Harmony Dubuque: Staffing, Turnover, and Inspection Record
Harmony Dubuque is a 75-bed for-profit nursing home in Dubuque, Iowa, part of Legacy Healthcare. In the CMS August 2026 release it reported 2.17 nurse aide hours per resident per day, 14% below the Iowa average of 2.51, and 72.4% nursing staff turnover (Iowa average 44.0%).
Harmony Dubuque
901 West Third StreetDubuque, IA 52001
Dubuque County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Harmony Dubuque, nurse aides logged 2.17 hours per resident per day, 14% below the Iowa average. With about 56 residents a day, that works out to roughly 121 aide hours a day, or about 15 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 8% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.17 | 2.51 | 2.32 |
| Licensed practical nurses | 0.37 | 0.56 | 0.86 |
| Registered nurses | 0.86 | 0.74 | 0.69 |
| All nursing staff | 3.39 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.13 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
72.4% of nursing staff at Harmony Dubuque left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 62.5%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jan 14, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 6 health deficiencies (Iowa average 6.5). CMS lists 2 fines totaling $19,371 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Nov 7, 2023 | Fine | $7,443 |
| Nov 7, 2023 | Fine | $11,928 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Harmony Dubuque holds 2 of 5 overall; the Iowa average is 3.1.
About Harmony Dubuque
- Ownership: For profit - Limited Liability company
- Chain: Legacy Healthcare, 89 homes
- Legal name: Dubuque Skilled Nursing Facility LLC
- Medicare and Medicaid certified since: Aug 2, 1971
- Councils: resident council
- Area: urban
Nursing homes near Harmony Dubuque
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Mount Carmel Bluffs Dubuque | 1.6 | 60 | 3.04 | 4.32 | 29.0% | 5 | None |
| Bethany Home Dubuque | 1.8 | 66 | 3.17 | 4.50 | 32.1% | 5 | None |
| Dubuque Specialty Care Dubuque | 2.3 | 84 | 1.79 | 2.89 | 57.1% | 2 | $53,372 |
| Luther Manor at Hillcrest Dubuque | 2.3 | 103 | 3.45 | 4.49 | 54.3% | 1 | $42,406 |
| Ennoble Nursing and Rehab Dubuque | 2.4 | 85 | 2.28 | 3.60 | 40.0% | 5 | None |
| Stonehill Care Center Dubuque | 2.7 | 185 | 3.04 | 4.31 | — | 4 | None |
| Sunnycrest Manor Dubuque | 2.8 | 77 | 3.13 | 4.34 | 38.4% | 4 | None |
| Grand Meadows Senior Living & Health Care Asbury · staffing data not validated | 4.3 | 32 | — | — | — | 1 | $16,448 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.