Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 102 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 90% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 13 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 Utica Ridge receives polarized feedback, with many reviewers praising the high-quality physical therapy and modern, clean facility. However, significant concerns persist regarding inconsistent nursing care, slow response times to call buttons, and issues with medication management. Families should be aware that while many report excellent rehabilitation outcomes, others have experienced serious lapses in basic care and communication.
Quality Themes
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Concerns
Rating Trends
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Distribution · 107 analyzed
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Personalized based on this facility's data
Key Review Excerpts
“The therapy department is second to none. They really are in tune with people’s needs and individualize therapy based on each persons needs.”
“My grandmother is in their care and requested to use the restroom. The nurse on staff stated that she was wearing depends and to go in that. This is absolutely disgusting behavior and completely unacceptable.”
“I had to leave after only about a week. I was not given the correct meds in the correct dosages, when politely brought to their attention they became VERY defensive then turned accusatory.”
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
11
measures
2
measures
4
measures
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 vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents vaccinated for the flu
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
Harmony Utica Ridge has significant concerns with 21 complaint-triggered deficiencies showing families have repeatedly reported issues. The facility struggles persistently with infection control (cited across multiple surveys), safety hazards, and care planning. While all violations show correction dates, recurring problems in infection prevention, accident prevention, and resident care planning suggest ongoing quality challenges that warrant careful consideration during your visit.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
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.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
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 care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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 safe, appropriate pain management for a resident who requires such services.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Fine
Jun 13, 2024
$37,665
Fine
Mar 5, 2024
$13,627
Source: Iowa Dept. of Inspections, Appeals & Licensing
Fed violations: 0, State violations: 0
Fed violations: 2, State violations: 0
Fed violations: 11, State violations: 0
Fed violations: 0, State violations: 0
Fed violations: 0, State violations: 0
Fed violations: 12, State violations: 0
Fed violations: 0, State violations: 0
Fed violations: 0, State violations: 0
Harmony Utica Ridge
for profit
Legacy Healthcare
89 facilities nationwide
Chain avg rating: 3.0/5 · Rank 79 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.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
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Google Reviews
102 reviews from families & visitors
Official Website
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Original nursing home datasets
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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