901 West Third Street, Dubuque, IA 52001 · Dubuque County · (563) 556-1161
75 certified beds, about 56 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1971
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165104 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on January 14, 2026, inspectors cited 4 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 28 health citations since November 2023, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $19,371 in the last three years; the largest was $11,928, and the latest is dated November 7, 2023.
Nurses and nurse aides worked 3.39 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.86 of those hours.
72.4% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Legacy Healthcare, an affiliated group of 95 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 28 health citations on file.
Inspectors wroteBased on clinical record review, facility policy review, staff interview, Nurse Practitioner (NP) interview, physician office staff interview, resident interview, and resident family member interview, the facility failed to ensure a resident received effective pain management interventions that included the administration of analgesic and other medications that enhanced pain control as ordered and directed by the physician for 1 of 4 residents reviewed for pain management (Resident #9). This deficient practice resulted in the resident experiencing sleep disturbance due to pain. On 2/16/26 Resident #9 called 911 themselves for transfer to the hospital for pain management when the resident experienced pain at level 10 out of 10. The facility reported a census of 55 residents.
Inspectors wroteBased on staff interviews, facility record review and facility policy review the facility failed to ensure an effective Quality Assurance Performance Improvement (QAPI) process to address previously identified quality deficiencies, resulting in repeated deficiencies cited on the current survey that were cited in previous surveys. The facility reported a census of 57 residents.
Inspectors wroteBased on observation, record review and staff interviews, the facility failed to don isolation gowns while providing cares to two of three residents in Enhanced Barrier Precautions (Resident #5 and Resident #35). The facility also failed to use proper hand sanitation during an observation of a Medication Pass on 1/7/26. The facility reported a census of 57 residents.
Inspectors wroteBased on observation, record review, resident and staff interviews, the facility failed to ensure dignity was maintained for one of four residents observed during cares (Resident #35). The facility reported a census of 57 residents.
Inspectors wroteBased on observation, clinical record review, police reports, interviews, facility investigation documentation, and policy review the facility failed to protect residents from being taken advantage of financially for 2 of 3 residents reviewed (Residents #2 and Resident #11). An employee took one resident's bank card information and paid personal bills with it, and accepted $25 from another resident. The facility reported a census of 57 residents.
Inspectors wroteBased on observation, clinical record review, staff and resident interviews, and policy review the facility failed to ensure residents received care and services that allowed for a dignified existence and communication with friends and family for 3 of 4 residents reviewed for resident rights (Residents #1, #2, and #3). Resident #1 was left in the dining room leaning sideways in her wheelchair and spoken to disrespectfully by staff, Resident #2 reported being incontinent waiting for a call light to be answered, and Resident #3 was denied phone calls with family. The facility reported a census of 47 residents.
Inspectors wroteBased on clinical record reviews, staff and resident interviews, policy review, and observations the facility failed to notify a resident's physician of a change in condition in a timely manor for 1 of 6 residents reviewed (Resident #6). The facility reported a census of 59 residents.
Inspectors wroteBased on Payroll Based Journal (PBJ) Data, schedule review, and staff interview the facility failed to submit complete and accurate payroll data to CMS during the third quarter of the 2024 fiscal year. The facility reported a census of 52 residents.
Inspectors wroteBased on observation, staff interview, and record review the facility failed to label and date food appropriately to prevent a food borne illness during initial tour of the kitchen. The facility failed to serve food in a way that prevents food borne illness for 1 out of 1 meals observed. The facility reported a census of 52 residents.
Inspectors wroteBased on the Centers for Medicare and Medicaid Services (CMS) Statement of Deficiencies forms, the facility Quality Assessment and Performance Improvement (QAPI) Plan, and staff interview the facility failed to carry out Quality Assurance (QA) activities to ensure effective measures had been taken to correct deficiencies and prevent their ongoing prevalence. The facility reported a census of 52 residents.
Inspectors wroteBased on record review, resident and staff interviews, and policy review the facility failed to provide showers as scheduled for 1 of 2 residents reviewed (Resident #2). The facility reported a census of 52 residents.
Inspectors wroteBased on clinical record review, observation, staff interview, and facility policy review the facility failed to maintain proper infection control practices to prevent cross contamination and potential infection of residents. During medication administration staff touched medication with their bare hands. While in community areas of the building Resident #3's catheter dignity bag and tubing dragged on the floor. The facility reported a census of 52 residents.
Inspectors wroteBased on observation and staff interview, the facility failed to provide housekeeping services in a manner to maintain a clean, comfortable, and homelike environment. The facility reported a census of 62 residents.
Inspectors wroteBased on observation and resident and staff interviews the facility failed to follow the menu and offer food choices according to the residents' requests. The facility reported a census of 62 residents.
Inspectors wroteBased on clinical record review, facility policy review, and staff interviews the facility failed to follow physician orders for three of three residents reviewed. (Residents #2, #3, #6). The facility reported a census of 59 residents.
Inspectors wroteBased on observation and staff interview, the facility failed to provide housekeeping services in a manner to maintain a clean, comfortable, and homelike environment. The facility reported a census of 61 residents.
Inspectors wroteBased on observation, clinical record review, staff and resident interviews, and facility policy, the facility failed to remain with one of four residents to ensure the resident consumed their medication. (Resident #3).
Inspectors wroteBased on clinical record review, facility policy review, and staff interviews the facility failed to provide the assistance required to prevent falls for 2 of 5 residents reviewed for falls (Resident #8, and Resident #223). The facility reported a census of 72 residents.
