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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 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.
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.
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.
| 29m per day | ▼ 34% 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.
| 37m per day | ▲ 9% 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.
| 3h 1m per day | ▲ 19% 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 39m per day | ▲ 9% 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.
| 4m per day | ▲ 86% 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.
| 13m per day | ▼ 55% 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.
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.
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.
56% of new residents, usually for short-term rehab.
35% of new residents, often for short stays.
9% of new residents, often for long-term daily care.
Based on the 2023 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (56% of admissions), and a typical Medicare stay runs around 25 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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.
Here are the financial assistance programs available to residents in Iowa.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Iowa Veterans Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Marshalltown (Summit Street) | 702
Facility
702
IA AVG
71
Rank
#1 / 407 |
50.3%
Facility
50.3%
IA AVG
75.4%
Rank
#270 / 401 | -33% | -
Facility
-
IA AVG
4.30
Rank
#16 / 241 | -19% | - | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 246 | 2
Facility
2
IA AVG
21.7
Rank
#6 / 241 | 1.0
Facility
1.0
IA AVG
4.1
Rank
#1 / 241 | - | 345 | - |
29
Facility
29
IA AVG
45
Rank
#372 / 528 | - | - | - | - | 16A002 | ||||
| Southridge Specialty Care |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Marshalltown | 82
Facility
82
IA AVG
71
Rank
#100 / 407 |
90.8%
Facility
90.8%
IA AVG
75.4%
Rank
#57 / 401 | +20% | 3.75
Facility
3.75
IA AVG
4.30
Rank
#190 / 241 | +13% | -13% | $45.4k
Facility
$45.4k
IA AVG
$53.4k
Rank
#210 / 246 | 27
Facility
27
IA AVG
21.7
Rank
#179 / 241 | 3.4
Facility
3.4
IA AVG
4.1
Rank
#106 / 241 | 3 | 74 | - |
46
Facility
46
IA AVG
45
Rank
#255 / 528 | Dylan Spina | $13.3M
Facility
$13.3M
IA AVG
$7.0M
Rank
#38 / 242 | $4.0M
Facility
$4.0M
IA AVG
$3.1M
Rank
#112 / 242 | 30.2%
Facility
30.2%
IA AVG
46.3%
Rank
#242 / 242 | 165209 |
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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