How to file a complaint about care →

1 fine totaling $25,695.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

What these staffing numbers mean →

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.66, RN 0.65, weekend 3.27.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.66 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

Showing 20 of 71 parties CMS has on file for this facility; 51 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Legacy Healthcare — 89 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

• Grandview Healthcare Center — Oelwein, IA · overall 4/5
• Guttenberg Care Center — Guttenberg, IA · overall 5/5
• Hallmark Care Center — Mount Vernon, IA · overall 2/5
• Harmony Cedar Rapids — Cedar Rapids, IA · overall 1/5
• Harmony Davenport — Davenport, IA · overall 2/5
• Harmony Dubuque — Dubuque, IA · overall 2/5
• Harmony House Health Care Center — Waterloo, IA · overall 1/5SFF
• Harmony Marshalltown — Marshalltown, IA · overall 1/5

Listed by state, then facility name — not a ranking. Showing 8 of the 88 others, continuing from this facility's own place in that list.

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

• "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
• "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
• "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
• "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
• "What systems do you use to prevent medication errors, and what happens when one occurs?"
• "Can you show me an example care plan, and how are families included when it's created and updated?"
• "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
• "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"

Also worth asking anywhere

• "Your weekend nurse staffing is reported below the Iowa midpoint — how does the weekend schedule differ from a weekday?"
• "Can I see the plan of correction for the findings in your most recent state inspection?"
• "CMS reports 57% total nursing staff turnover here — who on the care team has been with you longest?"
• "The ownership record on file lists 71 owning or managing parties — who makes the decisions about staffing levels?"
• "Can I visit again unannounced, at a mealtime or on a weekend?"

Compare this facility with the 3 closest →

All facilities in Emmetsburg →