Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
154
126 employees · 28 contractors · 45 on an average day Harmony Cedar Rapids
Nursing Home, Respite Care & Skilled Nursing · Cedar Rapids, IA
ALM Inspection Grade
C+
ALM's inspection grade is 77 / 100, a C+ — 6 points below the Iowa average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 77 / 100, a C+ — 6 points below the Iowa average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
2/5
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.
2/5
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
Nursing Home, Respite Care & Skilled Nursing · Cedar Rapids, IA
ALM Inspection Grade
C+
ALM's inspection grade is 77 / 100, a C+ — 6 points below the Iowa average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 77 / 100, a C+ — 6 points below the Iowa average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
2/5
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.
2/5
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 accepts Medicare, Medicaid, and private pay.
Overview of Harmony Cedar Rapids
Harmony Cedar Rapids is a nursing home and skilled nursing community in Cedar Rapids, Iowa, with respite care available as well. Licensed nursing care is provided on site around the clock for residents who need ongoing clinical support. Short stays are available too. Respite care can give someone’s usual caregiver time away or provide support while that person recovers.
Short term rehabilitation and orthopedic rehabilitation support recovery after an illness, injury, or orthopedic procedure, while wound care addresses residents’ wound treatment needs. The community is in the Oakhill Jackson neighborhood and accepts Medicare, Medicaid, and private pay, giving families several stated ways to cover care. Justine K. serves as the director. Harmony Cedar Rapids may be a good fit for someone who needs skilled nursing, rehabilitation, or a temporary respite stay.
Quality ratings
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.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 185th out of 225 nursing homes we track 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.
3h 44m
This nursing home is ranked 185th out of 225 nursing homes we track 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.
3h 44m6 of 6 metrics below Iowa average
Daily care time per resident, by role
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. 25 total: 11 of the facility's own employees and 14 agency contractors.
25 staff · 8.5-hour shifts
37m
↓ 28% · IA 51mThis facility: 37m per resident per day, 28% below the Iowa average of 51m (among Iowa facilities reporting a recent figure).
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. 25 total: 11 of the facility's own employees and 14 agency contractors.
25 staff · 8.5-hour shiftsUS average: 42m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 42m
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. 21 total: 10 of the facility's own employees and 11 agency contractors.
21 staff · 8.1-hour shifts
29m
↓ 24% · IA 38mThis facility: 29m per resident per day, 24% below the Iowa average of 38m (among Iowa facilities reporting a recent figure).
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. 21 total: 10 of the facility's own employees and 11 agency contractors.
21 staff · 8.1-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. All 74 are the facility's own employees; no agency contractors work in this role.
74 staff · 7.2-hour shifts
2h 38m
↓ 10% · IA 2h 57mThis facility: 2h 38m per resident per day, 10% below the Iowa average of 2h 57m (among Iowa facilities reporting a recent figure).
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. All 74 are the facility's own employees; no agency contractors work in this role.
74 staff · 7.2-hour shiftsUS average: 2h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 26m
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.
2m
↓ 19% · IA 2mThis facility: 2m per resident per day, 19% below the Iowa average of 2m (among Iowa facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
3h 26m
↓ 12% · IA 3h 54mThis facility: 3h 26m per resident per day, 12% below the Iowa average of 3h 54m (among Iowa facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 32m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 32m
RN, weekends
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.
Sat–Sun
28m
↓ 8% · IA 31mThis facility: 28m per resident per day, 8% below the Iowa average of 31m (among Iowa facilities reporting a recent figure).
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.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
154
126 employees · 28 contractors · 45 on an average day
154 total staff / 78 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.97 : 1
↓ 3% · IA 2.04This facility: 1.97 staff per resident, 3% below the Iowa average of 2.04 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
154 staff ÷ 78 residents
See full Iowa ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.3 h
↓ 3% · IA 7.5 hThis facility: 7.3 h, 3% below the Iowa average of 7.5 h (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
29,729 staff hours this quarter
See full Iowa ranking →91.4% of staff hours were worked by the facility's own employees
Iowa average: 92.3% · Contractors this quarter: Registered Nurse (14), Licensed Practical Nurse (11), Occupational Therapy Aide (1), Medical Director (1), Occupational Therapy Assistant (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
96
Rank #39 / 238Bed count — State benchmarked This nursing home is ranked 39th out of 238 nursing homes we track in Iowa for bed count. Shows this facility's certified or reported bed count compared to other Iowa facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
96
Rank #39 / 238Bed count — State benchmarked This nursing home is ranked 39th out of 238 nursing homes we track in Iowa for bed count. Shows this facility's certified or reported bed count compared to other Iowa facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Walk Score
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #34 / 249Walk Score — State benchmarked This nursing home is ranked 34th out of 249 nursing homes we track in Iowa for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Iowa facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #34 / 249Walk Score — State benchmarked This nursing home is ranked 34th out of 249 nursing homes we track in Iowa for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Iowa facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
79
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #146 / 225Occupancy rate — State benchmarked This nursing home is ranked 146th out of 225 nursing homes we track in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 225. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #146 / 225Occupancy rate — State benchmarked This nursing home is ranked 146th out of 225 nursing homes we track in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 225. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
77.8%
This home usually has availability
Based on residents per day and 96 beds.
