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Harmony Cedar Rapids is a 96-bed skilled nursing facility at 1940 First Avenue NE in Cedar Rapids, Iowa. Affiliated with Legacy Healthcare, the center provides short-term rehabilitation, memory care, and long-term residential services for Linn County. The campus is highly accessible with a Walk Score of 79, offering pedestrian proximity to central city errands and community services.
The facility is CMS-certified and holds a 1-star overall rating, categorized as “Much Below Average”. Between 2023 and 2026, the community incurred federal penalties totaling $61,400, including a recent fine of $15,935 in December 2025. While the facility carries a high Quality Measure rating, its health inspection tier is 1 star. A January 2026 state report cited a Class I violation with a $6,500 fine for failure to provide adequate resident supervision to protect against environmental hazards. Current records show zero infection control deficiencies over the last three fiscal years.
Staffing metrics indicate that Registered Nurse (RN) hours are 35 minutes per resident day, 20% below the Iowa average of 44 minutes. Clinical services coordinate orthopedic rehabilitation, wound care, and specialized memory support. Despite lower RN ratios, the facility reports a 92.6% success rate for residents showing functional improvement, which exceeds the state average of 73.2%. Medicaid, Medicare, and various state assistance programs such as the Elderly Waiver are accepted.
The facility features a residential atmosphere within the Oakhill Jackson neighborhood, designed to support both post-acute recovery and long-term placement.Shared amenities and features include:24-hour nursing and medical oversight, on-site physical and occupational therapy, and nutritional meal planning. The community hosts a resident council to address environmental and care concerns. The 75.8% nursing staff turnover rate is higher than the state mean, though the facility maintains a stable daily occupancy census.
Families should check the current bedside care standards and safety protocols during an on-site tour. It is advisable to ask the administrator for specific details on the corrective actions following the January 2026 supervision citation and to confirm that current clinical staffing levels are sufficient to meet the resident’s specific recovery or long-term care goals.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 30m per day | ▼ 32% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 41m per day | ▲ 21% State avg: 34m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 34m per day | ■ Avg State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 26m per day | ■ Avg State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 19m per day | ▼ 37% State avg: 30m per day · National avg: 28m per day |
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Number of hospitalizations per 1,000 long-stay resident days.
2.93
98% worse than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.28
9% worse than Iowa averageIowa average: 2.09
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.2%
In line with Iowa averageIowa average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
21.5%
64% worse than Iowa averageIowa average: 13.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
47.6%
11% worse than Iowa averageIowa average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
54.8%
8% better than Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
0.0 miles from city center
Estimated distance in miles from Cedar Rapids's city center to Harmony Cedar Rapids's address, calculated via Google Maps.
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Harmony Cedar Rapids is located in Cedar Rapids, Iowa.
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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
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Harmony Cedar Rapids is in the Oakhill Jackson neighborhood of Cedar Rapids.
Harmony Cedar Rapids has a walk score of 79. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Yes — there are 5 photos of Harmony Cedar Rapids in the photo gallery on this page.
Harmony Cedar Rapids is located at 1940 First Avenue NE.
(319) 364-5151 will put you in contact with the team at Harmony Cedar Rapids.
Harmony Cedar Rapids is not currently listed as a CMS-certified provider of Medicare or Medicaid.
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