PlainNursing
CMS Nursing Home Compare · March 2026

Harmony Cedar Rapids

Harmony Cedar Rapids is a for profit - limited liability company facility in Cedar Rapids, IA with 96 certified beds and a 1-star overall CMS rating. The inspection file holds 30 deficiency records. Total penalties: $45K.

1940 First Avenue NE, Cedar Rapids, IA 52402

Phone: 3193645151

Overall CMS Rating

1/5

vs 3.0 national avg

The verdict

Harmony Cedar Rapids holds a 1-star CMS overall rating — below the 3.0-star national average, with nurse staffing below the national norm. 5 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall rating (nat'l avg 3.0)
3.75
Nursing hrs/resident-day (nat'l 3.89)
30
Inspection findings on file · 5 serious
$45K
Federal penalties (2)

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating. Read the components below — they often tell a sharper story than the headline.

Health Inspection

1/5

Staffing

2/5

Quality Measures

3/5

Long-Stay Quality

2/5

Facility Information

Provider Number
165017
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
96
Residents
78
In Hospital
No
County
Linn
Last Inspection
Jan 15, 2025

Staffing Data

RN Hours
0.49 (nat'l avg: 0.68)
LPN Hours
0.68
CNA Hours
2.57
Total Nursing Hours
3.75 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
65.9%
RN Turnover
61.5%

What the CMS Record Reveals About Harmony Cedar Rapids

Harmony Cedar Rapids operates 96 certified beds in Cedar Rapids, IA with approximately 78 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (2★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 30 deficiency records from recent surveys, of which 5 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $45K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.75 total nursing hours per resident day (national average 3.89), with RN coverage at 0.49 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Harmony Cedar Rapids falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 65.9%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (30 most recent)

G — Isolated - Actual harm Dec 23, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

D — Isolated - Minimal harm Jan 15, 2025 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 31, 2025

E — Pattern - Minimal harm Jan 15, 2025 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 31, 2025

D — Isolated - Minimal harm Jan 15, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 31, 2025

D — Isolated - Minimal harm Jan 15, 2025 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 31, 2025

D — Isolated - Minimal harm Jan 15, 2025 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Jan 31, 2025

D — Isolated - Minimal harm Nov 7, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 1, 2024

D — Isolated - Minimal harm Nov 7, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 1, 2024

D — Isolated - Minimal harm Nov 7, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 1, 2024

D — Isolated - Minimal harm Nov 7, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Dec 1, 2024

D — Isolated - Minimal harm Jun 12, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 13, 2024

B — Pattern - No harm Jun 12, 2024 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Jun 13, 2024

D — Isolated - Minimal harm Mar 28, 2024 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Apr 11, 2024

D — Isolated - Minimal harm Mar 28, 2024 Tag: 0726

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 11, 2024

J — Isolated - Jeopardy Aug 2, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 22, 2023

G — Isolated - Actual harm Aug 2, 2023 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 22, 2023

J — Isolated - Jeopardy Aug 2, 2023 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 22, 2023

E — Pattern - Minimal harm May 31, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jul 12, 2023

J — Isolated - Jeopardy May 31, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 12, 2023

E — Pattern - Minimal harm May 31, 2023 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 12, 2023

D — Isolated - Minimal harm May 31, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 12, 2023

D — Isolated - Minimal harm May 31, 2023 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 12, 2023

E — Pattern - Minimal harm May 31, 2023 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 12, 2023

D — Isolated - Minimal harm May 31, 2023 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Jul 12, 2023

D — Isolated - Minimal harm May 31, 2023 Tag: 0551

Give the resident's representative the ability to exercise the resident's rights.

Category: Resident Rights Deficiencies

Corrected: Jul 12, 2023

E — Pattern - Minimal harm Jan 10, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 10, 2023

D — Isolated - Minimal harm Jan 10, 2023 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 10, 2023

D — Isolated - Minimal harm Jan 10, 2023 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 10, 2023

D — Isolated - Minimal harm Jan 10, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 10, 2023

D — Isolated - Minimal harm Jan 10, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 10, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 12.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 6.0% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.4% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.8% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 10.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 6.4% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 93.3% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 15.6% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 22.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 92.6% No
Percentage of long-stay residents with pressure ulcers Long Stay 6.3% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 29.3% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 14.2% Yes

Penalty History 2 penalties totaling $45K

Date Type Amount
May 31, 2023 Fine $15K
May 31, 2023 Fine $31K
May 31, 2023 Payment Denial -

Frequently Asked Questions

What is the overall CMS rating for Harmony Cedar Rapids?
Harmony Cedar Rapids has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (2★), and quality measures (3★).
What are the staffing levels at Harmony Cedar Rapids?
Harmony Cedar Rapids reports 3.75 total nursing hours per resident day (national average: 3.89). RN hours are 0.49 per resident day (national average: 0.68). Nursing staff turnover is 65.9%.
How many beds does Harmony Cedar Rapids have?
Harmony Cedar Rapids has 96 certified beds with approximately 78 residents. The facility is located at 1940 First Avenue NE, Cedar Rapids, IA 52402.
Does Harmony Cedar Rapids have any deficiencies on record?
Yes, Harmony Cedar Rapids has 30 deficiencies on record from recent inspections. Of these, 5 are classified as causing actual harm or jeopardy.
Has Harmony Cedar Rapids received any fines or penalties?
Yes, Harmony Cedar Rapids has received 2 penalties totaling $45K.
Who owns Harmony Cedar Rapids?
Harmony Cedar Rapids is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Harmony Cedar Rapids last inspected?
The most recent health inspection for Harmony Cedar Rapids was on Jan 15, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Harmony Cedar Rapids?
Harmony Cedar Rapids is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.