Similar to the Iowa average: 79%
Residents per day (avg)
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
75
Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
86
days
About This Community
AHCA/NCAL National Quality Award — Bronze (2026)A three-tier quality program from the American Health Care Association / National Center for Assisted Living, based on the Baldrige performance-excellence framework. Bronze recognizes a documented quality commitment; Silver and Gold require demonstrated, externally reviewed outcomes and are progressively rarer.
Resident Council
Short-Term Rehab
Orthopedic Rehabilitation
Post-Hospital Rehabilitation
Physical Therapy
Occupational Therapy
Speech Therapy
Wound CareCare for wounds such as pressure sores, surgical wounds, or ulcers, including assessment, dressing changes, and monitoring for infection.
Oncology Care
Certified Wound Care Nurse Consultations
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
VA Contract ServicesThe Department of Veterans Affairs contracts with participating nursing homes to provide eligible Veterans short- or long-term care, including rehabilitation, hospice, or respite. This can help families find covered care closer to home.
Housekeeping
Laundry & Linen
Beauty Salon
Activities
Peer-To-Peer Interactions
CMS Health Inspection History
ALM Inspection Grade
77 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
6 points below the Iowa average for CMS-certified facilities (83/100)
Category breakdown
Citations
Concern
91 severity-weighted points (27 deficiencies) · 2× higher than the typical CMS-certified IA facility (median: 39)
Enforcement
Typical
1 enforcement action · above the typical CMS-certified IA facility (median: 0) · $10,509 in fines
Persistence
Typical
18 days to fix issues · faster than the typical CMS-certified IA facility (median: 21)
Total health inspections
7
↑ 40% · IA 5This facility: 7, 40% above the Iowa average of 5 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
24
Rank #160 / 227Health citations — State benchmarked This nursing home is ranked 160th out of 227 nursing homes we track in Iowa for health citations. Shows this facility's total health deficiency citations benchmarked to the Iowa State average, with a ranking across all 227 IA facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 16% · IA 20.7This facility: 24, 16% above the Iowa average of 20.7 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
3.43
Rank #109 / 227Citations per inspection — State benchmarked This nursing home is ranked 109th out of 227 nursing homes we track in Iowa for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Iowa mean across 227 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 10% · IA 3.83This facility: 3.43, 10% below the Iowa average of 3.83 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
95% corrected
23 of 24 citations corrected · 1 still open
Critical
J–L
0
↓ 100% · IA 0.5This facility: 0, 100% below the Iowa average of 0.5 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
1
↑ 11% · IA 0.9This facility: 1, 11% above the Iowa average of 0.9 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
0% corrected · 1 open
Actual harm
Moderate
D–F
22
↑ 16% · IA 19This facility: 22, 16% above the Iowa average of 19 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
100% corrected
No harm, more than minimal risk
Minor
A–C
1
↑ 233% · IA 0.3This facility: 1, 233% above the Iowa average of 0.3 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
100% corrected
No harm, minimal riskLatest inspection: Apr 21, 2026 · 1 citation (Infection Control, moderate), corrected
Most cited category: Resident Assessment & Care Planning, 8 of 24 citations · 6 categories in total
Citations history
Most recent first
Apr 21, 2026
1 citation
Infection Control moderate citation
Corrected
Corrected
Mar 03, 2026
9 citations
Nursing Services moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Dec 23, 2025
1 citation
Quality of Care serious citation
Jan 15, 2025
5 citations
Nursing Services moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Nov 07, 2024
4 citations
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Jun 12, 2024
2 citations
Care Planning moderate citation
Corrected
Corrected
Resident Rights minor citation
Corrected
Corrected
Mar 28, 2024
2 citations
Nursing Services moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Top deficiency categories
Share of 24 citations
Resident Assessment & Care Planning
8 deficiencies (33%)
Quality of Life & Care
5 deficiencies (21%)
Resident Rights
4 deficiencies (17%)
Nursing & Physician Services
3 deficiencies (13%)
Infection Control
2 deficiencies (8%)
Pharmacy Services
2 deficiencies (8%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
15 of 24 citations resulted from standard inspections; and 9 of 24 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Enforcement
Penalties and fines
Penalties and fines
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 · Data as of Oct 2026
1 penalty in the past 3 years
Latest: Dec 23, 2025 · $10,509 civil money penalty
Dec 23, 2025 · $10,509 civil money penalty
Total fines
$10,509
