Harmony Cedar Rapids
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 64 Google reviews

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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
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 detailsStrengths
- 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
Distribution · 71 analyzed
How They Respond to Reviews
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.”
“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!”
“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!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
9
measures
5
measures
3
measures
Residents whose bladder or bowel control got worse
Residents vaccinated for the flu
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Mar 3, 2026Routine10
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.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
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.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Dec 23, 2025Complaint1
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, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Jan 15, 2025Routine8
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
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.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
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.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Nov 7, 2024Complaint4
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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
May 18, 2026ComplaintClean
Fed violations: 0, State violations: 0
Apr 21, 2026ComplaintClean
Fed violations: 1, State violations: 0
Apr 1, 2026InspectionClean
Fed violations: 0, State violations: 0
Mar 3, 2026InspectionClean
Fed violations: 9, State violations: 0
Dec 23, 2025ComplaintClean
Fed violations: 1, State violations: 1
Oct 20, 2025ComplaintClean
Fed violations: 0, State violations: 0
Jun 18, 2025ComplaintClean
Fed violations: 0, State violations: 0
Mar 12, 2025ComplaintClean
Fed violations: 0, State violations: 0
Ownership & Operations
Who Operates This Facility
Harmony Cedar Rapids
for profit
Chain Affiliation
Legacy Healthcare
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
Gpn Family Trust U/a/d 4/28/08
Owner · Organization
Oakway Operations LLC
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
64 reviews from families & visitors
Official Website
Visit harmonycedarrapids.com
Medicare data downloads
Original nursing home datasets
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