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Harmony Marshalltown
Nursing Home, Assisted Living, Hospice Care, Palliative Care, Residential Care, Respite Care & Skilled Nursing · Marshalltown, IA
CMS overall rating Info 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.
Exterior view of the Harmony Marshalltown facility Wooden gazebo in a grassy outdoor space Therapist assisting senior man in a bright activity room

Harmony Marshalltown

Nursing Home, Assisted Living, Hospice Care, Palliative Care, Residential Care, Respite Care & Skilled Nursing · Marshalltown, IA
CMS overall rating Info 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.
910 East Olive Street, Marshalltown, Ia 501584195 View map Calculator: See prices in your area
Harmony Marshalltown accepts Medicare, Medicaid, and private pay.
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Harmony Marshalltown accepts Medicare, Medicaid, and private pay.

Overview of Harmony Marshalltown

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.

Facility Direct Line (641) 752-4581
Facility Direct Line (641) 752-4581

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 67.4% Below IA avg. ▼ 67.4% Below IA avg.IA average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 64.9% Below IA avg. ▼ 64.9% Below IA avg.IA average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 15.4% Below IA avg. ▼ 15.4% Below IA avg.IA average: 3.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▼ 8.4% Below IA avg. ▼ 8.4% Below IA avg.IA average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Iowa state averages

Total nursing care / resident Info This home is ranked 165th out of 245 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.
3h 53m per day
Rank #165 / 245Nurse hours — State benchmarkedThis home is ranked 165th out of 245 homes in Iowa for Nurse Hours. Shows adjusted nurse hours per resident per day benchmarked to the Iowa average, with a ranking across 245 Iowa facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. 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.
This facility Iowa avg (4h 18m per day)
vs Iowa avg
-10%

2 of 6 metrics below state avg

Standout metric Physical Therapist is +86% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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 Info 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 Info 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 Info 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 Info 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 Info 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

Capacity and availability

Avg. Length of Stay Info 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.
147 days
Bed community size
72-bed community Rank #143 / 406Bed count — State benchmarkedThis home is ranked 143rd out of 406 homes 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.Facilities with the same value for a metric share the same rank. 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.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
35 years in operation Rank #32 / 284Years in operation — State benchmarkedThis home is ranked 32nd out of 284 homes in Iowa for Years In Operation. Shows how long this facility has been in operation compared to other Iowa facilities. Longer operating histories may benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. 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.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 85 / 100 Rank #29 / 528Walk Score — State benchmarkedThis home is ranked 29th out of 528 homes 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.Facilities with the same value for a metric share the same rank. 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.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate
71%
Rank #184 / 379Occupancy rate — State benchmarkedThis home is ranked 184th out of 379 homes in Iowa for Occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 379. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. 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.
Lower than the Iowa average: 75.4%
Occupied beds
51 / 72
Average occupied beds in Iowa homes 51 beds

License Details

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility
StatusActive
IssuanceApril 1, 1991
ExpirationAugust 15, 2026
CountyMarshall
License Number640686
CMS Certification Number165385
Certification TypeFALSE

Ownership & Operating Entity

Harmony Marshalltown is administered by Grace Maitland.

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Contact Information

Email gmaitland@harmonymarshalltown.com
Fax6417526104

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Specific ProgramsOrthopedic Rehabilitation, Respite Stays, Suites & Accommodations

Contact Harmony Marshalltown

Inspection History

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.

Since 2020 · 6 years of data 73 deficiencies 30 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, 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.

Since 2020 vs. Iowa state average
Overall vs. IA average 3 Worse Metrics worse than Iowa average:
• Total deficiencies (170% above)
• Deficiencies per year (171% above)
• Deficiencies per inspection (33% above) 0 Better No metrics in this bucket.
Latest Inspection September 23, 2025

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityIA Averagevs. IA Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 7327 This facility has 170% more total deficiencies than a typical Iowa nursing home (73 vs. IA avg 27).↑ 170% worse
Deficiencies per year Info Average deficiencies per year since 2020. 12.24.5 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 Info Average deficiencies per inspection. 2.41.8 This facility has 33% more deficiencies per inspection than a typical Iowa nursing home (2.4 vs. IA avg 1.8).↑ 33% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityIA Averagevs. IA Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 3015 This facility has had 100% more total inspections than the Iowa average (30 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 100% more

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The most recent inspection on September 23, 2025 found all prior deficiencies corrected and the facility in substantial compliance effective September 5, 2025.
  • The August 5, 2025 complaint investigation substantiated eight deficiencies including resident rights violations, unsafe discharges, pressure ulcer care failures, inadequate staffing, and unsafe smoking policies.
  • The facility showed recurring issues with nursing supervision, staffing sufficiency, and resident safety from 2023 through mid-2025, with multiple substantiated complaints and deficiencies in these areas.
Show Inspection Reports

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

Long-stay resident measures
Above average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.92
30% worse than Iowa average

Iowa average: 1.48

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 3.39
62% worse than Iowa average

Iowa average: 2.09

Short-stay resident measures
Average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 15.1%
29% better than Iowa average

Iowa average: 21.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 8.5%
35% better than Iowa average

Iowa average: 13.1%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Iowa average

Iowa average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 37.1%
31% worse than Iowa average

Iowa average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 44.7%
12% worse than Iowa average

Iowa average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

56% of new residents, usually for short-term rehab.

