Nursing Care Index

Harmony Marshalltown

Marshalltown, Marshall County, Iowa · CCN 165385 · For-profit (Corporation) · part of Legacy Healthcare (89 facilities, chain average 2.9 stars)

CMS rates Harmony Marshalltown 1 of 5 overall as of August 2026. 72 certified beds, 51 residents a day on average. 46 citations on record from the current inspection cycles, 2 at immediate jeopardy; 1 fine totalling $78,878.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★☆☆☆☆ 1 of 5
Health inspections★☆☆☆☆ 1 of 5
Staffing★★★☆☆ 3 of 5
Quality measures★★★☆☆ 3 of 5
Quality: long-stay / short-stay4 / 2 of 5

Staffing

Total nurse staffing4.00693 hours per resident per day
Registered nurses0.44132 hours per resident per day
Weekend total3.64717 hours per resident per day
Nursing staff turnover50.7% (registered nurses 90.9%)
Administrators who left1

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-05-20
complaint survey
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-01
2026-01-14 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-02-13
2026-01-14 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-13
2026-01-14 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · tag F0732
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-13
2026-01-14 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-13
2025-08-05
complaint survey
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies · tag F0627
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2025-09-05
2025-08-05
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2025-09-05
2025-08-05
complaint survey
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2025-09-05
2025-08-05
complaint survey
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · tag F0725
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-09-05
2025-08-05
complaint survey
Have policies on smoking.
Environmental Deficiencies · tag F0926
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-09-05
2025-08-05
complaint survey
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-05
2025-08-05
complaint survey
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-05
2025-08-05
complaint survey
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-05
2025-04-10
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-05-09
2025-04-10
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-05-09
2025-04-10
complaint survey
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.
Nursing and Physician Services Deficiencies · tag F0726
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-05-09
2025-04-10
complaint survey
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-05-09
2024-12-12 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-01-09
2024-12-12
complaint survey
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · tag F0583
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-09
2024-12-12 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · tag F0644
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-09
2024-12-12 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-09
2024-12-12 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-09
2024-12-12
complaint survey
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-09
2024-12-12 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.
Nursing and Physician Services Deficiencies · tag F0727
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-09
2024-12-12 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-09
2024-12-12 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · tag F0883
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-09
2024-12-12 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.
Infection Control Deficiencies · tag F0887
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-09
2024-09-25
complaint survey
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.
Resident Rights Deficiencies · tag F0584
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-25
2024-09-12
complaint survey
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.
Resident Rights Deficiencies · tag F0584
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-10-25
2024-09-12
complaint survey
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-25
2024-09-12
complaint survey
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · tag F0725
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-25
2024-09-12
complaint survey
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.
Nutrition and Dietary Deficiencies · tag F0803
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-25
2024-09-12
complaint survey
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · tag F0804
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-25
2024-09-12
complaint survey
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-25
2024-09-12
complaint survey
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-25
2024-02-01 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · tag F0804
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-02-22
2024-02-01 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-02-22
2024-02-01
complaint survey
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-22
2024-02-01 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-22
2024-02-01 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-22
2024-02-01 Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0698
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-22
2024-02-01
complaint survey
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-22
2024-02-01
complaint survey
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.
Nutrition and Dietary Deficiencies · tag F0803
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-22
2024-02-01 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.
Nutrition and Dietary Deficiencies · tag F0801
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2024-02-22
2023-09-18
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2023-09-21
2023-09-18 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · tag F0883
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-09-21

Fines and payment denials

DatePenaltyAmount
2025-08-05Fine$78,878

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Cascade Capital Holdings LLC
Organization
adp of the snf2025-01-17
Cascade Capital Partners LLC
Organization
adp of the snf2025-01-17
Ccg Gorgona LLC
Organization
adp of the snf2025-01-17
Gorgona Holdco LLC
Organization
adp of the snf2025-01-17
Gorgona Propco Holdings LLC
Organization
adp of the snf2025-01-17
Gorgona Sub Holdco LLC
Organization
adp of the snf2025-01-17
Mn8 Rh Holdco LLC
Organization
adp of the snf2025-01-17
Legacy Healthcare Financial Services LLC
Organization
operational/managerial control2024-08-15
Burken, Sheri
Individual
5% or greater indirect ownership interest2024-08-15
Rajchenbach, Chaim
Individual
adp of the snf2025-01-17
Shabat, Menachem
Individual
adp of the snf2025-01-17
Shabat, Menachem
Individual
corporate officer2024-08-15
Garden, Daniel
Individual
indirect ownership interest2024-08-15
Ninio, Mordechay
Individual
indirect ownership interest2024-08-15
Beasley, Karla
Individual
operational/managerial control2025-01-17
Behounek, Linsey
Individual
operational/managerial control2025-01-17
Borcherding, Jenny
Individual
operational/managerial control2025-01-17
Dhondt, Justina
Individual
operational/managerial control2025-01-17
Friedenberg, Laura
Individual
operational/managerial control2025-01-17
Hedberg, Jennifer
Individual
operational/managerial control2025-01-17
Hennager, Christina
Individual
operational/managerial control2025-01-17
Heying, Larina
Individual
operational/managerial control2025-01-17
Houston, Mindy
Individual
operational/managerial control2025-01-17
Jaeger, Krystle
Individual
operational/managerial control2025-01-17
Knutson, Michele
Individual
operational/managerial control2025-01-17
Larson, Melissa
Individual
operational/managerial control2025-01-17
Maitland, Grace
Individual
operational/managerial control2024-08-15
Mcclure, Dorothy
Individual
operational/managerial control2025-01-17
Otterbeck, Patricia
Individual
operational/managerial control2025-01-17
Rajchenbach, Chaim
Individual
operational/managerial control2025-01-17
Scott, Kathleen
Individual
operational/managerial control2025-01-17
Scurr, Steven
Individual
operational/managerial control2025-01-17
Seu, Joshua
Individual
operational/managerial control2025-01-17
Shabat, Menachem
Individual
operational/managerial control2025-01-17
Shear, Kiley
Individual
operational/managerial control2025-01-17
Staudt, Sandra
Individual
operational/managerial control2025-01-17
Van Veghel, Elizabeth
Individual
operational/managerial control2025-01-17
Wierschem, Bobbie
Individual
operational/managerial control2025-01-17
Wood, Rosemary
Individual
operational/managerial control2025-01-17
Wright, Amy
Individual
operational/managerial control2025-01-17

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Marshall County.