↓ 77% · IA $45KThis facility: $10,509, 77% below the Iowa average of $45,482. Average among the 160 Iowa facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.Rank #152 / 230Federal fines — State benchmarked This nursing home is ranked 152nd out of 230 nursing homes we track in Iowa for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Iowa average among facilities with fines, and where it ranks among 230 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
1
↓ 29% · IA 1.4This facility: 1, 29% below the Iowa average of 1.4. Average among the 160 Iowa facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
IA avg 0.44Iowa average: 0.44. Average among the 160 Iowa facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Penalty history · past 3 years
Dec 23, 2025
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$10,509
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$10,509Fine amount comparison
This facility
$10,509
Iowa average
$45,482
US average
$66,281
Totals count every penalty on record; the history lists the past 3 years. Iowa and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Iowa average.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
8.2
Score · lower is better
↓ 7% · IA 8.8This facility: 8.2, 7% below the IA average of 8.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
17.3
Score · lower is better
↓ 9% · IA 18.9This facility: 17.3, 9% below the IA average of 18.9 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.11 long-stay measures: 5 better, 5 worse, 1 near IA average
3 short-stay measures: 1 better, 1 worse, 1 near IA average
Long-stay residents
People who live at the home · 11 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
9.5%
↓ 43% · IA 16.6This facility: 9.5, 43% below the IA average of 16.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
9.5%
↓ 43% · IA 16.6This facility: 9.5, 43% below the IA average of 16.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
14.0%
↓ 8% · IA 15.2This facility: 14.0, 8% below the IA average of 15.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
14.0%
↓ 8% · IA 15.2This facility: 14.0, 8% below the IA average of 15.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.3%
↑ 13% · IA 25.0This facility: 28.3, 13% above the IA average of 25.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.3%
↑ 13% · IA 25.0This facility: 28.3, 13% above the IA average of 25.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
0.7%
↓ 70% · IA 2.4This facility: 0.7, 70% below the IA average of 2.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.7%
↓ 70% · IA 2.4This facility: 0.7, 70% below the IA average of 2.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
↑ 18% · IA 3.9This facility: 4.6, 18% above the IA average of 3.9 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
↑ 18% · IA 3.9This facility: 4.6, 18% above the IA average of 3.9 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
6.0%
↑ 44% · IA 4.1This facility: 6.0, 44% above the IA average of 4.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
6.0%
↑ 44% · IA 4.1This facility: 6.0, 44% above the IA average of 4.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
6.8%
↑ 55% · IA 4.4This facility: 6.8, 55% above the IA average of 4.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
6.8%
↑ 55% · IA 4.4This facility: 6.8, 55% above the IA average of 4.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
6.8%
↑ 62% · IA 4.2This facility: 6.8, 62% above the IA average of 4.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
6.8%
↑ 62% · IA 4.2This facility: 6.8, 62% above the IA average of 4.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
15.7%
↓ 21% · IA 19.8This facility: 15.7, 21% below the IA average of 19.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
15.7%
↓ 21% · IA 19.8This facility: 15.7, 21% below the IA average of 19.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
↑ 6% · IA 94.2This facility: 99.7, 6% above the IA average of 94.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
↑ 6% · IA 94.2This facility: 99.7, 6% above the IA average of 94.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 4% · IA 95.8This facility: 100.0, 4% above the IA average of 95.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 4% · IA 95.8This facility: 100.0, 4% above the IA average of 95.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 3 measures
Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
2.5%
↑ 17% · IA 2.1This facility: 2.5, 17% above the IA average of 2.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
2.5%
↑ 17% · IA 2.1This facility: 2.5, 17% above the IA average of 2.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.9%
↑ 3% · IA 84.0This facility: 86.9, 3% above the IA average of 84.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.9%
↑ 3% · IA 84.0This facility: 86.9, 3% above the IA average of 84.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
79.4%
↑ 7% · IA 74.4This facility: 79.4, 7% above the IA average of 74.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
79.4%
↑ 7% · IA 74.4This facility: 79.4, 7% above the IA average of 74.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Harmony Cedar Rapids’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 223 Iowa nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Breaking even on care
3.9% operating margin
+9.2 pts vs prior year
Positive margin in 2 of the last 8 reported years. Net income $0.4M after other income.
