Harmony Marshalltown
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 32 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 (21 vs median 5)
Bottom 25% in IA · Below recommended RN staffing · Above average staffing · Worst in LEGACY HEALTHCARE chain · $78,878 in fines
What this means for your family
While recent reviews highlight a welcoming environment and professional staff, the facility has a history of severe complaints regarding resident treatment and management. We strongly recommend conducting an unannounced visit and speaking directly with current residents and their families to verify the consistency of care.
Google Reviews
Google Reviews
32 reviews on Google“Harmony Marshalltown receives highly polarized feedback, with many professional partners and some residents praising the staff's warmth and professionalism, while other reviewers report serious concerns regarding management, cleanliness, and the treatment of residents. Families should be aware of the stark contrast between glowing testimonials and severe allegations of neglect and hostile behavior.”
Quality Themes
Tap a score for detailsStrengths
- Warm, attentive nursing staff
- Professional and collaborative communication
- Welcoming, home-like atmosphere
- Consistently praised food quality
Concerns
- High staff turnover and management issues (mentioned by 2 reviewers)
- Allegations of poor treatment and disrespectful behavior toward residents (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 30 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1We've noticed some wonderful comments online about the food quality here; could you tell us more about the daily meal menus and how much variety there is?
- 2It's great to see that management engages with feedback from the community; how does the leadership team use resident and family input to make improvements?
- 3With the recent inspections, what specific steps is the facility taking right now to address staffing levels and ensure consistent care?
- 4How does the nursing team handle medical emergencies or sudden changes in a resident's health during the overnight hours?
- 5We want to ensure a respectful and kind environment; what kind of training do staff members receive regarding resident dignity and person-centered care?
- 6What kind of daily activities or social outings are available to help residents stay engaged and connected with one another?
Personalized based on this facility's data
Key Review Excerpts
“The staff at this nursing home and rehab facility truly work as a team to create a welcoming, home-like environment for residents.”
“The staff consistently demonstrates compassion, professionalism, and genuine dedication to their residents. Communication with our hospice team is always timely and collaborative.”
“Please dont send your family here!! completely unacceptable behaviour from staff and management. Extremely hostile behaviour! I truly couldn't believe it! Not to mention how staff treats patients its disgusting.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
6
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents vaccinated for pneumonia
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
Harmony Marshalltown shows concerning patterns with 27 complaint-triggered deficiencies indicating families filed reports about safety hazards, nursing care issues, and food service problems. The facility has persistent problems with accident prevention, nursing staffing adequacy, and food safety that have repeatedly occurred across multiple surveys from 2022 to 2025, suggesting ongoing challenges despite corrections being reported for each violation.
Jan 14, 2026Routine17
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have properly installed hallway dispensers for alcohol-based hand rub.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Aug 5, 2025Complaint8
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
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 appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Environmental Deficiencies
Have policies on smoking.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jul 17, 2025Complaint1
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Apr 10, 2025Complaint4
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.
Nursing and Physician Services Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Dec 12, 2024Complaint2
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Dec 12, 2024Routine14
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
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 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 care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Federal Penalties
Fine
Aug 5, 2025
$78,878
State Inspection History
State Inspections
Source: Iowa Dept. of Inspections, Appeals & Licensing
Jun 23, 2026ComplaintClean
Fed violations: 0, State violations: 0
May 20, 2026ComplaintClean
Fed violations: 1, State violations: 0
Mar 10, 2026InspectionClean
Fed violations: 0, State violations: 0
Jan 14, 2026InspectionClean
Fed violations: 4, State violations: 0
Sep 23, 2025ComplaintClean
Fed violations: 0, State violations: 0
Aug 5, 2025ComplaintClean
Fed violations: 8, State violations: 5
May 14, 2025ComplaintClean
Fed violations: 0, State violations: 0
Apr 10, 2025ComplaintClean
Fed violations: 4, State violations: 0
Ownership & Operations
Who Operates This Facility
Harmony Marshalltown
for profit
Chain Affiliation
Legacy Healthcare
89 facilities nationwide
Chain avg rating: 3.0/5 · Rank 82 of 89 (Worst)
Ownership & Management
Owners
Burken, Sheri
Owner (parent company)
Garden, Daniel
Owner (parent company)
Ninio, Mordechay
Owner (parent company)
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
32 reviews from families & visitors
Official Website
Visit harmonymarshalltown.com
Medicare data downloads
Original nursing home datasets
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