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Nursing HomeMedicaid Investigative

Harmony Cedar Rapids

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1940 First Avenue Ne, Mound View · Cedar Rapids, IA 5240296 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 64 Google reviews

5
4
3
2
1
Harmony Cedar Rapids Nursing Home in Cedar Rapids, IA — Street View
Street View

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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • High staff turnover (66%)
  • High RN turnover (62%)

Bottom 25% in IA · Below recommended RN staffing · Worst in LEGACY HEALTHCARE chain · $45,465 in fines

Source: Medicare data

What this means for your family

This facility is frequently praised for its effective physical therapy and clean environment, making it a common choice for short-term recovery. However, families should be extremely cautious regarding long-term placement; please conduct thorough, unannounced visits and ask direct questions about how the facility manages complex medical conditions and communication with families, as several reviewers reported significant lapses in these areas.

Google Reviews

Google Reviews

64 reviews on Google
Harmony Cedar Rapids receives polarized feedback, with many short-term rehab patients praising the therapy team and staff responsiveness, while several long-term care families report serious concerns regarding neglect and poor communication. While the facility is frequently described as clean and well-staffed for recovery, the recurring reports of medical oversights and dismissive management suggest a significant inconsistency in the quality of care provided.

Quality Themes

Tap a score for details
Food8.0Staff6.0Clean9.0Activities7.0Meds5.0MemoryN/AComms3.0ValueN/A

Strengths

  • Effective physical and occupational therapy programs
  • Clean and well-maintained facility environment
  • Responsive and professional nursing staff for rehab patients
  • Helpful transportation services for medical appointments

Concerns

  • Neglect and poor medical oversight leading to patient regression or injury (mentioned by 6 reviewers)
  • Dismissive, condescending, or uncooperative management/administration (mentioned by 4 reviewers)
  • Delayed response to medical emergencies (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'18(3)'20(1)'23(9)'25(17)'26(9)

Distribution · 71 analyzed

5
37
4
15
3
0
2
1
1
18

How They Respond to Reviews

83%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed that Harmony Cedar Rapids has a strong reputation for physical and occupational therapy; how do you ensure that same level of dedicated focus for residents who are here for long-term care rather than short-term rehab?
  • 2Given that communication is a top priority for our family, what specific protocols or regular touchpoints do you have in place to keep families updated on changes in a resident's health or daily well-being?
  • 3I see that the facility is very active in responding to online feedback; how does that commitment to listening translate into how you address concerns or suggestions from families currently living here?
  • 4Could you walk me through your internal process for responding to urgent medical needs or emergencies, especially during evening or weekend hours?
  • 5With the recent focus on improving health inspection outcomes, what specific steps or new initiatives has the leadership team implemented to ensure consistent, high-quality medical oversight for all residents?
  • 6What does a typical social or activity schedule look like for a resident here, and how do you encourage participation for those who might be more reserved?

Personalized based on this facility's data


Key Review Excerpts

Harmony caused my mom to regress rather than improve during a short term transition stay after a fall that landed her in the hospital. They dropped the ball on many aspects of her care.

Short-term rehab family member · 2024☆☆☆☆

They neglected my brother with Parkinson’s and he died in their care! Do not put your loved ones in this facility!!! They did not put him on bite sized diet, no speech therapy!

Long-term care family member · 2024☆☆☆☆

The therapists challenged me every day and it payed off in the end as I am stronger than when I first arrived in both mind and body. Even the food was good!

Rehab patient · 2023★★★★
Source: 64 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.59hrs
79%
Registered nurses for medical care
Total Nursing
3.74hrs
91%
All nurses + aides combined
Staff Turnover
76%
Lower is better (< 30% = good)
RN Turnover
75%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

9

measures

Worse Than Avg

5

measures

Mixed Results

3

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility31.8%
Worse than Avg
Here
31.8%
US
19.4%
IA
25.9%
Linn
26.2%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
IA
95.3%
Linn
91.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility12.1%
Better than Avg
Here
12.1%
US
14.4%
IA
17.6%
Linn
20.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility25.3%
Worse than Avg
Here
25.3%
US
19.5%
IA
20.7%
Linn
16.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.6%
Better than Avg
Here
99.6%
US
93.4%
IA
93.9%
Linn
91.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility13.0%
Better than Avg
Here
13.0%
US
15.5%
IA
19.4%
Linn
14.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility92.6%
Better than Avg
Here
92.6%
US
79.8%
IA
73.3%
Linn
78.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility91.3%
Better than Avg
Here
91.3%
US
81.8%
IA
84.1%
Linn
83.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.7%
Worse than Avg
Here
2.7%
US
1.6%
IA
2.0%
Linn
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
1penalties
Well above state avg (6.2)
12 complaint-triggered
$45,465 in fines

Families have filed multiple complaints triggering 19 deficiencies, with recurring issues in care planning and assessment, safety supervision, and infection control. The facility has persistent problems with ensuring quality care standards and maintaining safe environments, though all violations show correction dates. Recent surveys continue to identify deficiencies in nursing staffing and resident assessment processes, suggesting ongoing operational challenges families should carefully evaluate.

Apr 21, 2026Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 3, 2026Routine
10
0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

Dec 23, 2025Complaint
1
0689Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jan 15, 2025Complaint
1
0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

Jan 15, 2025Routine
8
0346Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0640Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Nov 7, 2024Complaint
4
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Dec 23, 2025

$10,358

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
17deficiencies
May 18, 2026Complaint
Clean

Fed violations: 0, State violations: 0

Apr 21, 2026Complaint
Clean

Fed violations: 1, State violations: 0

Apr 1, 2026Inspection
Clean

Fed violations: 0, State violations: 0

Mar 3, 2026Inspection
Clean

Fed violations: 9, State violations: 0

Dec 23, 2025Complaint
Clean

Fed violations: 1, State violations: 1

Oct 20, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Jun 18, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Mar 12, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Harmony Cedar Rapids

Organization Type

for profit

Chain Affiliation

Chain Name

Legacy Healthcare

Chain Size

89 facilities nationwide

Chain avg rating: 3.0/5 · Rank 78 of 89 (Worst)

Ownership & Management

Owners

Doros Generation Trust U/a/d 1/3/12

Owner · Organization

26%

Gpn Family Trust U/a/d 4/28/08

Owner · Organization

60%

Oakway Operations LLC

Owner · Organization

15%

Key personnel

Forbright Bank5% or Greater Security InterestShabat, MenachemManaging Control - Governing BodyForbright BankManagerLegacy Healthcare Financial Services LLCManagerKnapp, JustinManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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