Quick answers
- Where is Harmony Marshalltown?
- 910 East Olive, Marshalltown, IA 50158, in Marshall County, Iowa.
- What is the phone number of Harmony Marshalltown?
- (641) 752-4581, as listed by Medicare (CMS).
- What is the Medicare star rating of Harmony Marshalltown?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Harmony Marshalltown been fined?
- Medicare lists 1 fine totaling $78,878.
- What did inspectors find at Harmony Marshalltown?
- In its last three inspection cycles (February 1, 2024 to May 20, 2026), Medicare lists 44 health citations; the most serious was level J. 3 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (February 1, 2024 to May 20, 2026), Harmony Marshalltown had 44 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 3 of them were level G or higher (actual harm or immediate jeopardy). It was fined $78,878 in total (1 fine, the latest on August 5, 2025). Nurse staffing is 4.06 hours per resident per day; the Iowa average is 3.86 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: January 14, 2026 — 5 health citations
Inspections in this cycle: January 14, 2026 (standard health inspection); May 20, 2026 (complaint investigation).
Show 5 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0732 Level D
“Post nurse staffing information every day.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Previous cycle: December 12, 2024 — 22 health citations
Inspections in this cycle: December 12, 2024 (complaint investigation); December 12, 2024 (standard health inspection); April 10, 2025 (complaint investigation); August 5, 2025 (complaint investigation).
F0627 Level J
“Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Resident Rights Deficiencies
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
F0686 Level G
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 19 less serious citations (levels A to F)
F0725 Level E
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0926 Level E
“Have policies on smoking.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0726 Level D
“Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0583 Level D
“Keep residents' personal and medical records private and confidential.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0727 Level D
“Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0883 Level D
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
F0887 Level D
“Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.”
Earlier cycle: February 1, 2024 — 17 health citations
Inspections in this cycle: February 1, 2024 (complaint investigation); February 1, 2024 (standard health inspection); September 12, 2024 (complaint investigation); September 25, 2024 (complaint investigation).
Show 17 citations (levels A to F, no actual harm)
F0584 Level E
“Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0584 Level D
“Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0725 Level D
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0803 Level D
“Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.”
F0804 Level D
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0812 Level D
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0803 Level D
“Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.”
F0801 Level B
“Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (29)
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0914 Level F
“Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0921 Level F
“Ensure that testing and maintenance of electrical equipment is performed.”
K0293 Level E
“Have properly located and lighted "Exit" signs.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0511 Level E
“Have properly installed electrical wiring and gas equipment.”
K0222 Level D
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0223 Level D
“Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.”
K0324 Level D
“Provide properly protected cooking facilities.”
K0325 Level D
“Have properly installed hallway dispensers for alcohol-based hand rub.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0741 Level D
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0324 Level F
“Provide properly protected cooking facilities.”
K0347 Level F
“Properly provide smoke detection systems in areas open to corridors.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0341 Level E
“Install a fire alarm system that can be heard throughout the facility.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0222 Level E
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0346 Level F
“Follow proper procedures when the fire alarm was out of service for more than 4 hours.”
K0354 Level F
“Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.”
K0711 Level F
“Provide a written emergency evacuation plan.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0921 Level F
“Ensure that testing and maintenance of electrical equipment is performed.”
K0271 Level E
“Have exits that are accessible at all times.”
K0324 Level E
“Provide properly protected cooking facilities.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
Fines and payment denials
Total fines over about the last three years: $78,878 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| August 5, 2025 | Fine | $78,878 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Iowa | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.38 | 0.74 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.64 | 0.56 | 0.86 |
| Nurse aide hours per resident per day | 3.04 | 2.56 | 2.35 |
| Total nurse staff hours per resident per day | 4.06 | 3.86 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.69 | 3.38 | 3.43 |
| RN hours per resident per day on the weekend | 0.31 | 0.51 | 0.48 |
| Nursing staff turnover (per year) | 49.2% | 44.1% | 45.3% |
| RN turnover (per year) | 80.0% | 42.1% | 42.5% |
| Administrators who left in the last year | 1.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 96 nursing homes: Legacy Healthcare.
Legal business name: Marshalltown Skilled Nursing Facility LLC.
Owners and managers Medicare lists (4)
| Name | Role | Share | Since |
|---|---|---|---|
| Burken, Sheri | Indirect owner | — | August 15, 2024 |
| Garden, Daniel | Indirect owner | NOT APPLICABLE | August 15, 2024 |
| Ninio, Mordechay | Indirect owner | NOT APPLICABLE | August 15, 2024 |
| Legacy Healthcare Financial Services LLC | Management company (operational or managerial control) | NOT APPLICABLE | August 15, 2024 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 72 |
| Average residents per day | 51.4 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | Legacy Healthcare |
| Legal business name | Marshalltown Skilled Nursing Facility LLC |
| First approved by Medicare/Medicaid | 1998-02-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 910 East Olive, Marshalltown, IA 50158 |
| County | Marshall County |
| State | Iowa |
| Phone | (641) 752‑4581 |
| CMS Certification Number | 165385 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Accura Healthcare of Marshalltown1.2 mi · Marshalltown, IA · 1 of 5 stars
- Southridge Specialty Care1.4 mi · Marshalltown, IA · 2 of 5 stars
- Iowa Veterans Home2.5 mi · Marshalltown, IA · 5 of 5 stars
- Oakview Nursing Home14 mi · Conrad, IA · 3 of 5 stars
- Westbrook Acres14 mi · Gladbrook, IA · 2 of 5 stars
Nearest hospital emergency rooms
- UnityPoint Health - Marshalltown1.5 mi · Marshalltown, IA · Acute Care Hospital
- Grinnell Regional Medical Center21 mi · Grinnell, IA · Acute Care Hospital
- Grundy County Memorial Hospital24 mi · Grundy Center, IA · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13