The home failed to provide safe, appropriate pain management for a resident who needed it. Cited March 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
Nursing home report
Harmony Dubuque
Dubuque, IA · Medicare-certified · 75 beds
In good standing
For-profitChain member
2 of 5 overall
Harmony Dubuque has an overall 2-star rating, with 2-star health inspection and staffing ratings and a 3-star quality measures rating. Reported nurse staffing is 3.67 hours per resident per day, below the federal benchmark of 4.1, with no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.666 hrs/resident/day
Quality measures
Last inspection: March 12, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.666.
Staffing detail
- Registered nurses
- 1.01
- Licensed practical nurses
- 0.52
- Nurse aides
- 2.14
- Weekend nursing
- 3.32
Hours per resident per day.
Total staff turnover: 75%
Registered nurse turnover: 67%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
12%Improving
Residents with a fall causing major injury
7.5%Improving
Residents with pressure ulcers (bedsores)
6%Worsening
Residents with a urinary tract infection
1.6%Steady
Residents who lost too much weight
2.6%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
6.8%Improving
Residents whose ability to walk got worse
6.8%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
17.5%Improving
Short-stay residents newly given an antipsychotic
5.6%Worsening
Residents with a long-term catheter
0.7%Steady
Residents with new or worsening incontinence
34.6%Worsening
Residents with depressive symptoms
7.6%Worsening
Long-stay residents given the seasonal flu vaccine
89.5%Steady
Long-stay residents given the pneumonia vaccine
79.7%Improving
Short-stay residents given the seasonal flu vaccine
63.8%Steady
Short-stay residents given the pneumonia vaccine
55%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited January 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: F
The home failed to submit complete and accurate staffing information based on verifiable records. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 851 — 42 CFR §483.70 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $19,371 in total fines · 1 payment denial.
- $11,928
Federal fine
Nov 7, 2023
- $7,443
Federal fine
Nov 7, 2023
- 27 days
Medicare/Medicaid payment denial
Jul 10, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LEGACY HEALTHCARE · 89 homes · 2.9 stars avg
- Occupancy
- 51.2 residents on an average day (68% of 75 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 54 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.