2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Located in Dubuque, Iowa, Harmony Dubuque is a nursing home owned by Brandy Feller. The facility accepts Medicare, Medicaid, and private pay, so families have several ways to pay for care. The home focuses on short-term rehabilitation and skilled nursing services. Residents stay an average of 66 days, which includes those recovering from recent health events and receiving transitional care before returning home.
Rehabilitation is a major part of the facility’s daily operations. Residents have access to rehabilitation services and short-term rehab programs. The home also accommodates patients recovering from strokes and other neurological conditions. Respite care is available for families who need temporary care for a loved one. For residents with kidney-related conditions, peritoneal dialysis is available on-site.
Daily nursing support averages about 3 hours and 51 minutes per resident. Residents are also supported by registered nurses, nurse aides, and licensed practical nurses. Daily hands-on support is important in the facility’s approach, particularly for residents recovering from surgery, illness, or hospitalization.
The facility is in a highly walkable area of Dubuque, with a Walk Score of 89. Many nearby services and everyday essentials are within walking distance, making visits more convenient for family members spending time at the community.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 165th out of 245 homes in Iowa for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 0m per day | ▲ 37% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 31m per day | ▼ 8% State avg: 34m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 8m per day | ▼ 15% State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 19m per day | ■ Avg State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 6m per day | ▲ 180% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 32m per day | ▲ 7% State avg: 30m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
44% more staff per resident than Iowa average
0% compared with Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
16 total: 7 full-time employees and 9 contractors.
16
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursAssists with medical care and medications.
20 total: 4 full-time employees and 16 contractors.
20
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursHelps with daily care and mobility.
94 total: 38 full-time employees and 56 contractors.
94
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,440 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 38 | 56 | 94 | 9,542 | 92 | 100% | 7.4 |
| Registered Nurse | 7 | 9 | 16 | 2,972 | 92 | 100% | 9.2 |
| Licensed Practical Nurse | 4 | 16 | 20 | 1,975 | 86 | 93% | 9.7 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,277 | 63 | 68% | 8 |
| Medication Aide/Technician | 2 | 3 | 5 | 544 | 64 | 70% | 7.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 494 | 63 | 68% | 7.8 |
| Dietitian | 1 | 0 | 1 | 492 | 62 | 67% | 7.9 |
| Administrator | 2 | 0 | 2 | 488 | 61 | 66% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 470 | 59 | 64% | 8 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 440 | 67 | 73% | 5.6 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 420 | 56 | 61% | 7.5 |
| Other Dietary Services Staff | 1 | 0 | 1 | 418 | 61 | 66% | 6.9 |
| Physical Therapy Aide | 2 | 0 | 2 | 282 | 52 | 57% | 4.9 |
| Qualified Social Worker | 1 | 0 | 1 | 48 | 31 | 34% | 1.6 |
| Speech Language Pathologist | 2 | 0 | 2 | 37 | 10 | 11% | 3.7 |
| Medical Director | 0 | 1 | 1 | 16 | 5 | 5% | 3.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 13 | 2 | 2% | 6.4 |
| Physical Therapy Assistant | 2 | 0 | 2 | 8 | 3 | 3% | 2.6 |
Includes penalties issued in 2023
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)
60% lower than Iowa averageIowa average: $48K
18% more fines than Iowa averageIowa average: 1.7
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
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, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
13.7%
27% better than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
20.3%
In line with Iowa averageIowa average: 19.7%
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%
Percent of long-stay residents experiencing one or more falls with major injury
5.1%
40% worse than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
7.3%
67% worse than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
1.5%
39% better than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
5.5%
9% worse than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
5.1%
30% worse than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
19.7%
In line with Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
75.8%
20% worse than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.5%
6% worse than Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
2.50
69% worse than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.69
29% worse than Iowa averageIowa average: 2.09
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
56.9%
33% worse than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
63.8%
13% worse than Iowa averageIowa average: 73.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.7%
11% worse than Iowa averageIowa average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.6%
19% better than Iowa averageIowa average: 13.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
43.1%
20% worse than Iowa averageIowa average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
53.9%
7% better than Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
42% of new residents, usually for short-term rehab.
42% of new residents, often for short stays.
16% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
54Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Harmony Dubuque from 2012–2022, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2022 — the home's most recent complete cost report, an older period than most facilities report.
Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 12/2022. This is an older period than most facilities report, so compare with that in mind.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #121 / 246Payroll — State benchmarkedThis home is ranked 121st out of 246 homes in Iowa for Payroll. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #206 / 246Payroll % — State benchmarkedThis home is ranked 206th out of 246 homes in Iowa for Payroll %. Shows payroll as a percentage of revenue versus the Iowa average. Well-run Iowa facilities typically land around 61–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under Medicare (42% of admissions), and a typical Medicare stay runs around 27 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Dubuque's city center to Harmony Dubuque's address, calculated via Google Maps.
