Harmony Marshalltown
Nursing Home Facility
910 East Olive, Marshalltown, IA 50158
Harmony Marshalltown is a senior care community located in Marshalltown, IA. It provides nursing home care and senior living for older adults in the Marshalltown area. To learn more or schedule a tour, call (641) 752-4581.
Operated by Legacy Healthcare, which runs 81 communities in our directory.
With 72 beds, Harmony Marshalltown is smaller than most nearby options, senior care communities in Marshalltown average about 161 beds. Smaller communities often mean more consistent day-to-day staffing and a calmer environment, while larger ones may have more specialized services on site. Which suits a particular person depends on the level of care needed.
Federal reporting puts occupancy at about 71% of its licensed beds.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Marshalltown average about 2.2 stars. The individual scores differ noticeably: 3 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in January 2026 and recorded 13 deficiencies.
Residents receive about 4.0 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Nursing staff turnover over the past year was about 51%.
The community is located in Marshall County, IA.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 46 problems at Harmony Marshalltown. 4 findings involved harm to a resident, including 2 that put residents in immediate danger. 27 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $78,878.
Findings from the most recent inspection cycle
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Put residents in immediate danger, one or a few residents
Resident Rights
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
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Put residents in immediate danger, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Caused harm to a resident, one or a few residents
Quality of Life and Care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, widespread
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Could cause more than minimal harm, one or a few residents
Nursing and Physician Services
Post nurse staffing information every day.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
Show 5 more
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Could cause more than minimal harm, a pattern
Nursing and Physician Services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Could cause more than minimal harm, a pattern
Environmental
Have policies on smoking.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Harmony Marshalltown offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 72
- Occupancy 71%
- Nursing hours per resident/day 4.0
- Annual staff turnover 51%
- Last health inspection January 2026
Resident & family reviews
No one has shared a review of Harmony Marshalltown yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.