SNF

Harmony Cedar Rapids

CCN: 165017 · Cedar Rapids, IA 52402 · Linn County

Overview

Address
1940 First Avenue NE, Cedar Rapids, IA 52402
Phone
3193645151
Certified beds
96
Avg daily residents
78 (81% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1967-01-01
Setting
Urban
1 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 2/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 3/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 2/5
Short-Stay Quality Measures ★★★★★ 3/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.75 3.85 3.76 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.49 0.67 0.50 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.68 0.85 0.69 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.57 2.32 2.58 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.18 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.00 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.44
hrs / resident / day
RN (weekend)
0.32
hrs / resident / day
Total nurse (adjusted, weekend)
3.44
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
65.9%
annual
RN turnover
61.5%
annual
Administrators departed
2
last 12 months

Resident acuity

Nursing Case-Mix Index
1.36
higher acuity than avg
Case-Mix Index Ratio
0.99
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-01-15 5 4 1 40 1 40
Cycle 2/3 (prior) 2024-03-28 20 2 18 292 1 292
Total weighted health score
103.0
lower is better

Deficiencies (30)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

1 A/B/C No actual harm — minor
24 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
3 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2025-12-23 —
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. D 2025-01-15 2025-01-31
0640 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. D 2025-01-15 2025-01-31
0641 Ensure each resident receives an accurate assessment. D 2025-01-15 2025-01-31
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. E 2025-01-15 2025-01-31
0645 PASARR screening for Mental disorders or Intellectual Disabilities D 2025-01-15 2025-01-31
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-11-07 2024-12-01
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-11-07 2024-12-01
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-11-07 2024-12-01
0880 Provide and implement an infection prevention and control program. D 2024-11-07 2024-12-01
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. B 2024-06-12 2024-06-13
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-06-12 2024-06-13
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. D 2024-03-28 2024-04-11
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. D 2024-03-28 2024-04-11
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. J 2023-08-02 2023-08-22
0697 Provide safe, appropriate pain management for a resident who requires such services. G 2023-08-02 2023-08-22
0880 Provide and implement an infection prevention and control program. J 2023-08-02 2023-08-22
0551 Give the resident's representative the ability to exercise the resident's rights. D 2023-05-31 2023-07-12
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2023-05-31 2023-07-12
0602 Protect each resident from the wrongful use of the resident's belongings or money. E 2023-05-31 2023-07-12
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2023-05-31 2023-07-12
0610 Respond appropriately to all alleged violations. D 2023-05-31 2023-07-12
0658 Ensure services provided by the nursing facility meet professional standards of quality. E 2023-05-31 2023-07-12
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. J 2023-05-31 2023-07-12
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2023-05-31 2023-07-12
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2023-01-10 2023-02-10
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-01-10 2023-02-10
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2023-01-10 2023-02-10
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2023-01-10 2023-02-10
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2023-01-10 2023-02-10

Penalties (3)

Fines issued
2
last 3 years
Total fines
$45,465
Payment denials
1
Date Type Fine amount
2023-05-31 Fine $14,518
2023-05-31 Fine $30,947
2023-05-31 Payment Denial —

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 9.9% Medicaid 59.6% Other 30.5%

Operating performance

Operating Margin
0.2%
Total Margin
0.5%
Occupancy Rate
69.9%
Cost per Resident Day
$41

Revenue & costs

Net Patient Revenue
$7.0M
Total Costs
$823K
Net Income
$36K

Balance sheet

Total Assets
$6.6M
Total Liabilities
$6.7M
Fund Balance
-$152K
Current Ratio
2.79

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: LEGACY HEALTHCARE

Chain ID
306
Facilities in chain
90
Legal business name
CEDAR RAPIDS SKILLED NURSING FACILITY LLC
Chain-average star ratings (for peer context)
Overall
3.0
Health
3.0
Staffing
2.6
QM
3.2

Owner / manager organizations (6)

Organization Role Association
CHAIM RAJCHENBACH DESCENDANTS TR UA 04282008 5% OR GREATER DIRECT OWNERSHIP INTEREST since 04/01/2023
DOROS GENERATION TRUST U/A/D 1/3/12 5% OR GREATER DIRECT OWNERSHIP INTEREST since 04/01/2023
OAKWAY OPERATIONS LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 04/01/2023
FORBRIGHT BANK OPERATIONAL/MANAGERIAL CONTROL since 04/01/2023
LEGACY HEALTHCARE FINANCIAL SERVICES LLC OPERATIONAL/MANAGERIAL CONTROL since 04/01/2023
FORBRIGHT BANK 5% OR GREATER SECURITY INTEREST since 04/01/2023

Owner / manager individuals (3)

Name Role Association
KNAPP, JUSTIN OPERATIONAL/MANAGERIAL CONTROL since 01/29/2025
SHABAT, MENACHEM OPERATIONAL/MANAGERIAL CONTROL since 04/01/2023
STENBERG, ERIC OPERATIONAL/MANAGERIAL CONTROL since 04/01/2023

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $41 metrics.cost_per_resident_day
Cost Report Current Ratio 2.79 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 59.6% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 9.9% metrics.medicare_day_share
Cost Report Net Income ($) $36,434 metrics.net_income
Cost Report Net Patient Revenue ($) $6,964,281 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 69.9% metrics.occupancy_rate
Cost Report Operating Margin (%) 0.2% metrics.operating_margin
Cost Report Total Assets ($) $6,555,147 metrics.total_assets
Cost Report Total Costs ($) $823,032 metrics.total_costs
Cost Report Total Fund Balances ($) $-151,566 metrics.fund_balance
Cost Report Total Liabilities ($) $6,706,713 metrics.total_liabilities
Cost Report Total Margin (%) 0.5% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.68558 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.57809 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.49564 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.75932 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.44498 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 77.8 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.85471 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.32291 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.67370 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.85132 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.39453 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 3.0 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.0 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.2 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.6 Chain Average Staffing Rating
Provider Information Chain ID 306 Chain ID
Provider Information Chain Name LEGACY HEALTHCARE Chain Name
Provider Information City/Town Cedar Rapids City/Town
Provider Information CMS Certification Number (CCN) 165017 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Linn County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1967-01-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 41.994 Latitude
Provider Information Legal Business Name CEDAR RAPIDS SKILLED NURSING FACILITY LLC Legal Business Name
Provider Information Location 1940 First Avenue NE,Cedar Rapids,IA,52402 Location
Provider Information Long-Stay QM Rating 2 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -91.642 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 2 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 96 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 90 Number of Facilities in Chain
Provider Information Number of Fines 2 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.36435 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.99035 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 1940 First Avenue NE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Harmony Cedar Rapids Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 560 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 3 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 40 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 1 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 4 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-01-15 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 40 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 5 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 2 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-03-28 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 292 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 18 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 292 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 20 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.31807 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 61.5 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.17829 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.68388 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.57168 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.00103 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.49441 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.74997 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 3 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 2 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State IA State
Provider Information Telephone Number 3193645151 Telephone Number
Provider Information Total Amount of Fines in Dollars 45465.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.43641 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 3 Total Number of Penalties
Provider Information Total nursing staff turnover 65.9 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 103.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 52402 ZIP Code