Nursing HomeMedicaid Investigative

Harmony Dubuque

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

901 West Third Street, Dubuque, IA 52001|75 beds|Licensed & Active

2/5

Medicare

Inspection

Quality

Staffing

Google rating

4.2/5

based on 58 Google reviews

(563) 556-1161 Directions Website

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4/ 10

moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Low overall rating (2/5 stars)
High staff turnover (71%)
High RN turnover (57%)

Below average in IA · Meets national RN staffing standard · Very high staff turnover · Below chain average · $19,371 in fines

Source: Medicare data

What this means for your family

Harmony Dubuque is highly regarded for its rehabilitation and therapy services, making it a strong candidate for short-term recovery. However, given the recurring reports of staffing shortages and inconsistent basic care, families should conduct a thorough tour and ask specific questions about nurse-to-patient ratios and sanitation protocols before committing to long-term placement.

Google Reviews

58 reviews on Google

“Harmony Dubuque receives high praise for its rehabilitation and therapy departments, with many patients reporting successful recoveries and positive interactions with staff. However, a segment of reviewers expresses serious concerns regarding basic care standards, cleanliness, and staffing levels, suggesting a significant disparity in experiences.”

Quality Themes

Tap a score for details

Strengths

Highly effective physical and occupational therapy
Attentive and compassionate nursing staff
Strong discharge planning and recovery support
Patient-centered meal options

Concerns

Inadequate staffing levels leading to neglected basic care (mentioned by 3 reviewers)
Poor facility cleanliness and sanitation (mentioned by 2 reviewers)
Communication issues regarding patient status and visitation (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 62 analyzed

How They Respond to Reviews

90%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

1I noticed Harmony Dubuque is very active in responding to family feedback online; how do you incorporate that family input into your daily operational improvements?
2Given that physical and occupational therapy are highlighted as strengths here, how do you integrate those sessions into a resident's daily schedule to ensure they stay active?
3With a 75-resident capacity, what specific protocols are in place to ensure that staff can consistently attend to personal care needs and maintain high standards of cleanliness throughout the day?
4How does your leadership team communicate updates or changes in a resident’s health status to family members to ensure we always feel connected to our loved one's care?
5Could you walk us through your emergency response plan and how you coordinate with local medical providers if a resident requires urgent care beyond what is available on-site?
6What steps are currently being taken to address the recent state inspection findings to ensure the facility meets the high quality of care your team strives for?

Personalized based on this facility's data

Key Review Excerpts

“The girls in physical therapy are awesome.”

Rehab patient · 2025★★★★★

“The therapy team was very helpful and made me feel comfortable with my stay here. I felt the therapy team made me push harder for myself in order to discharge home successfully.”

Rehab patient · 2023★★★★★

“I would not recommend this facility for long-term care for any human. Their therapy team is amazing but the lack of staff and corporate greed leads to basic cares not being met on a daily basis.”

Long-term resident's family · 2022★☆☆☆☆

Source: 58 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

1.01hrs

Registered nurses for medical care

Total Nursing

3.67hrs

89%

All nurses + aides combined

Staff Turnover

75%

Lower is better (< 30% = good)

RN Turnover

67%

Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

3/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility34.6%

Worse than Avg

Here

34.6%

19.4%

25.9%

Dubuque

25.7%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility79.7%

Worse than Avg

Here

79.7%

93.4%

93.9%

Dubuque

87.9%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility6.8%

Better than Avg

Here

6.8%

14.4%

17.6%

Dubuque

19.3%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility6.8%

Better than Avg

Here

6.8%

15.3%

17.5%

Dubuque

18.7%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility12.0%

Better than Avg

Here

12.0%

15.5%

19.4%

Dubuque

21.4%

💉

Residents vaccinated for the flu

↑ Higher is better

This Facility89.5%

Worse than Avg

Here

89.5%

95.5%

95.3%

Dubuque

94.9%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility55.0%

Worse than Avg

Here

55.0%

81.8%

84.1%

Dubuque

78.6%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility63.8%

Mixed vs Avgs

Here

63.8%

79.8%

73.3%

Dubuque

63.1%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility5.6%

Worse than Avg

Here

5.6%

1.6%

2.0%

Dubuque

1.3%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies

3penalties

Near state avg (6.2)

19 complaint-triggered

$19,371 in fines

Harmony Dubuque has faced significant inspection challenges with 47 deficiencies across 9 surveys, including 18 complaint-triggered violations where families reported concerns. The facility shows recurring issues with resident rights violations, safety hazards, and care quality standards that persist across multiple surveys from 2023 through 2026. While all deficiencies show correction dates, the pattern of repeated problems in core care areas suggests ongoing operational struggles that families should carefully consider.

Mar 12, 2026Complaint1 finding

0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Jan 14, 2026Routine6 findings

0865Potential for harm · WidespreadCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0222Potential for harm · WidespreadCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jan 14, 2026Complaint2 findings

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Nov 13, 2025Complaint1 finding

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Jan 29, 2025Complaint1 finding

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Oct 24, 2024Routine10 findings

0851Potential for harm · WidespreadCorrected

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0865Potential for harm · PatternCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Nov 7, 2023

$7,443

Fine

Nov 7, 2023

$11,928

Payment Denial

Jul 10, 2023

27-day denial

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total

8deficiencies

Apr 20, 2026ComplaintNo deficiencies

Clean