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-stay | 4 / 2 of 5 |
Staffing
| Total nurse staffing | 4.00693 hours per resident per day |
|---|---|
| Registered nurses | 0.44132 hours per resident per day |
| Weekend total | 3.64717 hours per resident per day |
| Nursing staff turnover | 50.7% (registered nurses 90.9%) |
| Administrators who left | 1 |
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.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 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
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-05 | Fine | $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.
| Name | Role | Share | Since |
|---|---|---|---|
| Cascade Capital Holdings LLC Organization | adp of the snf | — | 2025-01-17 |
| Cascade Capital Partners LLC Organization | adp of the snf | — | 2025-01-17 |
| Ccg Gorgona LLC Organization | adp of the snf | — | 2025-01-17 |
| Gorgona Holdco LLC Organization | adp of the snf | — | 2025-01-17 |
| Gorgona Propco Holdings LLC Organization | adp of the snf | — | 2025-01-17 |
| Gorgona Sub Holdco LLC Organization | adp of the snf | — | 2025-01-17 |
| Mn8 Rh Holdco LLC Organization | adp of the snf | — | 2025-01-17 |
| Legacy Healthcare Financial Services LLC Organization | operational/managerial control | — | 2024-08-15 |
| Burken, Sheri Individual | 5% or greater indirect ownership interest | — | 2024-08-15 |
| Rajchenbach, Chaim Individual | adp of the snf | — | 2025-01-17 |
| Shabat, Menachem Individual | adp of the snf | — | 2025-01-17 |
| Shabat, Menachem Individual | corporate officer | — | 2024-08-15 |
| Garden, Daniel Individual | indirect ownership interest | — | 2024-08-15 |
| Ninio, Mordechay Individual | indirect ownership interest | — | 2024-08-15 |
| Beasley, Karla Individual | operational/managerial control | — | 2025-01-17 |
| Behounek, Linsey Individual | operational/managerial control | — | 2025-01-17 |
| Borcherding, Jenny Individual | operational/managerial control | — | 2025-01-17 |
| Dhondt, Justina Individual | operational/managerial control | — | 2025-01-17 |
| Friedenberg, Laura Individual | operational/managerial control | — | 2025-01-17 |
| Hedberg, Jennifer Individual | operational/managerial control | — | 2025-01-17 |
| Hennager, Christina Individual | operational/managerial control | — | 2025-01-17 |
| Heying, Larina Individual | operational/managerial control | — | 2025-01-17 |
| Houston, Mindy Individual | operational/managerial control | — | 2025-01-17 |
| Jaeger, Krystle Individual | operational/managerial control | — | 2025-01-17 |
| Knutson, Michele Individual | operational/managerial control | — | 2025-01-17 |
| Larson, Melissa Individual | operational/managerial control | — | 2025-01-17 |
| Maitland, Grace Individual | operational/managerial control | — | 2024-08-15 |
| Mcclure, Dorothy Individual | operational/managerial control | — | 2025-01-17 |
| Otterbeck, Patricia Individual | operational/managerial control | — | 2025-01-17 |
| Rajchenbach, Chaim Individual | operational/managerial control | — | 2025-01-17 |
| Scott, Kathleen Individual | operational/managerial control | — | 2025-01-17 |
| Scurr, Steven Individual | operational/managerial control | — | 2025-01-17 |
| Seu, Joshua Individual | operational/managerial control | — | 2025-01-17 |
| Shabat, Menachem Individual | operational/managerial control | — | 2025-01-17 |
| Shear, Kiley Individual | operational/managerial control | — | 2025-01-17 |
| Staudt, Sandra Individual | operational/managerial control | — | 2025-01-17 |
| Van Veghel, Elizabeth Individual | operational/managerial control | — | 2025-01-17 |
| Wierschem, Bobbie Individual | operational/managerial control | — | 2025-01-17 |
| Wood, Rosemary Individual | operational/managerial control | — | 2025-01-17 |
| Wright, Amy Individual | operational/managerial control | — | 2025-01-17 |
What changed
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Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Harmony Marshalltown.
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.