Harmony Cedar Rapids
1940 First Avenue Ne, Cedar Rapids, IA 52402 · Linn County · (319) 364-5151
96 certified beds, about 78 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1967
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165017 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 3, 2026, inspectors cited 9 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 24 health citations since March 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $10,509 in the last three years; the largest was $10,509, and the latest is dated December 23, 2025.
Nurses and nurse aides worked 3.70 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.54 of those hours.
74.0% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Legacy Healthcare, an affiliated group of 95 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
203/24
206/24
411/24
501/25
112/25
903/26
104/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 24 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
20D
2E
0F
Potential for minimal harm
0A
1B
0C
April 21, 2026Complaint inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interviews and facility policy review, the facility failed to maintain infection control practices to help prevent the development and transmission of communicable diseases and infections during glucometer use for two residents reviewed for medication administration. (Resident #2, #3). The facility reported a census of 76 residents.
March 3, 2026Standard inspection · 9 citations
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on observation, interviews and facility policy review the facility failed to respond to call lights in a timely manner for 3 of 3 residents reviewed (Residents#12,#14,#27). The facility reported a census of 78 residents. 1. The Brief Interview for Mental Status (BIMS) assessment for R#12 dated 2/25/26 revealed the resident scored 15 out of 15, which indicated intact cognition. On 2/24/26 at 9:04 AM Resident #12 relayed the call light response had taken up to an hour, used either the phone or clock for timing the response. 2. The BIMS assessment for Resident #14 dated 2/3/26 revealed the resident scored 9 out of 15, which indicated moderately impaired cognition. On 2/24/26 at 9:03 AM Resident #14 relayed the call light response varied, quick at times or up to an hour, was not specific to a shift, varied. Resident #14 relayed timed the responses with the phone or clock. 3. [...]
- D 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.
Inspectors wroteBased on observations, resident, family, and staff interviews, and facility assessment review, the facility failed to ensure residents had a safe, homelike environment for three of four residents reviewed (#10, #27, #38). The facility reported a census of 78 residents.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to code dental concerns appropriately on the quarterly and annual Minimum Data Set (MDS) assessments for 1 of 2 residents reviewed (Resident #10). The facility reported a census of 78 residents.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on the resident interview, staff interviews, clinical record review, and dialysis contract/agreements the facility failed to direct staff of transfer requirement for dialysis appointments on the resident's care plan (Resident #4), and failed to address a resident's teeth pain and the related infections on the care plan (Resident #10) for two of twenty-one residents reviewed for care plans. The facility reported a census of 78 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, staff interview, resident interview and policy review the facility failed to follow professional standards when returned medications refused back to the medication cart to administer at a later time for 1 of 5 residents observed during medication administration (Resident #13), and failed to provide medications by the proper route for 1 of 1 reviewed for tube feeding (Resident #1). The facility reported a census of 78 residents.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, staff interviews, and clinical record review the facility failed to ensure safe transport of resident in a wheelchair for 1 of 5 residents reviewed for accidents (Resident #60). The facility reported a census of 78 residents.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on the resident interview, staff interviews, and record review the facility failed to ensure a resident had a transfer sling before leaving for a dialysis appointment, which caused missed dialysis treatment for 1 of 3 residents reviewed for dialysis (Resident #4). The facility reported a census of 78 residents.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, staff interview and facility policy the facility failed to ensure a medication error rate of less than 5% when two errors were observed from thirty-one opportunities for 1 of 5 residents observed during medication observations (Resident #9). This resulted in a medication error rate of 6.45%. The facility reported a census of 78 residents.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on clinical record review, resident interview, staff interview, and policy review the facility failed to ensure ongoing coordination of dental services for 2 of 2 residents reviewed for dental services (Resident #10, # 76). The facility reported a census of 78 residents.
December 23, 2025Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review, staff and resident interviews, manufacturer's recommendation and facility policy review the facility failed to transfer one of four residents reviewed in a safe manner (Resident #1). On 11/13/25, Resident #1 fell backwards from the stand lift, reported pain 9 out of 10 to the left hip, was sent to the hospital, and had a femur fracture which required surgical repair. The facility reported a census of 83 residents. [...]