Does it invest in staff?
Spends less on payroll than most Iowa homes
47.7% payroll share of revenue
IA average 60.9%Rank #206 / 223Payroll % of net patient revenue — State benchmarked This nursing home is ranked 206th out of 223 nursing homes we track in Iowa for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Iowa average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll fell $0.3M while revenue rose $0.9M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Iowa homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | IA median | Compared with IA homesRank in IA | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $9.4M | +$0.9M | Trend 20162024 | IA median $6.3M | Rank in IA Rank #51 / 223Net patient revenue — State benchmarked This nursing home is ranked 51st out of 223 nursing homes we track in Iowa for net patient revenue. Shows this facility's net patient revenue compared to the Iowa average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 77% of homes | Above IA median Higher net patient revenue than 77% of IA homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $9.0M | +$0.1M | Trend 20162024 | IA median $6.4M | Rank in IA Rank #61 / 223Operating expenses — State benchmarked This nursing home is ranked 61st out of 223 nursing homes we track in Iowa for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Iowa homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 73% of homes | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $0.4M | +$0.8M | Trend 20162024 | IA median −$0.0M | Rank in IA Rank #58 / 223Net patient income — State benchmarked This nursing home is ranked 58th out of 223 nursing homes we track in Iowa for net patient income. Shows net patient revenue minus operating expenses, compared with other Iowa homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 74% of homes | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 3.9% | +9.2 pts | Trend 20162024 | IA median −0.3% | Rank in IA Rank #70 / 223Operating margin — State benchmarked This nursing home is ranked 70th out of 223 nursing homes we track in Iowa for operating margin. Shows net patient income as a share of net patient revenue, compared with other Iowa homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 69% of homes | Thin margin A margin from 0% to 5% of revenue leaves little room for unexpected costs. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | IA median $0.0M | Rank in IA Rank #126 / 204Other income — State benchmarked This nursing home is ranked 126th out of 204 nursing homes we track in Iowa for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Iowa homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 38% of homes | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $0.4M | +$0.8M | Trend — | IA median $0.0M | Rank in IA Rank #63 / 223Net income — State benchmarked This nursing home is ranked 63rd out of 223 nursing homes we track in Iowa for net income. Shows the bottom line after other income, compared with other Iowa homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 72% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most Iowa homes
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | IA median | Compared with IA homesRank in IA | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $4.5M | −$0.3M | Trend 20162024 | IA median $3.8M | Rank in IA Rank #83 / 223Payroll costs — State benchmarked This nursing home is ranked 83rd out of 223 nursing homes we track in Iowa for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Iowa average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 63% of homes | Above IA median Higher payroll than 63% of IA homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 47.7% | −8.9 pts | Trend 20162024 | IA median 59.0% | Rank in IA Rank #206 / 223Payroll % of net patient revenue — State benchmarked This nursing home is ranked 206th out of 223 nursing homes we track in Iowa for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Iowa average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 8% of homes | 13.2 pts under IA average The IA average is 60.9% of revenue. Within 3 points of it reads as near the average. |
Charts, 2016–2024 2 charts · IA benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Iowa payroll average.
