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Nursing HomeMedicaid Investigative

Harmony Marshalltown

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

910 East Olive, Marshalltown, IA 5015872 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 32 Google reviews

Harmony Marshalltown Nursing Home in Marshalltown, IA — Street View
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4/ 10
moderate 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)
  • 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

Source: Medicare data

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 details
Food9.0Staff6.0Clean5.0ActivitiesN/AMedsN/AMemoryN/AComms8.0ValueN/A

Strengths

  • 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

2345.02019(1)4.82020(6)3.02022(2)1.02023(1)1.02024(1)3.72025(10)5.02026(9)

Distribution · 30 analyzed

5
22
4
2
3
0
2
0
1
6

How They Respond to Reviews

60%response rate

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.

General visitor/family · 2026★★★★★

The staff consistently demonstrates compassion, professionalism, and genuine dedication to their residents. Communication with our hospice team is always timely and collaborative.

Hospice provider · 2026★★★★★

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.

Family member · 2025☆☆☆☆
Source: 32 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.49hrs
65%
Registered nurses for medical care
Total Nursing
4.11hrs
OK
All nurses + aides combined
Staff Turnover
56%
Lower is better (< 30% = good)
RN Turnover
92%
Lower is better (< 30% = good)

RN 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

Medicare Rating
3/ 5
Better Than Avg

9

measures

Worse Than Avg

6

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.8%
Better than Avg
Here
1.8%
US
12.1%
IA
4.1%
Marshall
8.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility23.1%
Worse than Avg
Here
23.1%
US
15.5%
IA
19.4%
Marshall
17.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility11.0%
Better than Avg
Here
11.0%
US
14.4%
IA
17.6%
Marshall
14.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.9%
Worse than Avg
Here
25.9%
US
19.4%
IA
25.9%
Marshall
20.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility11.6%
Better than Avg
Here
11.6%
US
15.3%
IA
17.5%
Marshall
16.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility91.5%
Worse than Avg
Here
91.5%
US
93.4%
IA
93.9%
Marshall
96.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility77.5%
Mixed vs Avgs
Here
77.5%
US
79.8%
IA
73.3%
Marshall
83.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility86.8%
Better than Avg
Here
86.8%
US
81.8%
IA
84.1%
Marshall
84.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.1%
Worse than Avg
Here
3.1%
US
1.6%
IA
2.0%
Marshall
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
1penalties
Well above state avg (6.2)
27 complaint-triggered
$78,878 in fines

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, 2026Routine
17
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0914Potential for harm · WidespreadCorrected

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.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

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.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0732Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0222Potential for harm · IsolatedCorrected

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.

0223Potential for harm · IsolatedCorrected

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.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0325Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Aug 5, 2025Complaint
8
0627Immediate jeopardy · IsolatedCorrected

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

0689Immediate jeopardy · 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.

0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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.

0926Potential for harm · PatternCorrected

Environmental Deficiencies

Have policies on smoking.

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.

0580Potential for harm · IsolatedCorrected

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.

0842Potential for harm · IsolatedCorrected

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, 2025Complaint
1
0222Potential for harm · PatternCorrected

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, 2025Complaint
4
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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.

0726Potential for harm · IsolatedCorrected

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.

0842Potential for harm · IsolatedCorrected

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, 2024Complaint
2
0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Dec 12, 2024Routine
14
0324Potential for harm · Widespread

Smoke Deficiencies

Provide properly protected cooking facilities.

0347Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

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.

0341Potential for harm · PatternCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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.

0690Potential for harm · IsolatedCorrected

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.

0727Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0887Potential for harm · IsolatedCorrected

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

10total
32deficiencies
Jun 23, 2026Complaint
Clean

Fed violations: 0, State violations: 0

May 20, 2026Complaint
Clean

Fed violations: 1, State violations: 0

Mar 10, 2026Inspection
Clean

Fed violations: 0, State violations: 0

Jan 14, 2026Inspection
Clean

Fed violations: 4, State violations: 0

Sep 23, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Aug 5, 2025Complaint
Clean

Fed violations: 8, State violations: 5

May 14, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Apr 10, 2025Complaint
Clean

Fed violations: 4, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Harmony Marshalltown

Organization Type

for profit

Chain Affiliation

Chain Name

Legacy Healthcare

Chain Size

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

Shabat, MenachemOfficer / DirectorLegacy Healthcare Financial Services LLCManagerBeasley, KarlaManagerBehounek, LinseyManagerBorcherding, JennyManager
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 5 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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