Harmony Dubuque
901 West Third Street · Dubuque, IA · 52001 · 5635561161
75 certified beds For profit - Limited Liability company Chain: Legacy Healthcare
Why this verdict
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
75% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.67 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.01 | 0.55–0.75 |
| Weekend hours / resident-day | 3.32 | ≈ weekday level |
| Nursing turnover / year | 75% | median 45% |
| Fines (3-yr window) | 2 · $19,371 |
Inspection citations (33 in the current record)
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Actual harm · G March 12, 2026 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 6, 2026 · Quality of Life and Care
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Potential for harm · F January 14, 2026
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected February 13, 2026 · Administration
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Potential for harm · E January 14, 2026
Provide and implement an infection prevention and control program.
Corrected February 13, 2026 · Infection Control
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Potential for harm · D January 14, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 13, 2026 · Resident Rights
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Potential for harm · D January 14, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected February 13, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 13, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 13, 2025 · Resident Rights
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Potential for harm · D January 29, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 10, 2025 · Resident Rights
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Potential for harm · D October 24, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 18, 2024 · Quality of Life and Care
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Potential for harm · E October 24, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 18, 2024 · Nutrition and Dietary
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Potential for harm · F October 24, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected November 18, 2024 · Administration
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Potential for harm · E October 24, 2024
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected November 18, 2024 · Administration
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Potential for harm · D October 24, 2024
Provide and implement an infection prevention and control program.
Corrected November 18, 2024 · Infection Control
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Potential for harm · E July 3, 2024 · found via complaint
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.
Corrected July 22, 2024 · Resident Rights
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Potential for harm · D July 3, 2024 · found via complaint
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.
Corrected July 22, 2024 · Nutrition and Dietary
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Potential for harm · D June 5, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · E January 8, 2024 · found via complaint
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.
Corrected February 1, 2024 · Resident Rights
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Potential for harm · D January 8, 2024 · found via complaint
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.
Corrected February 1, 2024 · Pharmacy Service
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Actual harm · G November 7, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 15, 2023 · Quality of Life and Care
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Potential for harm · D November 7, 2023
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.
Corrected November 29, 2023 · Resident Rights
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Potential for harm · D November 7, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 29, 2023 · Resident Assessment and Care Planning
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Potential for harm · D November 7, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 29, 2023 · Quality of Life and Care
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Potential for harm · D November 7, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 29, 2023 · Quality of Life and Care
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Potential for harm · D November 7, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected November 29, 2023 · Quality of Life and Care
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Potential for harm · D November 7, 2023
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.
Corrected November 29, 2023 · Pharmacy Service
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Potential for harm · E November 7, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 29, 2023 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 7, 2023 | Fine | $7,443 |
| November 7, 2023 | Fine | $11,928 |
| July 10, 2023 | Payment Denial | 27 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165104 · certified since August 2, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.