Iowa › Dubuque County › Dubuque
Harmony Dubuque
901 West Third Street, Dubuque, IA 52001
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Harmony Dubuque is a For-profit, limited liability company nursing home in Dubuque, Iowa, certified for 75 beds and caring for about 56 residents a day.
CMS gives it 2 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 2, staffing 2 and quality measures 3.
Inspectors recorded 28 health deficiencies across the three most recent survey cycles (6, 6, 16 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 37.3 per 100 beds, more than the state median of 27.5.
CMS lists 2 penalties in the period covered: fines totalling $19K.
Reported nurse staffing is 3.4 hours per resident per day (0.9 RN), close to the Iowa median of 3.7; nursing staff turnover is 72.4%.
Compared with county, state and nation
| Measure | This facility | Dubuque Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 28 | 10 | 16 | 28.7 |
| Citations per 100 beds | 37.3 | 15.0 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 4.3 | 3.7 | 3.9 |
| RN hours per resident day | 0.9 | 0.9 | 0.7 | 0.7 |
| Nursing staff turnover | 72.4% | 38.4% | 41.9% | 45.8% |
| Fines listed | $19,371 | $0 | $0 | — |
County and state figures are medians across facilities (12 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 Jan 2026, 24 Oct 2024.
Severity mix: G ×2 D ×17 E ×7 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 12 Mar 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 6 Apr 2026 |
| 14 Jan 2026 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 13 Feb 2026 |
| 14 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 13 Feb 2026 |
| 14 Jan 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 13 Feb 2026 |
| 14 Jan 2026 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 13 Feb 2026 |
| 13 Nov 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 13 Dec 2025 |
| 29 Jan 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 10 Feb 2025 |
| 24 Oct 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 18 Nov 2024 |
| 24 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 18 Nov 2024 |
| 24 Oct 2024 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Standard survey | 18 Nov 2024 |
| 24 Oct 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 18 Nov 2024 |
| 24 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 18 Nov 2024 |
| 3 Jul 2024 | F0584 | 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. | E | Complaint investigation | 22 Jul 2024 |
| 3 Jul 2024 | F0803 | 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. | D | Complaint investigation | 22 Jul 2024 |
| 5 Jun 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 18 Jun 2024 |
| 8 Jan 2024 | F0584 | 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. | E | Complaint investigation | 1 Feb 2024 |
| 8 Jan 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Complaint investigation | 1 Feb 2024 |
| 7 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 15 Nov 2023 |
| 7 Nov 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 29 Nov 2023 |
| 7 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 29 Nov 2023 |
| 7 Nov 2023 | F0584 | 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. | D | Complaint investigation | 29 Nov 2023 |
| 7 Nov 2023 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 29 Nov 2023 |
| 7 Nov 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 29 Nov 2023 |
| 7 Nov 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 29 Nov 2023 |
| 7 Nov 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 29 Nov 2023 |
| 7 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 29 Nov 2023 |
| 7 Nov 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 29 Nov 2023 |
| 7 Nov 2023 | F0758 | 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 | Standard survey | 29 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 7 Nov 2023 | Fine | $11,928 | |
| 7 Nov 2023 | Fine | $7,443 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 72.4%, RNs 62.5%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 3.5% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.6% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.9% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.1% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 1.2% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.1% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.6% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Dubuque Skilled Nursing Facility Llc. Chain: Legacy Healthcare (89 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Oakway Operations LLC | 5% or greater direct ownership interest | 15% | 04/01/2023 |
| Legacy Healthcare Financial Services LLC | Operational/managerial control | NOT APPLICABLE | 04/01/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Dubuque County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Bethany Home | Dubuque | 66 | 5 | 4 | 5 | 1 | 1.5 | — | 18 Jun 2026 |
| Ennoble Nursing and Rehab | Dubuque | 85 | 5 | 5 | 4 | 2 | 2.4 | — | 18 Jul 2024 |
| Mercyone Dyersville Senior Care | Dyersville | 40 | 5 | 5 | 5 | 6 | 15.0 | — | 7 Nov 2024 |
| Mount Carmel Bluffs | Dubuque | 60 | 5 | 4 | 5 | 7 | 11.7 | — | 26 Feb 2026 |
| Stonehill Care Center | Dubuque | 185 | 4 | 4 | 4 | 4 | 2.2 | — | 7 Aug 2025 |
| Sunnycrest Manor | Dubuque | 77 | 4 | 4 | 4 | 14 | 18.2 | — | 5 Mar 2026 |
| Hawkeye Care Center Dubuque | Asbury | 80 | 3 | 3 | 3 | 10 | 12.5 | — | 18 Sep 2025 |
| Accura Healthcare of Cascade LLCabuse icon | Cascade | 46 | 2 | 2 | 4 | 5 | 10.9 | — | 28 May 2026 |
All 12 facilities in Dubuque County
Questions and answers
How many deficiencies has Harmony Dubuque been cited for?
28 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Harmony Dubuque been fined?
Yes. CMS lists fines totalling $19K in the period covered.
How does staffing at Harmony Dubuque compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Harmony Dubuque?
It is part of the Legacy Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Oakway Operations LLC and Legacy Healthcare Financial Services LLC. Individual owners and managers are not listed on this site.
When was Harmony Dubuque last inspected?
The most recent survey or investigation in the CMS record is dated 12 Mar 2026; the most recent standard health survey was 14 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.