Harmony Marshalltown

910 East Olive
Marshalltown, IA, 50158
6417524581
CCN: 165385
1
Overall
1
Health
2
Staffing
4
Quality
ChainLEGACY HEALTHCARE
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
IOWA PORTFOLIO OPCO HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
CHAIM RAJCHENBACH DESCENDANTS TR UA 042820085% OR GREATER INDIRECT OWNERSHIP INTEREST46%
DOROS GENERATION TRUST U/A/D 1/3/125% OR GREATER INDIRECT OWNERSHIP INTEREST5%
OAKWAY OPERATIONS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST23%
BURKEN, SHERI5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
SHABAT, MENACHEMCORPORATE OFFICERNOT APPLICABLE
BEASLEY, KARLAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BEHOUNEK, LINSEYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BORCHERDING, JENNYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DHONDT, JUSTINAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FRIEDENBERG, LAURAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HEDBERG, JENNIFEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HENNAGER, CHRISTINAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HEYING, LARINAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HOUSTON, MINDYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
JAEGER, KRYSTLEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KNUTSON, MICHELEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LARSON, MELISSAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MAITLAND, GRACEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MCCLURE, DOROTHYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
OTTERBECK, PATRICIAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
RAJCHENBACH, CHAIMOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SCOTT, KATHLEENOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SCURR, STEVENOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SEU, JOSHUAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SHABAT, MENACHEMOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SHEAR, KILEYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
STAUDT, SANDRAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
VAN VEGHEL, ELIZABETHOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WIERSCHEM, BOBBIEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WOOD, ROSEMARYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WRIGHT, AMYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LEGACY HEALTHCARE FINANCIAL SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (1)
DateTypeAmount
2025-08-05Fine$79K
Health Deficiencies (58)
2025-08-05 · Health
E
F926 · Environmental Deficiencies
Have policies on smoking.
D
F842 · 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.
E
F725 · 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.
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
J
F627 · Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
D
F580 · 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.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2025-04-10 · Health
D
F842 · 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.
D
F726 · 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.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-12-12 · Health
D
F887 · 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.
D
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F727 · 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.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F690 · 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.
D
F657 · 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.
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
2024-09-25 · Health
D
F584 · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
2024-09-12 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
F803 · 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.
D
F725 · 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.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
E
F584 · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
2024-02-01 · Health
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
F803 · 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.
B
F801 · Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
F656 · 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.
D
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2023-09-18 · Health
D
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2022-12-06 · Health
E
F925 · Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
C
F882 · Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F758 · Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F661 · Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
D
F656 · 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.
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
B
F640 · Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
C
F623 · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
F584 · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
C
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
C
F568 · Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
D
F552 · Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.85
3.68
RN Hrs/Resident/Day
0.49
0.54
LPN Hrs/Resident/Day
0.56
0.81
CNA Hrs/Resident/Day
2.79
2.33
PT Hrs/Resident/Day
0.08
0.12
Data as of 2026-03-01