 2024
  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 22, 2024
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Feb 22, 2024
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Feb 22, 2024
  • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Feb 22, 2024
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 22, 2024
  • Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Minimal harm or risk, a pattern (level B)Nutrition and DietaryCorrected Feb 22, 2024

Fines and payment denials

1 fine totaling $78,878 in the last three years.

  • August 5, 2025Fine: $78,878

About the home, per Medicare

Ownership
For profit - Corporation
Legal business name
Marshalltown Skilled Nursing Facility LLC
Medicare-certified beds
72
Average residents per day
51
Accepts
Medicare and Medicaid
First certified
February 1, 1998
Part of a chain
Legacy Healthcare, 95 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
165385

Location

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910 East OliveMarshalltown, IA 50158

7 other communities within 10 miles

Senior living near Marshalltown

Questions about Harmony Marshalltown

How did Harmony Marshalltown do on its last inspection?+

State inspectors visited on January 14, 2026 and cited 5 health deficiencies, 1 of them from complaint investigations. The Iowa average is 6.5.

How much nursing care does each resident get at Harmony Marshalltown?+

Nurses and aides spend 4 hours with each resident per day, including 26 minutes from registered nurses. 51% of nursing staff left over the past year.

Has Harmony Marshalltown been fined by Medicare?+

Yes. Medicare fined Harmony Marshalltown once in the last three years, totaling $78,878.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Marshalltown Skilled Nursing in Iowa Skilled Nursing guide Information last updated October 2026