January 15, 2025Standard inspection, Complaint inspection · 5 citations
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on record review, resident interviews, staff interviews, and facility reported payroll data the facility failed to provide adequate staffing to meet resident needs. The facility reported a census of 77 residents.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on Iowa Physician Orders for Scope of Treatment (IPOST) form review, Electronic medical record review, and staff interview the facility failed to ensure consistent documentation of code status for 1 of 24 resident reviewed for advanced directives (Resident #64). The facility reported a census of 77 residents.
- D Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on record review, staff interviews, and policy review the facility failed to submit a discharge Minimum Data Set (MDS) within the required time frame for 1 of 3 residents reviewed for MDS (Resident #53). The facility reported a census of 77 residents.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review, staff interview, Preadmission Screening and Resident Review form (PASRR) the facility failed to code diagnosis of intellectual deficits (ID) and inaccurately coded for hospice on the Minimum Data Set (MDS) assessments for 2 of 3 residents MDS assessments reviewed (Resident #35, #45). The facility reported a census of 77 residents.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on staff interview, clinical record review, and Preadmission Screening and Resident Review (PASRR) form evaluation the facility failed to ensure a re-screen for 1 of 2 residents reviewed in the PASRR sample. Resident #45 exceeded the sixty (60) day convalescent care approval without the required re-screening. The facility reported a census of 77 residents.
November 7, 2024Complaint inspection · 4 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, policy review, and staff interview the facility failed to treat residents with dignity, respect, and honor residents' rights for 2 of 5 residents reviewed (Residents #12 and #14). The facility reported a census of 71 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review, policy review, and interviews the facility failed to ensure services provided to residents met professional standards of quality by failing to follow physician's orders for 1 of 5 residents reviewed (Resident #3). The facility reported a census of 71 residents.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, clinical record review, and staff interview the facility failed to follow safe transfer techniques for 1 of 2 residents observed during a transfer (Resident #14). The facility reported a census of 71 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, policy review, and staff interview the facility failed to provide proper and complete incontinence and catheter care for 3 of 3 residents observed (Residents #12, #13, and #14). The facility failed to ensure staff wore masks in resident areas during the current COVID outbreak. The facility reported a census of 71 residents.
June 12, 2024Complaint inspection · 2 citations
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review, facility policy review, and staff interviews the facility failed to follow physician orders for three of four residents reviewed. (Residents #3, #4, #6). The facility reported a census of 74 residents.
- B Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on clinical record reviews, staff and resident interviews, and observations the facility failed to provide a notice of discharge from skilled services for 1 of 6 residents reviewed (Resident #2). The facility reported a census of 74 residents.
March 28, 2024Standard inspection · 2 citations
- D 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.
Inspectors wroteBased on record review, staff interviews, and policy review the facility failed to ensure medication carts were locked at all times when not in use. The facility also failed to ensure resident medical records on the Electronic Health Record (EHR) were not left open and unattended for others to view. The facility also failed to provide professional standards of practice during medication administration when 1 of 2 nurses observed for medication administration failed to stay with a resident (Resident #21) and ensure nine (9) medication pills were taken (swallowed). The facility reported a census of 62 residents.
- D Implement 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.
Inspectors wroteBased on observation, clinical record review, policy review, and staff interview, the facility failed to provide and document the implementation of non-pharmacological interventions (any type of healthcare intervention which is not primarily based on medication. Some examples include exercise, diversion activity, snacks, toileting, naps, music, etcetera) prior to administration of as needed anti-anxiety medications for 1 of 5 residents sampled (Resident #43). The facility identified a census of 62 residents.
Fire safety inspections
10 fire safety citations on file: 1 on March 3, 2026, 4 on January 15, 2025, 5 on March 28, 2024.
Every fire safety citation10 citations
- E Have properly located and lighted "Exit" signs.