% of net patient revenue
Payroll share Operating margin IA payroll average No report
Year-by-year data, 2016–2024 every reported year · latest first, scroll sideways
| Metric | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023no report | 2024 |
|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $9.3M | $8.7M | $8.5M | $8.6M | $8.6M | $7.2M | $8.5M | $9.4M | |
| Operating expenses | $9.4M | $9.2M | $9.2M | $8.7M | $8.4M | $7.8M | $8.9M | $9.0M | |
| Net patient income | −$0.1M | −$0.5M | −$0.7M | −$0.2M | $0.2M | −$0.7M | −$0.5M | $0.4M | |
| Operating margin | −1.1% | −5.7% | −8.9% | −1.9% | 1.9% | −9.2% | −5.3% | 3.9% | |
| Net income | −$0.1M | −$0.5M | −$0.7M | −$0.2M | $0.6M | −$0.3M | −$0.5M | $0.4M | |
| Payroll costs | $4.9M | $4.7M | $4.7M | $4.9M | $4.9M | $4.4M | $4.8M | $4.5M | |
| Payroll share of revenue | 52.6% | 54.5% | 55.1% | 56.8% | 56.7% | 61.2% | 56.6% | 47.7% | |
| Beds | 105 | 105 | 105 | 105 | 105 | 105 | 105 | 96 | |
| Gross revenue | $13.3M | $12.2M | $11.8M | $12.1M | $11.5M | $9.4M | $10.7M | $12.8M | |
| Salaries | $4.2M | $4.0M | $3.9M | $4.0M | $4.1M | $3.5M | $3.9M | $3.9M | |
| Wage-related costs | $0.7M | $0.7M | $0.7M | $0.9M | $0.8M | $0.9M | $0.9M | $0.6M | |
| Contract labor | $0.1M | $0.0M | $0.0M | $0.0M | — | $0.0M | $0.0M | $0.8M | |
| Other operating costs | $4.5M | $4.4M | $4.5M | $3.9M | $3.5M | $3.4M | $4.1M | $4.6M | |
| Net patient revenue per day | $302 | $289 | $296 | $288 | $301 | $294 | $297 | $357 | |
| Cost per day | $306 | $306 | $322 | $293 | $295 | $321 | $313 | $343 | |
| Average length of stay | 65.8 days | 63.8 days | 62.2 days | 64.4 days | 70.3 days | 81.9 days | 79.7 days | 85.8 days |
Showing 2024–2022 · scroll sideways for 6 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
307 admissions · FY2024
Residents admitted during the year.
Medicare
69 · 22%
Medicaid
75 · 24%
Private pay & other
163 · 53%
Resident snapshot
78 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
9 · 12%
Medicaid
53 · 68%
Private pay & other
16 · 21%
Leaving
307 discharges · FY2024
Residents discharged during the year.
Medicare
40 · 13%
Medicaid
108 · 35%
Private pay & other
159 · 52%
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Places of interest near Harmony Cedar Rapids
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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Info below is compiled from CMS reports & the IA Dept. of Inspections, Appeals & Licensing (DIAL), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Iowa average is: 60.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| West Ridge Care Center | NH MC SNF | Cedar Rapids | 60
Facility
60
IA AVG
70
Rank
#122 / 238 | A+ |
84.7%
Facility
84.7%
IA AVG
79%
Rank
#90 / 225 | +7% | 4.44
Facility
4.44
IA AVG
4.45
Rank
#104 / 225 | +45% | 0% | $0
Facility
$0
IA AVG
$52.4k
Rank
#1 / 230 | 1
Facility
1
IA AVG
20.7
Rank
#1 / 227 | 1.0
Facility
1.0
IA AVG
3.8
Rank
#1 / 227 | - | 51 | - |
48
Facility
48
IA AVG
50
Rank
#132 / 249 | Elaine Sample | $6.8MFiscal year ending 12/2024
Facility
$6.8MFiscal year ending 12/2024
IA AVG
$7.4M
Rank
#99 / 223 | $4.2MFiscal year ending 12/2024
Facility
$4.2MFiscal year ending 12/2024
IA AVG
$4.5M
Rank
#91 / 223 | 61.4%Fiscal year ending 12/2024
Facility
61.4%Fiscal year ending 12/2024
IA AVG
60.9%
Rank
#90 / 223 | 165567 | ||||