Inspectors wroteBased on observation, record review, resident an staff interview, the facility failed to answer call lights in a timely manner for 3 out of 5 residents reviewed (Residents #42, #66, and #175). The facility reported a census of 72 residents.
Inspectors wroteBased on observation, facility policy, and staff interviews the facility failed to ensure proper food storage, food handling and kitchen sanitation. The facility reported a census of 72 residents.
Inspectors wroteBased on record review, family and staff interview, the facility failed to document an inventory list of belongings and failed to protect the resident's property from loss for one of three residents reviewed (Resident #123). The facility failed to maintain a clean environment in 2 resident rooms. The facility reported a census of 72 residents.
Inspectors wroteBased on clinical record review, review of facility policy, and staff interviews the facility failed to provide 1 of 2 residents with a bed-hold option upon transfer to a hospital. (Residents #8). The facility reported a resident census of 72 residents.
Inspectors wroteBased on observation, record review, resident and staff interview, the facility failed to update the Care Plans for 3 of 21 residents reviewed. Resident #7's Care Plan did not include the need for prophylactic antibiotic and still identified the resident with a pressure ulcer that had already healed. Resident #8's Care Plan had not been updated after a choking incident and a fall. Resident #41's Care Plan did not address the diagnosis of dementia. The facility reported a census of 72 residents.
Inspectors wroteBased on observations, clinical record review, and staff interviews the facility failed to follow physician orders and use standard practice to treat skin concerns for 2 of 2 residents (Residents #7 & #8). The facility reported a census of 72 residents.
Inspectors wroteBased on observation, record review, resident and staff interview, the facility failed to document residents had been given showers twice a week for 3 out of 3 residents reviewed (Residents #7, #41 and #42). The facility reported a census of 72 residents.
Inspectors wroteBased on clinical record review, facility policy review, and staff interviews the facility failed to carry out assessments and interventions for a change in condition for 1 of 21 residents reviewed (Resident #8). The facility reported a census of 72 residents.
Inspectors wroteBased on observation, record review, and staff interview, the facility failed to document assessments on the access sites for dialysis for 2 of 2 residents reviewed on dialysis (Residents #5 and #32). The facility reported a census of 72 residents.
Inspectors wroteBased on clinical record review, and staff interviews the facility failed to ensure as needed antipsychotic medications are prescribed with a 14 day time limitation or rationale for why a limit is not needed for 1 of 5 residents reviewed for psychoactive medications (Resident #26). The facility reported a census of 72 residents.
15 fire safety citations on file: 4 on January 14, 2026, 5 on October 24, 2024, 6 on November 7, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| November 7, 2023 | Fine | $7,443 |
| November 7, 2023 | Fine | $11,928 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.39 | 3.82 | 3.86 |
| Registered nurses | 0.86 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.13 | 3.37 | 3.42 |
| Nurse aides | 2.17 | ||
| Licensed practical nurses | 0.37 | ||
| Nursing staff turnover (share who left in a year) | 72.4% | 44.0% | 45.8% |
| Registered nurse turnover | 62.5% | 42.1% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.79 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.50 on weekdays and 3.13 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 31.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.76 in April to June 2025 to 3.39 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.39 | 0.86 | 3.50 | 3.13 | 31.4% | 0 of 90 | 56 |
| Oct to Dec 2025 | 3.67 | 1.01 | 3.80 | 3.32 | 25.6% | 0 of 92 | 51 |
| Jul to Sep 2025 | 3.58 | 0.95 | 3.67 | 3.34 | 16.7% | 0 of 92 | 53 |
| Apr to Jun 2025 | 3.76 | 1.11 | 3.94 | 3.31 | 21.0% | 0 of 91 | 49 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Iowa, all employers | |||
| CNAs (nursing assistants) | $18.92 | $17.96 to $21.95 | 22,670 |
| LPNs and LVNs | $30.11 | $27.12 to $34.06 | 5,510 |
| Registered nurses | $37.80 | $32.83 to $41.32 | 34,420 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 3.5 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.6 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.0 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 5.1 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 1.2 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.1 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.6 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.4 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 23.1 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Harmony Dubuque's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (53.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
53.9% this home
No different from the national rate
US median of homes 51.5% · Iowa: 28 better, 21 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 77 eligible stays.
9.7% this home
No different from the national rate
US median of homes 10.7% · Iowa: 1 better, 1 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 91 eligible stays.
7.7% this home
No different from the national rate
US median of homes 7.1% · Iowa: 0 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 65 eligible stays.
51.2% this home
Median of homes: Iowa56.7% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 43 residents counted.
0.0% this home
Median of homes: Iowa0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 57 residents counted.
0.0% this home
Median of homes: Iowa1.8% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 57 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Iowa100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 15 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: DUBUQUE SKILLED NURSING FACILITY LLC. CMS links this home to Legacy Healthcare, a group of 95 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Doros Generation Trust U/a/D 1/3/12 | 5% or greater direct ownership interest | Organization | 26% | 04/01/2023 |
| Gpn Family Trust U/a/D 4/28/08 | 5% or greater direct ownership interest | Organization | 60% | 04/01/2023 |
| Oakway Operations LLC | 5% or greater direct ownership interest | Organization | 15% | 04/01/2023 |
| Feller, Brandy | W-2 managing employee | Individual | 07/17/2023 | |
| Shabat, Menachem | Corporate officer | Individual | 04/01/2023 | |
| Legacy Healthcare Financial Services LLC | Operational/managerial control | Organization | 04/01/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.