Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 66 Google reviews

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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 72% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 11 findings, above the IA average of 6.2. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
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
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Concerns
Rating Trends
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Distribution · 73 analyzed
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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!”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
6
measures
2
measures
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents vaccinated for the flu
Residents vaccinated for pneumonia
Residents whose walking got worse
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
Detailed Medicare record · up to 3-year lookback
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
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
$10,509
Source: Iowa Dept. of Inspections, Appeals & Licensing
Fed violations: 0, State violations: 0
Fed violations: 1, State violations: 0
Fed violations: 0, State violations: 0
Fed violations: 9, State violations: 0
Fed violations: 1, State violations: 1
Fed violations: 0, State violations: 0
Fed violations: 0, State violations: 0
Fed violations: 0, State violations: 0
Harmony Cedar Rapids
for profit
Legacy Healthcare
89 facilities nationwide
Chain avg rating: 3.0/5 · Rank 78 of 89 (Lowest rating)
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 this facility directly and verify the details that matter most to your family.
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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. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. 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.
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