Harmony Dubuque
901 West Third Street, Dubuque, IA 52001
Dubuque, Iowa · CMS verdict
Harmony Dubuque's CMS overall star rating stands at 2 of 5, below the Iowa state average (3.1) and reflecting below-average quality by the federal five-star measure.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Harmony Dubuque in Dubuque, Iowa holds a CMS overall rating of 2 of 5 stars and a PlainElderCare Quality & Compliance Index of 39 of 100 (grade F). The 75-bed facility operates where a semi-private nursing-home room in Iowa runs a median of $9,277 per month. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (heavier deficiency book)
With 33 CMS deficiencies on file, this facility sits in the heavier U.S. deficiency tercile (>31). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 2 of 5 stars. How this is calculated.
How the 39 is built
Each segment is a dimension's weighted points toward the score, summing to 39.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Harmony Dubuque's heavier CMS deficiency book
Quality ratings
Harmony Dubuque holds a CMS overall quality rating of 2 out of 5 stars, based on the most recent Care Compare release (data as of April 2026). CMS breaks this into three sub-ratings: health inspection (2/5), staffing (3/5), and quality measures (3/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Dubuque, Iowa, this facility operates 75 certified beds with an average daily census of roughly 53 residents - an occupancy rate of about 71%. The facility is classified under for profit - limited liability company ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 71% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Same-ownership peers
Within Iowa, Harmony Dubuque is one of 91 for profit - limited liability company nursing homes CMS rates. Its 2-star overall rating sits below the for profit - limited liability company-segment average of 2.7 stars, ahead of roughly 34% of same-ownership peers in the state. Peer comparisons within the same ownership type are more apples-to-apples than a state-wide average, since for-profit, non-profit, and government operators tend to differ systematically in staffing and reinvestment.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (33 total). CMS has levied 2 enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Harmony Dubuque's lower-tercile stars compare to Iowa
CMS five-star sub-ratings (0–5) for this facility against the Iowa facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Iowa state average. Higher is better on all four CMS measures.
Where Harmony Dubuque ranks in Iowa
Among the 388 CMS-rated nursing homes in Iowa, Harmony Dubuque’s 2-star overall rating is higher than 21% of them. The bars show how all Iowa homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
63 Iowa homes share this 2-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 75 |
| Residents | 53 |
| Ownership | For profit - Limited Liability company |
| County | Dubuque |
| Penalties | 2 |
| Deficiencies | 33 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What families ask about Harmony Dubuque's inspection record
What is the quality rating for Harmony Dubuque? ▾
Harmony Dubuque has an overall CMS quality rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 3/5, and quality measures rating of 3/5.
How much does a nursing home cost per month in Iowa? ▾
CareScout's 2025 survey puts Iowa's median semi-private nursing home rate at $9,277 per month ($111,325 per year), with private rooms averaging $10,038 per month.
What services does Harmony Dubuque offer? ▾
Harmony Dubuque is a skilled nursing facility with 75 beds with approximately 53 current residents. It operates under for profit - limited liability company ownership. The facility has recorded 33 deficiencies and 2 penalties in CMS inspections.
Does Harmony Dubuque have any deficiencies or penalties? ▾
Harmony Dubuque has multiple deficiencies (33 total) and 2 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Iowa? ▾
In Iowa, alternatives include assisted living ($5,381/mo), home health aides ($7,836/mo), and adult day care ($1,614/mo).
Keep reading
Also see the Iowa elder-care overview and highest-rated states. Provider ID: 165104.
Read our methodology - how this data is sourced, computed, and verified.