Where They Care · plain answers about nursing homes

Harmony House Health Care Center

2950 West Shaulis Road, Waterloo, IA 50701 · 65 beds · For profit - Limited Liability company

The records flag: 2 citations at the most serious level; A Special Focus candidate.

Everything here comes from Medicare's own inspection and payroll records. We don't rank facilities or take payment from them.

Medicare overall rating
Much below average · 1 of 5
All nursing staff, hours / resident
3.51
RNs, LPNs and aides · state average 4.37
Weekend RN coverage
−39%
vs weekdays
Staff turnover
62%
state average 44%
2 citations at the most serious level
Inspectors judged that residents were placed in danger of serious injury or death. See the inspection section for dates and whether each was corrected.
A Special Focus candidate
Medicare lists this facility as a candidate for its increased-oversight programme — not on the list itself, but flagged as being near it.
Staff turnover of 62% is well above the state average
The average across this state is 44%. High turnover makes continuity of care harder.

These are drawn straight from Medicare's records. We report what the record says — we don't rate facilities or judge the care given in them.

Who's actually on the floor

Staffing is the thing most closely tied to day-to-day quality of care, and it's the number families most often never see. This is registered nurses only — a smaller figure than the all-staff total above, because it counts the most highly qualified staff on their own — per resident, per day, comparing an average weekday against an average weekend.

Weekdays
0.52 hrs
Weekends
0.32 hrs
IA average
0.85 hrs

Registered nurses only — hours per resident per day. Longer is better.

Registered nurse coverage drops about 39% at weekends.

Staff turnover: 62%

High turnover matters because continuity does — a nurse who knows your mother notices when something is different about her. Someone on their second shift doesn't have that baseline.

What inspectors found

State inspectors visit at least once a year and after complaints. Over the last three years this facility received 33 citations. Raw counts mislead, though — a paperwork slip and a resident being harmed both count as one. Here they are by how serious inspectors judged them.

SeverityCitations
Immediate jeopardy
Residents placed at risk of serious injury or death
2
Actual harm
A resident was harmed, without immediate danger to life
2
Potential for harm
No one harmed yet, but conditions could allow it
29
No harm
Rule and paperwork findings
0

20 of these came from someone filing a complaint rather than a routine visit — worth weighing differently, because it means a person picked up the phone. All findings are recorded as corrected.

Medicare has issued $48,825 in fines here over the past three years.

Disclosed affiliations

Medicare requires every facility to disclose the people and companies connected to it. Most names below are not owners — they are officers, directors, managers, trustees, and what Medicare calls “additional disclosable parties.” The role beside each name is the one Medicare recorded. This is worth reading because operators tend to run their facilities alike: where the same group stands behind a dozen homes, the record across all twelve tells you more than any single inspection does.

