1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
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.
This home is ranked 207th out of 249 homes in Iowa for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| 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.
| 35m per day | ▼ 20% 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.
| 35m 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 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 25m 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.
| 0m per day | ▼ 100% 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.
| 21m per day | ▼ 28% State avg: 30m per day · National avg: 28m per day |
May offer a more intimate, personalized care environment.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
27% of new residents, usually for short-term rehab.
59% of new residents, often for short stays.
14% of new residents, often for long-term daily care.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #122 / 251Payroll — State benchmarkedThis home is ranked 122nd out of 251 homes in Iowa. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #200 / 251Payroll % — State benchmarkedThis home is ranked 200th out of 251 homes in Iowa. Shows payroll as a percentage of revenue versus the Iowa average. Well-run Iowa facilities typically land around 61–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (59% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| West Ridge Care Center | NH MC | Cedar Rapids | 60
Facility
60
IA AVG
71
Rank
#214 / 407 |
75.0%
Facility
75.0%
IA AVG
75.4%
Rank
#162 / 407 | -1% | 4.88
Facility
4.88
IA AVG
4.30
Rank
#52 / 249 | +31% | +14% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 255 | 5
Facility
5
IA AVG
21.7
Rank
#20 / 250 | 2.5
Facility
2.5
IA AVG
4.1
Rank
#58 / 250 | - | 52 | - |
48
Facility
48
IA AVG
45
Rank
#241 / 528 | Elaine Sample | $6.9M
Facility
$6.9M
IA AVG
$7.0M
Rank
#79 / 251 | $3.7M
Facility
$3.7M
IA AVG
$3.1M
Rank
#85 / 251 | 53.1%
Facility
53.1%
IA AVG
46.3%
Rank
#160 / 251 | 165567 | ||||
| Terrace Glen Village | NH AL IL | Marion (Flynn) | 40
Facility
40
IA AVG
71
Rank
#325 / 407 |
95.0%
Facility
95.0%
IA AVG
75.4%
Rank
#24 / 407 | +26% | 4.48
Facility
4.48
IA AVG
4.30
Rank
#80 / 249 | +20% | +4% | $12.2k
Facility
$12.2k
IA AVG
$53.4k
Rank
#168 / 255 | 14
Facility
14
IA AVG
21.7
Rank
#105 / 250 | 4.7
Facility
4.7
IA AVG
4.1
Rank
#165 / 250 | 4 | 38 | A |
14
Facility
14
IA AVG
45
Rank
#444 / 528 | Abernathy Family Farms LLC | $8.7M
Facility
$8.7M
IA AVG
$7.0M
Rank
#77 / 251 | $4.2M
Facility
$4.2M
IA AVG
$3.1M
Rank
#92 / 251 | 48.4%
Facility
48.4%
IA AVG
46.3%
Rank
#188 / 251 | 165625 | ||||
| The Views of Marion | NH AL MC | Marion | 60
Facility
60
IA AVG
71
Rank
#214 / 407 |
48.3%
Facility
48.3%
IA AVG
75.4%
Rank
#296 / 407 | -36% | 4.15
Facility
4.15
IA AVG
4.30
Rank
#139 / 249 | -35% | -3% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 255 | 12
Facility
12
IA AVG
21.7
Rank
#86 / 250 | 3.0
Facility
3.0
IA AVG
4.1
Rank
#81 / 250 | - | 29 | - |
37
Facility
37
IA AVG
45
Rank
#315 / 528 | Dallas Urbain | $9.5M
Facility
$9.5M
IA AVG
$7.0M
Rank
#58 / 251 | $3.9M
Facility
$3.9M
IA AVG
$3.1M
Rank
#90 / 251 | 41.5%
Facility
41.5%
IA AVG
46.3%
Rank
#207 / 251 | 165626 | ||||
| Gardens of Cedar Rapids | NH AL IL MC | Cedar Rapids | 60
Facility
60
IA AVG
71
Rank
#214 / 407 |
48.3%
Facility
48.3%
IA AVG
75.4%
Rank
#296 / 407 | -36% | 4.24
Facility
4.24
IA AVG
4.30
Rank
#120 / 249 | -1% | -1% | $19.4k
Facility
$19.4k
IA AVG
$53.4k
Rank
#178 / 255 | 19
Facility
19
IA AVG
21.7
Rank
#140 / 250 | 3.8
Facility
3.8
IA AVG
4.1
Rank
#126 / 250 | 4 | 35 | - |
1
Facility
1
IA AVG
45
Rank
#507 / 528 | Jbrb Investments LLC | $8.3M
Facility
$8.3M
IA AVG
$7.0M
Rank
#61 / 251 | $3.7M
Facility
$3.7M
IA AVG
$3.1M
Rank
#109 / 251 | 45.1%
Facility
45.1%
IA AVG
46.3%
Rank
#218 / 251 | 165621 |
Harmony Cedar Rapids is located in Cedar Rapids, Iowa.
Here are the financial assistance programs available to residents in Iowa.
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.
Harmony Cedar Rapids's occupancy is 69.9%.
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, Cedar Rapids, Ia 524020000.
(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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