Total health inspections
9
Iowa average 4.9
Last Health inspection on Nov 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Nursing Home
Harmony Dubuque
Harmony Dubuque focuses on healing, wellness, and enriching lives through compassionate care and offering a welcoming atmosphere. It provides a range of healthcare services including short-term rehabilitation, wound care, and peritoneal dialysis. The facility aims to enhance the quality of life for its residents in a supportive environment.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
99
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
66.9%
Residents per day (avg)
49
Occupancy rate
66.9%
Residents per day (avg)
49
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
42% of new residents, usually for short-term rehab.
Typical stay
27 days
Private pay
42% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
16% of new residents, often for long-term daily care.
Typical stay
9 - 10 months
Finances and operations
Voluntary non-profit community
Home revenue
$9.6M
Surplus of revenue
$383.2K
Voluntary non-profit community
Home revenue
$9,617,436.00
Surplus of revenue
$383,236.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$9.2M
About this community
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Licensed Nurses/CNAs
Short-Term Rehab
Programs & Activities
Specific Programs
Short-Term Rehabilitation, Wound Care, Peritoneal Dialysis, Stroke & Other Neurological Conditions
Health Inspection History
Inspections
Total health citations
33
Iowa average 21.7
Citations per inspection
3.67
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
17 of 33 citations resulted from standard inspections; 12 of 33 resulted from complaint investigations; and 4 of 33 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
2
2
122% worse than Iowa averageIowa average: 0.9
0 critical citations
2 serious citations
30 moderate citations
1 minor citation
Citations history (last 3 years)
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Nov 13, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Nov 13, 2025
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jan 29, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jan 29, 2025
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Oct 24, 2024
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Oct 24, 2024
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Oct 24, 2024
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Oct 24, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Akron
45
98.1%
+30%
4.71
+10%
0
4
0
42
City Of Akron
$4,7M
$2,1M
46.1%
165595
Accura HealthCare of Carlisle
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Carlisle
46
80.5%
+7%
5.85
+36%
0
17
2
39
American Healthcare Associates Inc
$4,1M
$2,5M
59.9%
165311
Harmony Dubuque
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Dubuque
99
66.9%
-11%
3.86
-10%
2
33
2
49
Feller, Brandy
$9,6M
$2,7M
28.4%
165104
Accura Healthcare of Spirit Lake
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Spirit Lake
85
66.6%
-12%
4.29
0%
1
21
1
65
-
$7,1M
$3,0M
42.7%
165528
Accura Healthcare of Lake City, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
4
40
Accura Healthcare Of The Heartland Llc
$2,0M
$1,0M
47.4%
165082
Places of interest near Harmony Dubuque
Dubuque, IA 520016699
Dubuque, IA 520016699
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
165
Employees
78
Contractors
87
Staff to resident ratio
3.06:1
53% better than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
29
Average shift
7.6 hours
0% compared with Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
20,139
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
20
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
16
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.7 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
102
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
20.3%
4,081 contractor hours this quarter
Certified Nursing Assistant: 58
Registered Nurse: 13
Licensed Practical Nurse: 12
Therapeutic Recreation Specialist: 1
Occupational Therapy Aide: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 44 | 58 | 102 | 9,475 | 91 | 100% | 7.4 |
| Registered Nurse | 7 | 13 | 20 | 3,469 | 91 | 100% | 8.8 |
| Licensed Practical Nurse | 4 | 12 | 16 | 1,940 | 87 | 96% | 10.7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 949 | 64 | 70% | 8 |
| Nurse Practitioner | 5 | 0 | 5 | 545 | 64 | 70% | 8 |
| Administrator | 3 | 0 | 3 | 512 | 62 | 68% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 448 | 56 | 62% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 437 | 63 | 69% | 6.9 |
| Dietitian | 1 | 0 | 1 | 428 | 54 | 59% | 7.9 |
| Speech Language Pathologist | 2 | 0 | 2 | 411 | 60 | 66% | 6.7 |
| Therapeutic Recreation Specialist | 1 | 1 | 2 | 396 | 56 | 62% | 7.1 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 356 | 63 | 69% | 5.3 |
| Mental Health Service Worker | 2 | 0 | 2 | 320 | 40 | 44% | 8 |
| Physical Therapy Aide | 1 | 0 | 1 | 240 | 45 | 49% | 5.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 109 | 23 | 25% | 4.7 |
| Qualified Social Worker | 1 | 0 | 1 | 34 | 30 | 33% | 1.1 |
| Medication Aide/Technician | 1 | 0 | 1 | 29 | 3 | 3% | 9.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 22 | 4 | 4% | 5.6 |
| Medical Director | 0 | 1 | 1 | 21 | 6 | 7% | 3.5 |
102 Certified Nursing Assistant
% of Days
100%
20 Registered Nurse
% of Days
100%
16 Licensed Practical Nurse
% of Days
96%
2 Clinical Nurse Specialist
% of Days
70%
5 Nurse Practitioner
% of Days
70%
3 Administrator
% of Days
68%
1 RN Director of Nursing
% of Days
62%
1 Other Dietary Services Staff
% of Days
69%
1 Dietitian
% of Days
59%
2 Speech Language Pathologist
% of Days
66%
2 Therapeutic Recreation Specialist
% of Days
62%
2 Respiratory Therapy Technician
% of Days
69%
2 Mental Health Service Worker
% of Days
44%
1 Physical Therapy Aide
% of Days
49%
1 Occupational Therapy Aide
% of Days
25%
1 Qualified Social Worker
% of Days
33%
1 Medication Aide/Technician
% of Days
3%
1 Occupational Therapy Assistant
% of Days
4%
1 Medical Director
% of Days
7%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
54 residents
Residents by payment source
Medicare
3 residents (5.6%)
Medicaid
30 residents (55.6%)
Private pay or other
21 residents (38.9%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.4
In line with Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.5
In line with Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
13.7%
Percent of long-stay residents whose need for help with daily activities has increased
13.7%
27% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
20.3%
Percent of long-stay residents whose ability to move independently worsened
20.3%
In line with Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.6%
5% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.1%
Percent of long-stay residents experiencing one or more falls with major injury
5.1%
40% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
7.3%
Percent of long-stay high risk residents with pressure ulcers
7.3%
67% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.5%
Percent of long-stay residents with a urinary tract infection
1.5%
39% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.5%
Percent of long-stay residents who lose too much weight
5.5%
9% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
5.1%
Percent of long-stay residents who have depressive symptoms
5.1%
30% worse than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
19.7%
Percent of long-stay residents who received an antipsychotic medication
19.7%
In line with Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
75.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
75.8%
20% worse than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.5%
6% worse than Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
56.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
56.9%
33% worse than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
63.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
63.8%
13% worse than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$19K
60% lower than Iowa averageIowa average: $48K
Number of fines
2
18% more fines than Iowa averageIowa average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
88% more payment denials than Iowa averageIowa average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$19K
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 7, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 7, 2023
$7K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 7, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 7, 2023
$12K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 10, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 10, 2023
27 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Harmony Dubuque based on CMS SNF Cost Reports.
Occupancy Rate
66.1%
↑ 5.8pp vs 2022
Net Income
$572,459
↑ ~$1.5M vs 2022
Total Payroll
$3,385,231
↓ ~$600K vs 2022
Profit Margin
7.2%
↑ 17.8pp vs 2022
Loading trend charts...
Guides for Better Senior Living
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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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