Typical stay 25 days

Private pay

35% of new residents, often for short stays.

Typical stay 6 - 7 months

Medicaid

9% of new residents, often for long-term daily care.

Typical stay 2 years

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
LLC
Net patient revenue Info 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."
$6.3M
Net patient income Info 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."
-$887.8K
For-profit LLC
Net patient revenue Info 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."
$6.3M Rank #126 / 246Revenue — State benchmarkedThis home is ranked 126th out of 246 homes in Iowa for Revenue. Shows this facility's annual revenue compared to the Iowa average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. 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.
Net patient income Info 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."
-$887.8K
Other income Info 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.
$53.2K
Payroll costs Info 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 #94 / 246Payroll — State benchmarkedThis home is ranked 94th out of 246 homes in Iowa for Payroll. 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.Facilities with the same value for a metric share the same rank. 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.
$4.2M 66.5% of net patient revenue Info 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 #41 / 246Payroll % — State benchmarkedThis home is ranked 41st out of 246 homes in Iowa for Payroll %. 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.Facilities with the same value for a metric share the same rank. 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.
Other operating costs Info 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).
$3.0M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$7.2M
How we calculate these figures

This home is administered by Grace Maitland.

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 165385

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

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.

Admissions
140 total

Coverage residents most often arrive under.

Medicare 56%
Private pay 35%
Medicaid 9%
Discharges
146 total

Coverage residents most often leave under.

Medicare 34%
Private pay 51%
Medicaid 15%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Harmony Marshalltown

Address 0.0 miles from city center Info Estimated distance in miles from Marshalltown's city center to Harmony Marshalltown's address, calculated via Google Maps.

Calculate Travel Distance to Harmony Marshalltown

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Address

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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.

CMS & IA Dept. of Health data

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NH
Marshalltown
82
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IA AVG 71
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IA AVG 64.7
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+39%
3.75
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IA AVG 4.30
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 +13%-13%
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27
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IA AVG 21.7
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3.4
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374-
46
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IA AVG 45
Rank #255 / 528
Dylan Spina
$7.5MFiscal year ending 12/2023
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IA AVG $7.0M
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$4.0MFiscal year ending 12/2023
Facility $4.0MFiscal year ending 12/2023
IA AVG $3.1M
Rank #118 / 246
53.5%Fiscal year ending 12/2023
Facility 53.5%Fiscal year ending 12/2023
IA AVG 46.3%
Rank #246 / 246
165209
Nursing Home Explorer

Financial Assistance for
Nursing Home in Iowa

Harmony Marshalltown is located in Marshalltown, Iowa.
Here are the financial assistance programs available to residents in Iowa.

Get Financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+
General Iowa resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
IA

Rural focus; waitlists possible.

Benefits
In-home care (5-7 hours/day) Meals ($6/meal) Respite (240 hours/year) Adult day care ($60/day)

Iowa Family Caregiver Support

IA NFCSP

Age Caregiver of someone 60+
General Iowa resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
IA

Limited slots; rural emphasis.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled
General Iowa resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
IA

Three tiers; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

Age 55+
General Iowa resident, nursing home-level care need, safe with PACE support.
Income Limits (2025) ~$2,829/month 300% FBR, Medicaid-eligible
Asset Limits $2,000 (individual), $3,000 (couple).
IA

Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Therapy Respite

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Iowa resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
IA

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Able Up Iowa

Able Up Iowa

Age 65+ or disabled
General Iowa resident, ability to repay loan, need for assistive tech or mods.
Income Limits (2025) No strict limit; must demonstrate repayment capacity.
Asset Limits Not specified; credit-based.
IA

Loans up to $25,000; statewide via Easterseals partnership.

Benefits
Loans for wheelchairs Ramps Walk-in tubs (~$500-$10,000 avg.) Reducing reliance on paid care

Frequently Asked Questions about Harmony Marshalltown

Is Harmony Marshalltown in a walkable area?

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.

What is the license number of Harmony Marshalltown?

According to IA state health department records, Harmony Marshalltown's license number is 640686.

When does Harmony Marshalltown's license expire?

According to IA state health department records, Harmony Marshalltown's license expires on August 15, 2026.

What is the occupancy rate at Harmony Marshalltown?

Harmony Marshalltown's occupancy is 71%.

Are pets allowed at Harmony Marshalltown?

No, Harmony Marshalltown has a no-pet policy.

What is the best email address for Harmony Marshalltown?

The team at Harmony Marshalltown can be reached at gmaitland@harmonymarshalltown.com.

Does Harmony Marshalltown operate as a for-profit or non-profit?

Harmony Marshalltown is registered as a for-profit in IA.

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