Harmony Waterloo
Nursing Home Facility
201 West Ridgeway Avenue, Waterloo, IA 50701
Located across from Village Inn next to Walgreens at the corner of Kimball and Ridgeway-201 on West Ridgeway Avenue in Waterloo, IA, ManorCare provides individualized post-hospital skilled nursing care in a comfortable environment. Our clinical and therapy teams are experienced in providing specialized care focused on your needs, interests and ability. This commitment results in a smoother and safer transition throughout your recuperation. You should look for a setting that specializes in providing vital medical care and rehabilitation in a warm and caring environment. We offer a range of services to meet your health care needs.
Operated by Legacy Healthcare, which runs 81 communities in our directory.
Harmony Waterloo is licensed for 88 beds, about typical for the area, where senior care communities in Waterloo average about 93 beds.
Federal reporting puts occupancy at about 85% 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 Waterloo average about 1.8 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 8 deficiencies.
Residents receive about 3.2 hours of nursing care per day on average, including 0.7 hours from a registered nurse. Nursing staff turnover over the past year was about 49%.
The community is located in Black Hawk County, IA.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 22 problems at Harmony Waterloo. 1 finding involved harm to a resident, including 1 that put residents in immediate danger. 11 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $95,440.
Findings from the most recent inspection cycle
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Put residents in immediate danger, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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Could cause more than minimal harm, a pattern
Nursing and Physician Services
Post nurse staffing information every day.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
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.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure that residents are free from significant medication errors.
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 Waterloo offers assisted living, nursing home care, respite care, and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 88
- Occupancy 85%
- Nursing hours per resident/day 3.2
- Annual staff turnover 49%
- Last health inspection January 2026
Resident & family reviews
No one has shared a review of Harmony Waterloo yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.