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
Data as of July 1, 2026
2 of 5 overall
Harmony Dubuque has a 2-star overall rating, with 2-star health inspection and staffing ratings and a 3-star quality measures rating. Reported nurse staffing is 3.39 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.3939 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 3.3939.
Staffing detail
- Registered nurses
- 0.86
- Licensed practical nurses
- 0.37
- Nurse aides
- 2.17
- Weekend nursing
- 3.13
Hours per resident per day.
Total staff turnover: 72%
Registered nurse turnover: 63%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
16.7%3.8%Improving
Residents with a fall causing major injury
8.3%2%Improving
Residents with pressure ulcers (bedsores)
4.3%10.3%Worsening
Residents with a urinary tract infection
0%2%Worsening
Residents who lost too much weight
2.4%5.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
2.4%2.8%No change
Residents whose ability to walk got worse
4.6%0%Improving
Long-stay residents on antianxiety or sleep medication
16.7%18.4%Worsening
Short-stay residents newly given an antipsychotic
9.5%0%Improving
Residents with a long-term catheter
2.6%0%Improving
Residents with new or worsening incontinence
37.1%25.7%Improving
Residents with depressive symptoms
4.8%17.8%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—89.5%—
Long-stay residents given the pneumonia vaccine
83.3%73.5%Worsening
Short-stay residents given the seasonal flu vaccine
—63.8%—
Short-stay residents given the pneumonia vaccine
46.2%41.7%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.
- $11,928
Federal fine
Nov 7, 2023
- $7,443
Federal fine
Nov 7, 2023
Operator & ownership
Recent ownership change · Apr 1, 2023
Now operated by Harmony Dubuque, previously Promedica Skilled Nursing and Rehabilitation (dubuque).
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LEGACY HEALTHCARE · 89 homes · 3 stars avg
- Occupancy
- 56 residents on an average day (75% of 75 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 55 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.