All states › Iowa › Dubuque › Harmony Dubuque
901 West Third Street Dubuque, IA 52001 · Dubuque County
All 8 nursing homes in Dubuque, IA (8 take Medicaid)
CMS certification number 165104 · See this home on Medicare Care Compare
Is Harmony Dubuque a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Harmony Dubuque as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Iowa average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.26 hours per resident per day at Harmony Dubuque, below the Iowa median of 3.76 (US median: 3.72). About 0.68 of those hours are from registered nurses. On weekends it falls to 3.03 hours, 7% below its all-week average. 68.5% of nursing staff left within a year (Iowa median 41.7%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.
About this nursing home
Paying for care at Harmony Dubuque: Medicare and Medicaid
Harmony Dubuque is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on January 14, 2026 and found 2 deficiencies, plus 9 from complaint inspections in the same period. In total, inspectors issued 33 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 33 citations at Harmony Dubuque across 10 inspection dates, 19 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on March 12, 2026. The most common areas cited were quality of life and care (8) and resident rights (8). The most serious was cited under the CMS rule to "provide safe, appropriate pain management for a resident who requires such services" (tag F0697, level G, March 12, 2026). 2 citations were under CMS's abuse, neglect and exploitation rules.
August 25, 2026 · 5 citations · includes complaint inspection
DHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
March 12, 2026 · 1 citation, includes actual harm · includes complaint inspection
GProvide safe, appropriate pain management for a resident who requires such services.
January 14, 2026 · 4 citations · includes complaint inspection
FHave a plan that describes the process for conducting QAPI and QAA activities.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProtect each resident from the wrongful use of the resident's belongings or money.
November 13, 2025 · 1 citation · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
January 29, 2025 · 1 citation · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
October 24, 2024 · 5 citations
FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHave a plan that describes the process for conducting QAPI and QAA activities.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide and implement an infection prevention and control program.
July 3, 2024 · 2 citations · includes complaint inspection
EHonor 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.
DEnsure 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.
June 5, 2024 · 1 citation · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
January 8, 2024 · 2 citations · includes complaint inspection
EHonor 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.
DEnsure 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.
November 7, 2023 · 11 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor 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.
DNotify 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.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DImplement 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.
Questions to ask on a tour of Harmony Dubuque
- Inspectors cited the home at the actual-harm level on March 12, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on August 25, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 68.5% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $19,371 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Nov 7, 2023 | Fine | $7,443 |
| Nov 7, 2023 | Fine | $11,928 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 2/5 | 3/5 |
| August 2026 | 2/5 | 2/5 | 2/5 | 3/5 |
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Location
Hospitals near Harmony Dubuque
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.1 mi
Mercy Medical Center-Dubuque DubuqueEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 24m for patients treated and sent home
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0.7 mi
The Finley Hospital DubuqueEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 1h 54m for patients treated and sent home
- 11.5 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Higher-rated nursing homes within 10 miles
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- Bethany Home · Dubuque · 5 stars · 1.8 mi
- Ennoble Nursing and Rehab · Dubuque · 5 stars · 2.4 mi
- Stonehill Care Center · Dubuque · 5 stars · 2.7 mi
Other Legacy Healthcare nursing homes in Iowa
- Westview of Indianola Care Center · Indianola · 5 stars
- Rehabilitation Center of Hampton · Hampton · 5 stars
- Rehabilitation Center of Belmond · Belmond · 5 stars
- Westview Care Center · Britt · 5 stars
- Guttenberg Care Center · Guttenberg · 5 stars
- Valley Vue Care Center · Armstrong · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 96 Legacy Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.