Harmony House Health Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 23 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)
- Above-median deficiencies (14 vs median 5)
Bottom 25% in IA · Below recommended RN staffing · Worst in LEGACY HEALTHCARE chain · No penalties on record
What this means for your family
While the facility offers excellent rehabilitation and a unique therapeutic greenhouse program, the recent reports of severe understaffing and management changes are deeply concerning. We strongly advise families to conduct unannounced visits, specifically on weekends, to observe staffing levels and resident care firsthand before making a decision.
Google Reviews
Google Reviews
23 reviews on Google“Harmony House Health Care Center presents a confusing profile, as it operates both as a nursing home and a public-facing greenhouse that attracts many positive reviews for its plant sales. While some families praise the compassionate care and effective rehabilitation services, there are severe, critical reports regarding understaffing, poor management under the new ownership, and a tragic incident involving a resident's death.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and friendly nursing staff
- Effective rehabilitation and therapy services
- Therapeutic greenhouse program for residents
- Clean and well-organized facility environment
Concerns
- Severe understaffing and reliance on inexperienced floaters (mentioned by 2 reviewers)
- Decline in quality of care and management under new ownership (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 25 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1I noticed the greenhouse program is a highlight for many families; how are residents currently involved in that, and what other daily activities are available to keep them engaged?
- 2With the recent transition in ownership, what specific steps is the leadership team taking to ensure consistent quality of care for the residents?
- 3I see that medication management is an area you are focusing on improving; could you walk me through your current process for ensuring accuracy and safety for residents?
- 4Given the feedback regarding the use of rotating staff, how do you ensure that residents consistently interact with familiar faces who know their specific needs and preferences?
- 5What is your current approach to staffing levels during peak hours to ensure that residents receive timely assistance with their daily needs?
- 6I appreciate that you actively engage with family feedback online; how do you incorporate that input into your day-to-day operations and facility improvements?
Personalized based on this facility's data
Key Review Excerpts
“Everyone there treated us like family. What a wonderful place to recover. Helped my husband tremendously with his therapy and also speech and Respiratory therapy.”
“My son has been in this facility for 6 years and just when you think it can't get any worse, it does. Care was sub-par under ABCM however since Legacy has purchased the facility, this place should be condemned.”
“It was a weekend and we arrived at 9 am to a dark room. Not breathing. She got brain damage because of the time she didn't get oxygen. After 7 days we took her off life support.”
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 vaccinated for pneumonia
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Harmony House has concerning patterns of deficiencies in resident rights, abuse protection, and care planning that persist across multiple surveys, with families filing complaints about dignity, staffing, and proper licensing. The facility has faced 20 deficiencies across 4 surveys, including serious issues with preventing abuse and neglect, though all violations show correction dates, suggesting the facility addresses problems when identified.
Mar 25, 2026Complaint11
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
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.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Aug 6, 2025Routine11
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Aug 6, 2025Complaint2
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Apr 16, 2025Complaint1
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.
Sep 12, 2024Routine3
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Sep 12, 2024Complaint2
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
State Inspection History
State Inspections
Source: Iowa Dept. of Inspections, Appeals & Licensing
Jun 23, 2026ComplaintClean
Fed violations: 0, State violations: 0
May 18, 2026ComplaintClean
Fed violations: 0, State violations: 0
May 18, 2026ComplaintClean
Fed violations: 3, State violations: 0
Mar 25, 2026ComplaintClean
Fed violations: 11, State violations: 2
Jan 14, 2026ComplaintClean
Fed violations: 0, State violations: 0
Dec 3, 2025ComplaintClean
Fed violations: 0, State violations: 0
Oct 2, 2025InspectionClean
Fed violations: 0, State violations: 0
Aug 6, 2025InspectionClean
Fed violations: 13, State violations: 2
Ownership & Operations
Who Operates This Facility
Harmony House Health Care Center
for profit
Chain Affiliation
Legacy Healthcare
89 facilities nationwide
Chain avg rating: 3.0/5 · Rank 87 of 89 (Worst)
Ownership & Management
Owners
Rajchenbach, Chaim
Owner
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
23 reviews from families & visitors
Medicare data downloads
Original nursing home datasets
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