Starfile / Iowa

Harmony Marshalltown

910 East Olive, Marshalltown, IA 50158 · CCN 165385

Inspection history vs Iowa & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$78,878

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

LEGACY HEALTHCARE

Facilities in chain

90

Chain avg overall

3.00 / 5

Inspection citations (58)2 immediate jeopardy2 actual harm

1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-08-05 · Health · corrected 2025-09-05

   Potential for more than minimal harm

2. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-08-05 · Health · corrected 2025-09-05

   Potential for more than minimal harm

3. JF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2025-08-05 · Health · corrected 2025-09-05

   Immediate jeopardy

4. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-08-05 · Health · corrected 2025-09-05

   Actual harm

5. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-05 · Health · corrected 2025-09-05

   Immediate jeopardy

6. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-08-05 · Health · corrected 2025-09-05

   Potential for more than minimal harm

7. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-08-05 · Health · corrected 2025-09-05

   Potential for more than minimal harm

8. EF0926Have policies on smoking.2025-08-05 · Health · corrected 2025-09-05

   Potential for more than minimal harm

9. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-10 · Health · corrected 2025-05-09

   Potential for more than minimal harm

10. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-10 · Health · corrected 2025-05-09

    Potential for more than minimal harm

11. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-04-10 · Health · corrected 2025-05-09

    Potential for more than minimal harm

12. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-04-10 · Health · corrected 2025-05-09

    Potential for more than minimal harm

13. DF0583Keep residents' personal and medical records private and confidential.2024-12-12 · Health · corrected 2025-01-09

    Potential for more than minimal harm

14. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-12-12 · Health · corrected 2025-01-09

    Potential for more than minimal harm

15. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-12-12 · Health · corrected 2025-01-09

    Potential for more than minimal harm

16. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-12-12 · Health · corrected 2025-01-09

    Potential for more than minimal harm

17. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-12-12 · Health · corrected 2025-01-09

    Potential for more than minimal harm

18. DF0727Have 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.2024-12-12 · Health · corrected 2025-01-09

    Potential for more than minimal harm

19. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-12 · Health · corrected 2025-01-09

    Potential for more than minimal harm

20. DF0880Provide and implement an infection prevention and control program.2024-12-12 · Health · corrected 2025-01-09

    Potential for more than minimal harm

21. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-12-12 · Health · corrected 2025-01-09

    Potential for more than minimal harm

22. DF0887Educate 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.2024-12-12 · Health · corrected 2025-01-09

    Potential for more than minimal harm

23. DF0584Honor 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.2024-09-25 · Health · corrected 2024-10-25

    Potential for more than minimal harm

24. EF0584Honor 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.2024-09-12 · Health · corrected 2024-10-25

    Potential for more than minimal harm

25. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-09-12 · Health · corrected 2024-10-25

    Potential for more than minimal harm

26. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-09-12 · Health · corrected 2024-10-25

    Potential for more than minimal harm

27. DF0803Ensure 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.2024-09-12 · Health · corrected 2024-10-25

    Potential for more than minimal harm

28. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-09-12 · Health · corrected 2024-10-25

    Potential for more than minimal harm

29. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-09-12 · Health · corrected 2024-10-25

    Potential for more than minimal harm

30. DF0880Provide and implement an infection prevention and control program.2024-09-12 · Health · corrected 2024-10-25

    Potential for more than minimal harm

31. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-02-01 · Health · corrected 2024-02-22

    Potential for more than minimal harm

32. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-02-01 · Health · corrected 2024-02-22

    Potential for more than minimal harm

33. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-01 · Health · corrected 2024-02-22

    Potential for more than minimal harm

34. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-02-01 · Health · corrected 2024-02-22

    Potential for more than minimal harm

35. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-02-01 · Health · corrected 2024-02-22

    Potential for more than minimal harm

36. BF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-02-01 · Health · corrected 2024-02-22

    Potential for minimal harm

37. DF0803Ensure 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.2024-02-01 · Health · corrected 2024-02-22

    Potential for more than minimal harm

38. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-02-01 · Health · corrected 2024-02-22

    Potential for more than minimal harm

39. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-01 · Health · corrected 2024-02-22

    Potential for more than minimal harm

40. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-18 · Health · corrected 2023-09-21

    Actual harm

41. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-09-18 · Health · corrected 2023-09-21

    Potential for more than minimal harm

42. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2022-12-06 · Health · corrected 2022-12-23

    Potential for more than minimal harm

43. CF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2022-12-06 · Health · corrected 2022-12-23

    Potential for minimal harm

44. CF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2022-12-06 · Health · corrected 2022-12-23

    Potential for minimal harm

45. DF0584Honor 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.2022-12-06 · Health · corrected 2022-12-23

    Potential for more than minimal harm

46. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-12-06 · Health · corrected 2022-12-23

    Potential for more than minimal harm

47. CF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-12-06 · Health · corrected 2022-12-23

    Potential for minimal harm

48. BF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2022-12-06 · Health · corrected 2022-12-23

    Potential for minimal harm

49. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2022-12-06 · Health · corrected 2022-12-23

    Potential for more than minimal harm

50. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-12-06 · Health · corrected 2022-12-23

    Potential for more than minimal harm

51. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-12-06 · Health · corrected 2022-12-23

    Potential for more than minimal harm

52. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2022-12-06 · Health · corrected 2022-12-23

    Potential for more than minimal harm

53. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-12-06 · Health · corrected 2022-12-23

    Potential for more than minimal harm

54. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2022-12-06 · Health · corrected 2022-12-23

    Potential for more than minimal harm

55. DF0759Ensure medication error rates are not 5 percent or greater.2022-12-06 · Health · corrected 2022-12-23

    Potential for more than minimal harm

56. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-12-06 · Health · corrected 2022-12-23

    Potential for more than minimal harm

57. CF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2022-12-06 · Health · corrected 2022-12-23

    Potential for minimal harm

58. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2022-12-06 · Health · corrected 2022-12-23

    Potential for more than minimal harm

Ownership

Other facilities in Marshalltown

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.