NameRole recorded by MedicareSince
Rajchenbach, Chaim
50% ownership interest
Direct owner (5% or more), Operational or managerial control 08/15/2024
Beasley, Karla Operational or managerial control 08/15/2024
Behounek, Linsey Operational or managerial control 08/15/2024
Borcherding, Jenny Operational or managerial control 08/15/2024
Burken, Sheri Operational or managerial control 08/15/2024
Cutler, Darron Operational or managerial control 08/15/2024
Elwick, Lisa Operational or managerial control 08/15/2024
Friedenberg, Laura Operational or managerial control 08/15/2024
Friedman, Brian Trustee 01/03/2012
Geiger, Mary Operational or managerial control 08/15/2024
Hedberg, Jennifer Operational or managerial control 08/15/2024
Hennager, Christina Operational or managerial control 08/15/2024
Heying, Larina Operational or managerial control 08/15/2024
Houston, Mindy Operational or managerial control 08/15/2024
Jaeger, Krystle Operational or managerial control 08/15/2024
Knutson, Michele Operational or managerial control 08/15/2024
Larson, Melissa Operational or managerial control 08/15/2024
Legacy Healthcare Financial Services LLC Operational or managerial control 08/15/2024
Mcclure, Dorothy Operational or managerial control 08/15/2024
Otterbeck, Patricia Operational or managerial control 08/15/2024
Rajchenbach, Avrum Trustee 04/28/2008
Rajchenbach, Rivka Trustee 04/28/2008
Scott, Kathleen Operational or managerial control 08/15/2024
Seu, Joshua Operational or managerial control 08/15/2024
Shabat, Ahuva Trustee 01/03/2012
Shabat, Menachem Corporate officer, Operational or managerial control 08/15/2024
Shear, Kiley Operational or managerial control 08/15/2024
Staudt, Sandra Operational or managerial control 08/15/2024
Van Veghel, Elizabeth Operational or managerial control 08/15/2024
Wierschem, Bobbie Operational or managerial control 08/15/2024
Wood, Rosemary Operational or managerial control 08/15/2024
Wright, Amy Operational or managerial control 08/15/2024
Cascade Capital Holdings LLC Additional disclosable party 08/15/2024
Cascade Capital Partners LLC Additional disclosable party 08/15/2024
Ccg Gorgona LLC Additional disclosable party 08/15/2024
Gorgona Holdco LLC Additional disclosable party 08/15/2024
Gorgona Propco Holdings LLC Additional disclosable party 08/15/2024
Gorgona Sub Holdco LLC Additional disclosable party 08/15/2024
Mn8 Rh Holdco LLC Additional disclosable party 08/15/2024

Of the 39 parties disclosed here, 1 holds an ownership interest; the rest are recorded in a management, officer, financial, or other disclosable capacity. A percentage is shown only where Medicare published one — for most disclosed parties it publishes none.

Other options nearby

Most families are choosing between whatever is close enough to visit often — and visiting often is itself one of the better protections a resident has. These are the closest 8 facilities.

FacilityMilesRating Nurse hrsWeekend
Pinnacle Specialty Care
Cedar Falls
3.4 2 0.56 −50%
The Suites at Western Home Communities
Cedar Falls
3.5 5 0.80 −69%
Harmony Waterloo
Waterloo
3.5 1 0.69 −41%
Friendship Village Retirement
Waterloo
3.6 5 0.98 −44%
Ravenwood Specialty Care
Waterloo
3.9 1 0.71 −34%
Newaldaya Lifescapes
Cedar Falls
5.1 2 0.70 −28%
Martin Health Center, INC
Cedar Falls
6.1 5 0.90 −50%
Cedar Falls Health Care Center
Cedar Falls
6.6 2 0.70 −67%

Weekend column shows the change in registered-nurse coverage at weekends compared with weekdays.

Worth asking on a visit

Records only tell you so much. These are the questions this facility's particular numbers suggest you ask — go on a weekend if you possibly can.

  1. Can I visit on a Sunday rather than a weekday? How many registered nurses are on duty then, and for how many residents?
  2. Turnover here is about 62%. How long has the director of nursing been in post?
  3. Medicare's records show a citation at the most serious level. What happened, and what changed afterwards?
  4. Who will actually be caring for my relative at 3am on a Saturday — an agency nurse or someone on staff?

Where these numbers come from

All figures are published by the Centers for Medicare & Medicaid Services. Different measures cover different periods — some are considerably older than others, so each is dated separately below rather than under one "last updated" stamp.

Staffing hours
Jan–Mar 2026
Staff turnover
calendar year 2025
Inspections & citations
Jul 2023 – Jun 2026
Fines & penalties
last 3 years
Ownership
as reported to Medicare
Star rating & file release
CMS file dated 1 July 2026

We report what the records say and don't draw conclusions about care quality. If you believe something on this page is wrong — email a correction. It reaches a person, not a form. We check every report, fix what is wrong, and say so on the page; see how we handle corrections. If you work at this facility and our figures disagree with your own records, we want to hear that too.