Add your location
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Bethany Home Retirement Center | NH IL MC SNF | Dubuque (Eagle Point District) | 66
Facility
66
IA AVG
71
Rank
#181 / 406 | - | - | 4.19
Facility
4.19
IA AVG
4.30
Rank
#119 / 245 | 0% | -2% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 251 | 2
Facility
2
IA AVG
21.7
Rank
#6 / 244 | 2.0
Facility
2.0
IA AVG
4.1
Rank
#22 / 244 | - | 67 | - |
69
Facility
69
IA AVG
45
Rank
#103 / 528 | Mike Brannon | $9.2MFiscal year ending 12/2023
Facility
$9.2MFiscal year ending 12/2023
IA AVG
$7.0M
Rank
#69 / 246 | $6.2MFiscal year ending 12/2023
Facility
$6.2MFiscal year ending 12/2023
IA AVG
$3.1M
Rank
#39 / 246 | 68%Fiscal year ending 12/2023
Facility
68%Fiscal year ending 12/2023
IA AVG
46.3%
Rank
#47 / 246 | 165584 | ||||
| St Francis Manor | NH AL HOS SNF | Grinnell | 78
Facility
78
IA AVG
71
Rank
#119 / 406 |
69.2%
Facility
69.2%
IA AVG
64.7
Rank
#193 / 379 | +7% | 5.32
Facility
5.32
IA AVG
4.30
Rank
#24 / 245 | +34% | +24% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 251 | 1
Facility
1
IA AVG
21.7
Rank
#1 / 244 | 1.0
Facility
1.0
IA AVG
4.1
Rank
#1 / 244 | - | 54 | - |
82
Facility
82
IA AVG
45
Rank
#39 / 528 | St Francis Manor Inc | $7.3MFiscal year ending 12/2023
Facility
$7.3MFiscal year ending 12/2023
IA AVG
$7.0M
Rank
#74 / 246 | $5.0MFiscal year ending 12/2023
Facility
$5.0MFiscal year ending 12/2023
IA AVG
$3.1M
Rank
#42 / 246 | 69.4%Fiscal year ending 12/2023
Facility
69.4%Fiscal year ending 12/2023
IA AVG
46.3%
Rank
#63 / 246 | 165480 | ||||
| Friendship Village | NH AL IL MC SNF | Waterloo | 72
Facility
72
IA AVG
71
Rank
#143 / 406 |
91.7%
Facility
91.7%
IA AVG
64.7
Rank
#41 / 379 | +42% | 6.17
Facility
6.17
IA AVG
4.30
Rank
#3 / 245 | +5% | +44% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 251 | 8
Facility
8
IA AVG
21.7
Rank
#48 / 244 | 2.0
Facility
2.0
IA AVG
4.1
Rank
#22 / 244 | 1 | 66 | - |
52
Facility
52
IA AVG
45
Rank
#202 / 528 | Friends Of Faith Retirement Homes, Inc | $14.2MFiscal year ending 03/2024
Facility
$14.2MFiscal year ending 03/2024
IA AVG
$7.0M
Rank
#12 / 246 | $11.6MFiscal year ending 03/2024
Facility
$11.6MFiscal year ending 03/2024
IA AVG
$3.1M
Rank
#7 / 246 | 81.4%Fiscal year ending 03/2024
Facility
81.4%Fiscal year ending 03/2024
IA AVG
46.3%
Rank
#117 / 246 | 165081 | ||||
| Prairie Vista Village | NH AL IL SNF | South Altoona | 68
Facility
68
IA AVG
71
Rank
#170 / 406 |
50.0%
Facility
50.0%
IA AVG
64.7
Rank
#255 / 379 | -23% | 4.71
Facility
4.71
IA AVG
4.30
Rank
#64 / 245 | -20% | +10% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 251 | 5
Facility
5
IA AVG
21.7
Rank
#19 / 244 | 1.3
Facility
1.3
IA AVG
4.1
Rank
#9 / 244 | - | 34 | A |
29
Facility
29
IA AVG
45
Rank
#372 / 528 | John Freeman | $9.1MFiscal year ending 12/2023
Facility
$9.1MFiscal year ending 12/2023
IA AVG
$7.0M
Rank
#62 / 246 | $3.7MFiscal year ending 12/2023
Facility
$3.7MFiscal year ending 12/2023
IA AVG
$3.1M
Rank
#72 / 246 | 40.8%Fiscal year ending 12/2023
Facility
40.8%Fiscal year ending 12/2023
IA AVG
46.3%
Rank
#175 / 246 | 165610 | ||||
| Harmony Dubuque | NH AL RESC RC SNF | Dubuque | 75
Facility
75
IA AVG
71
Rank
#130 / 406 |
68.3%
Facility
68.3%
IA AVG
64.7
Rank
#197 / 379 | +6% | 3.86
Facility
3.86
IA AVG
4.30
Rank
#165 / 245 | -13% | -10% | $19.4k
Facility
$19.4k
IA AVG
$53.4k
Rank
#174 / 251 | 33
Facility
33
IA AVG
21.7
Rank
#193 / 244 | 3.7
Facility
3.7
IA AVG
4.1
Rank
#115 / 244 | 2 | 51 | - |
89
Facility
89
IA AVG
45
Rank
#17 / 528 | Brandy Feller | $6.8M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$6.8M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
IA AVG
$7.0M
Rank
#84 / 246 | $4.0M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$4.0M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
IA AVG
$3.1M
Rank
#121 / 246 | 58%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
58%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
IA AVG
46.3%
Rank
#206 / 246 | 165104 |
Harmony Dubuque has a walk score of 89. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Harmony Dubuque's occupancy is 66.9%.
No, Harmony Dubuque has a no-pet policy.
Harmony Dubuque is registered as a for-profit.
Yes — there are 4 photos of Harmony Dubuque in the photo gallery on this page.
Harmony Dubuque is located at 901 West Third Street, Dubuque, Ia 520016699.
(563) 556-1161 will put you in contact with the team at Harmony Dubuque.
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