Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 165385

Harmony Marshalltown

58 federal citations on record , including 2 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $78,878.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
58
Total citations
41
Last 3 years
4
Actual harm+
1
Federal penalties
$78,878
Total fines
1
Overall ★ rating

Most common violation categories here

Resident Rights12 Care Planning11 Quality of Care9 Nutrition & Dietary9 Infection Control6

Most common F-tags at this facility

F8124 F6893 F5843 F5502 F7252

Citation history

58 on record
SurveyF-TagViolationSeveritySource
Aug 5, 2025F926Have policies on smoking.EComplaint
Aug 5, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Aug 5, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Aug 5, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Aug 5, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Aug 5, 2025F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.JComplaint
Aug 5, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Aug 5, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Apr 10, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Apr 10, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Apr 10, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Apr 10, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 12, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Dec 12, 2024F583Keep residents' personal and medical records private and confidential.DComplaint
Dec 12, 2024F887Educate 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.DStandard
Dec 12, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Dec 12, 2024F880Provide and implement an infection prevention and control program.DStandard
Dec 12, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Dec 12, 2024F727Have 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.DStandard
Dec 12, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Dec 12, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Dec 12, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Sep 25, 2024F584Honor 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.DComplaint
Sep 12, 2024F880Provide and implement an infection prevention and control program.DComplaint
Sep 12, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint
Sep 12, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint
Sep 12, 2024F803Ensure 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.DComplaint
Sep 12, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DComplaint
Sep 12, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Sep 12, 2024F584Honor 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.EComplaint
Feb 1, 2024F803Ensure 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.DComplaint
Feb 1, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Feb 1, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Feb 1, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Feb 1, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Feb 1, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.BStandard
Feb 1, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Feb 1, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Feb 1, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
Sep 18, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Sep 18, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D—
Dec 6, 2022F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EStandard
Dec 6, 2022F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.CStandard
Dec 6, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Dec 6, 2022F759Ensure medication error rates are not 5 percent or greater.DStandard
Dec 6, 2022F758Implement 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.DStandard
Dec 6, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Dec 6, 2022F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard
Dec 6, 2022F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Dec 6, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Dec 6, 2022F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Dec 6, 2022F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.BStandard
Dec 6, 2022F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard
Dec 6, 2022F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Dec 6, 2022F584Honor 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.DStandard
Dec 6, 2022F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.CStandard
Dec 6, 2022F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.CStandard
Dec 6, 2022F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $78,878 .

DateTypeFinePayment denial
Aug 5, 2025Fine$78,878—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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