- F Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have simulated fire drills held at unexpected times.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| December 23, 2025 | Fine | $10,509 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.70 | 3.82 | 3.86 |
| Registered nurses | 0.54 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.38 | 3.37 | 3.42 |
| Nurse aides | 2.50 | ||
| Licensed practical nurses | 0.66 | ||
| Nursing staff turnover (share who left in a year) | 74.0% | 44.0% | 45.8% |
| Registered nurse turnover | 63.6% | 42.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.85 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.83 on weekdays and 3.38 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.66 in April to June 2025 to 3.70 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.70 | 0.54 | 3.83 | 3.38 | 8.2% | 0 of 90 | 78 |
| Oct to Dec 2025 | 3.74 | 0.59 | 3.86 | 3.42 | 8.5% | 0 of 92 | 80 |
| Jul to Sep 2025 | 3.75 | 0.49 | 3.87 | 3.44 | 9.2% | 0 of 92 | 78 |
| Apr to Jun 2025 | 3.66 | 0.54 | 3.81 | 3.29 | 7.7% | 0 of 91 | 73 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Iowa
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Iowa, all employers | |||
| CNAs (nursing assistants) | $18.92 | $17.96 to $21.95 | 22,670 |
| LPNs and LVNs | $30.11 | $27.12 to $34.06 | 5,510 |
| Registered nurses | $37.80 | $32.83 to $41.32 | 34,420 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 12.0 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.1 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.1 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.4 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.4 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.6 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.3 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.3 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.5 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 23.8 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 2.1 | 1.8 |
Owners and operators
Legal business name: CEDAR RAPIDS SKILLED NURSING FACILITY LLC. CMS links this home to Legacy Healthcare, a group of 95 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Doros Generation Trust U/a/D 1/3/12 | 5% or greater direct ownership interest | Organization | 26% | 04/01/2023 |
| Gpn Family Trust U/a/D 4/28/08 | 5% or greater direct ownership interest | Organization | 60% | 04/01/2023 |
| Oakway Operations LLC | 5% or greater direct ownership interest | Organization | 15% | 04/01/2023 |
| Forbright Bank | 5% or greater security interest | Organization | 04/01/2023 | |
| Shabat, Menachem | Managing control - governing body | Individual | 04/01/2023 | |
| Forbright Bank | Operational/managerial control | Organization | 04/01/2023 | |
| Legacy Healthcare Financial Services LLC | Operational/managerial control | Organization | 04/01/2023 | |
| Knapp, Justin | Operational/managerial control | Individual | 01/29/2025 | |
| Shabat, Menachem | Operational/managerial control | Individual | 04/01/2023 | |
| Stenberg, Eric | Operational/managerial control | Individual | 04/01/2023 | |
| Legacy Healthcare Financial Services LLC | Adp of the SNF | Organization | 11/18/2025 | |
| Miller Cooper & Co, Ltd | Adp of the SNF | Organization | 01/01/2024 | |
| Knapp, Justin | Adp of the SNF | Individual | 01/29/2025 | |
| Shabat, Menachem | Adp of the SNF | Individual | 04/01/2023 | |
| Stenberg, Eric | Adp of the SNF | Individual | 04/01/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 8 problems in this area, most recently on March 3, 2026: "Ensure each resident receives an accurate assessment."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on March 3, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on March 3, 2026: "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."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 3 problems in this area, most recently on March 3, 2026: "Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Cottage Grove Place Cedar Rapids, 0.3 mi · 1 of 5 stars · 23 citations
- Living Center West Cedar Rapids, 1.2 mi · 2 of 5 stars · 33 citations
- St. Luke's Helen G Nassif Transitional Care Center Cedar Rapids, 2.3 mi · 5 of 5 stars · 6 citations
- Linn Manor Care Center Marion, 2.7 mi · 2 of 5 stars · 18 citations
- Meth-Wick Health Center Cedar Rapids, 2.7 mi · 5 of 5 stars · 2 citations
- Northbrook Healthcare and Rehabilitation Center Cedar Rapids, 3.4 mi · 1 of 5 stars · 57 citations
- West Ridge Care Center Cedar Rapids, 3.8 mi · 5 of 5 stars · 1 citation
- Silver Oak Nursing and Rehabilitation Center LLC Marion, 4.1 mi · 1 of 5 stars · 60 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Harmony Cedar Rapids's Medicare star rating?
- CMS rates Harmony Cedar Rapids 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Harmony Cedar Rapids get at its last inspection?
- 9 health deficiencies at the standard inspection on March 3, 2026. The Iowa average is 6.5.
- Has Harmony Cedar Rapids been fined?
- Yes. CMS lists 1 fine totaling $10,509 in the last three years.
- Does Harmony Cedar Rapids accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Harmony Cedar Rapids?
- CMS lists 15 owners and managers, and links the home to Legacy Healthcare. Legal business name: CEDAR RAPIDS SKILLED NURSING FACILITY LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.