| Meth Wick Community | NH AL IL MC RC SNF | Cedar Rapids | 69
Facility
69
IA AVG
70
Rank
#98 / 238 | ? |
88.6%
Facility
88.6%
IA AVG
79%
Rank
#57 / 225 | +12% | 5.33
Facility
5.33
IA AVG
4.45
Rank
#32 / 225 | -12% | +20% | $0
Facility
$0
IA AVG
$52.4k
Rank
#1 / 230 | 4
Facility
4
IA AVG
20.7
Rank
#17 / 227 | 4.0
Facility
4.0
IA AVG
3.8
Rank
#130 / 227 | - | 61 | - |
23
Facility
23
IA AVG
50
Rank
#204 / 249 | Meth Wick Community | $19.3MFiscal year ending 03/2025
Facility
$19.3MFiscal year ending 03/2025
IA AVG
$7.4M
Rank
#6 / 223 | $10.7MFiscal year ending 03/2025
Facility
$10.7MFiscal year ending 03/2025
IA AVG
$4.5M
Rank
#8 / 223 | 55.3%Fiscal year ending 03/2025
Facility
55.3%Fiscal year ending 03/2025
IA AVG
60.9%
Rank
#159 / 223 | 165542 | ||||
| The Views of Marion | NH AL MC SNF | Marion | 100
Facility
100
IA AVG
70
Rank
#34 / 238 | A- |
48.3%
Facility
48.3%
IA AVG
79%
Rank
#214 / 225 | -39% | 4.09
Facility
4.09
IA AVG
4.45
Rank
#136 / 225 | -21% | -8% | $0
Facility
$0
IA AVG
$52.4k
Rank
#1 / 230 | 13
Facility
13
IA AVG
20.7
Rank
#85 / 227 | 2.6
Facility
2.6
IA AVG
3.8
Rank
#64 / 227 | - | 29 | - |
37
Facility
37
IA AVG
50
Rank
#169 / 249 | Dallas Urbain | $5.6MFiscal year ending 12/2024
Facility
$5.6MFiscal year ending 12/2024
IA AVG
$7.4M
Rank
#130 / 223 | $3.2MFiscal year ending 12/2024
Facility
$3.2MFiscal year ending 12/2024
IA AVG
$4.5M
Rank
#138 / 223 | 57.1%Fiscal year ending 12/2024
Facility
57.1%Fiscal year ending 12/2024
IA AVG
60.9%
Rank
#141 / 223 | 165626 | ||||
| Gardens of Cedar Rapids | NH AL IL MC SNF | Cedar Rapids | 100
Facility
100
IA AVG
70
Rank
#34 / 238 | ? |
48.3%
Facility
48.3%
IA AVG
79%
Rank
#214 / 225 | -39% | 4.42
Facility
4.42
IA AVG
4.45
Rank
#104 / 225 | +1% | -1% | $0
Facility
$0
IA AVG
$52.4k
Rank
#1 / 230 | 13
Facility
13
IA AVG
20.7
Rank
#85 / 227 | 3.3
Facility
3.3
IA AVG
3.8
Rank
#101 / 227 | - | 29 | - | - | Jbrb Investments LLC | $8.3MFiscal year ending 12/2024
Facility
$8.3MFiscal year ending 12/2024
IA AVG
$7.4M
Rank
#69 / 223 | $3.7MFiscal year ending 12/2024
Facility
$3.7MFiscal year ending 12/2024
IA AVG
$4.5M
Rank
#114 / 223 | 44.9%Fiscal year ending 12/2024
Facility
44.9%Fiscal year ending 12/2024
IA AVG
60.9%
Rank
#215 / 223 | 165621 | ||||
| Harmony Cedar Rapids | NH RC SNF | Cedar Rapids (Oakhill Jackson) | 96
Facility
96
IA AVG
70
Rank
#39 / 238 | C+ |
77.8%
Facility
77.8%
IA AVG
79%
Rank
#146 / 225 | -2% | 3.74
Facility
3.74
IA AVG
4.45
Rank
#185 / 225 | +36% | -16% | $10.5k
Facility
$10.5k
IA AVG
$52.4k
Rank
#152 / 230 | 24
Facility
24
IA AVG
20.7
Rank
#160 / 227 | 3.4
Facility
3.4
IA AVG
3.8
Rank
#109 / 227 | 1 | 75 | - |
79
Facility
79
IA AVG
50
Rank
#34 / 249 | Melissa Larson | $9.4MFiscal year ending 12/2024
Facility
$9.4MFiscal year ending 12/2024
IA AVG
$7.4M
Rank
#51 / 223 | $4.5MFiscal year ending 12/2024
Facility
$4.5MFiscal year ending 12/2024
IA AVG
$4.5M
Rank
#83 / 223 | 47.7%Fiscal year ending 12/2024
Facility
47.7%Fiscal year ending 12/2024
IA AVG
60.9%
Rank
#206 / 223 | 165017 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other IA nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial assistance
Get financial aid guidance Programs that may help with care and living costs in Iowa
Harmony Cedar Rapids is in Cedar Rapids, Iowa. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.
