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Harmony Marshalltown is a 72-bed skilled nursing facility located at 910 East Olive Street in Marshalltown, Iowa. Administered by Grace Maitland, the community provides short-term rehabilitation, memory care, and long-term residential services for Marshall County. The campus maintains a current occupancy rate of approximately 71%, which is modestly below the Iowa state average of 75.4%.
The facility is CMS-certified and currently holds a 1-star overall rating, categorized as “Much Below Average”. Between 2023 and 2026, state inspectors conducted multiple surveys resulting in a high frequency of citations, with a January 2026 health inspection yielding 16 deficiencies, well above the Iowa average of 6.1.
Recent complaint investigations substantiated concerns regarding accident hazards, inadequate resident supervision, and unsafe discharge practices. While a September 2025 revisit found the facility in substantial compliance with zero new deficiencies at that time, recurring citations for staffing and resident rights remain on record.
Staffing levels at Harmony Marshalltown present a split clinical profile. Total nursing hours are 4 hours 7 minutes per resident day, which exceeds the Iowa average of 3 hours 48 minutes. However, Registered Nurse (RN) hours are 29 minutes per resident day, 34% below the state average, and weekend RN coverage is 57% below the Iowa mean at 13 minutes. Clinical programs coordinate orthopedic recovery and wound care, supported by physical therapy hours that perform in line with state benchmarks.
The facility features a residential atmosphere with specialized wings for memory care and short-term rehabilitation.Shared amenities and services include:24-hour nursing supervision, dietary management with food safety oversight, and organized social activities. Residents have access to respiratory services and immunization programs, though families should note that 2024 and 2025 surveys identified recurring gaps in food sanitation and infection prevention protocols.
The community accepts both Medicare and Medicaid and is not part of a continuing care retirement community.
Individuals should check the current bedside care standards and resident safety protocols during an on-site tour. It is advisable to ask the administrator for documented proof of corrective actions regarding the January 2026 health citations and to verify that weekend RN staffing levels have been stabilized to meet the individual clinical needs of residents.
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.
| 34m per day | ■ Avg 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 48m per day | ▲ 11% 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 23m per day | ■ Avg State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 5m per day | ▲ 150% State avg: 2m per day · National avg: 4m 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.
| 17m per day | ▼ 43% State avg: 30m per day · National avg: 28m per day |
Lower than the Iowa average: 75.4%Harmony Marshalltown is administrated by Grace Maitland.
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 73 | 27 | This facility has 170% more total deficiencies than a typical Iowa nursing home (73 vs. IA avg 27).↑ 170% worse |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 12.2 | 4.5 | This facility has 171% more deficiencies per year than a typical Iowa nursing home (12.2 vs. IA avg 4.5).↑ 171% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.4 | 1.8 | This facility has 33% more deficiencies per inspection than a typical Iowa nursing home (2.4 vs. IA avg 1.8).↑ 33% worse |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 30 | 15 | This facility has 100% more total inspections than a typical Iowa nursing home (30 vs. IA avg 15).↑ 100% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on September 23, 2025, found the facility in substantial compliance with all previously cited deficiencies corrected. Earlier inspections showed a pattern of deficiencies related primarily to resident care, including issues with dignity and respect, pressure ulcer prevention, safe discharges, and sufficient nursing staff, as well as concerns about infection control, food safety, and documentation. Several complaint investigations were substantiated over time, involving resident rights violations, inadequate supervision leading to elopements and falls, and lapses in infection control and immunization practices. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility appears to have made improvements recently, as indicated by the correction of deficiencies and compliance findings in the latest inspections following prior citations.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsThese 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.
1.92
30% worse than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.39
62% 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.
15.1%
29% better than Iowa averageIowa average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.5%
35% better 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.
37.1%
31% worse than Iowa averageIowa average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
44.7%
12% worse 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 Marshalltown's city center to Harmony Marshalltown's address, calculated via Google Maps.
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Harmony Marshalltown is located in Marshalltown, Iowa.
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Harmony Marshalltown has a walk score of 85. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to IA state health department records, Harmony Marshalltown's license number is 640686.
According to IA state health department records, Harmony Marshalltown's license expires on August 15, 2026.
Harmony Marshalltown's occupancy is 71%.
The team at Harmony Marshalltown can be reached at [email protected].
Grace Maitland is the administrator of Harmony Marshalltown.
Harmony Marshalltown has 72 beds.
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