VA Aid and Attendance (A&A) and Housebound Benefits
VA Pension Aid and Attendance and Housebound Benefits (Federal)
- Who it is for
- Veterans or survivors with VA pension eligibility and an Aid and Attendance or Housebound medical need
- Income limit
- No single monthly income cutoff. VA compares countable annual income, after permitted deductions, with the applicable Maximum Annual Pension Rate for the household and benefit category.
- Asset limit
- Net-worth limit is $163,699 from December 1, 2025 through November 30, 2026. Net worth includes countable assets plus annual income; exclusions and transfer rules apply.
Eligibility
- General
- Veterans or eligible survivors who qualify for VA Pension or Survivors Pension and meet the additional Aid and Attendance or Housebound criteria. Service, discharge, family status and pension eligibility rules also apply.
- IA specifics
- A federal VA pension benefit; Aid and Attendance and Housebound enhancements cannot be received together.
What it provides
- A higher pension ceiling for eligible Aid and Attendance or Housebound recipients. Actual pension equals the applicable annual maximum minus countable income; the two enhancements cannot be paid together.
State Supplementary Assistance (SSA)
Iowa State Supplementary Assistance (SSA)
- Income limit
- Below the income limit for the relevant SSA group.
- Asset limit
- Resources at or below $2,000 for a single person or $3,000 for a married couple living together.
Eligibility
- General
- Iowa residents who are aged, blind or disabled under Social Security standards, receive SSI or would receive it except for excess income, and meet the relevant assistance-category limits.
What it provides
- State-funded supplements for qualifying special needs; including family life homes; in-home health-related care and residential care facilities.
Elderly Waiver
Iowa Medicaid Elderly Waiver
Eligibility
- General
- Iowa residents age 65 or older who meet Medicaid and nursing-facility-level-of-care requirements.
What it provides
- Authorized waiver services can include case management; adult day care; homemaker; respite; home health; meals; assistive devices; modifications and transportation.
Family Caregiver Support Program
Family Caregiver Support Program (Iowa)
- Who it is for
- Family or informal caregivers of an adult 60+ or of someone of any age with dementia
Eligibility
- General
- Adult family or informal caregivers of adults age 60 or older or people of any age with Alzheimer's disease or a related disorder. The federal program also supports specified older-relative caregiver categories.
What it provides
- Caregiver information and access assistance; counseling and training; support groups; respite and limited supplemental services under the federal caregiver-support framework.
Money Follows the Person (Intellectual Disability or Brain Injury)
Iowa Money Follows the Person (Intellectual Disability or Brain Injury)
Eligibility
- General
- People in Iowa with an intellectual-disability or brain-injury diagnosis who have lived in a qualifying facility at least 60 consecutive days and want to move into the community. Iowa Medicaid must complete eligibility determination before discharge.
What it provides
- Transition services and enhanced supports for the first year after an approved move into the community.
Medicare Savings Program (MSP)
Iowa Medicare Savings Program
- Who it is for
- Medicare beneficiaries with limited income who need help with premiums or cost sharing
Eligibility
- General
- Medicare beneficiaries meeting the applicable state Medicare Savings Program eligibility rules.
- IA specifics
- Applications are administered by the state Medicaid program.
What it provides
- Assistance with Medicare premiums and; for qualified QMB beneficiaries; Medicare-covered deductibles and coinsurance. The qualifying category determines which costs are paid.
Know before you visit
Frequently Asked Questions about Harmony Cedar Rapids
Quick answers from public records and the community's own listing.01 What neighborhood is Harmony Cedar Rapids in?
Harmony Cedar Rapids is in the Oakhill Jackson neighborhood of Cedar Rapids.
02 Is Harmony Cedar Rapids in a walkable area?
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.
03 What is the occupancy rate at Harmony Cedar Rapids?
Harmony Cedar Rapids's occupancy is 77.8%.
04 Are pets allowed at Harmony Cedar Rapids?
No, Harmony Cedar Rapids has a no-pet policy.
05 Does Harmony Cedar Rapids operate as a for-profit or non-profit?
Harmony Cedar Rapids is registered as a for-profit.
06 What is the overall rating for Harmony Cedar Rapids?
Harmony Cedar Rapids received a 2-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
07 How many beds does Harmony Cedar Rapids have?
Harmony Cedar Rapids has 96 beds.
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