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B
Good

Harmony Dubuque

901 West Third Street · Dubuque, IA 52001

5635561161 · For profit - Limited Liability company

75 beds52.5 residents148 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
A
Very Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Harmony Dubuque receives an overall staffing grade of B (Good). With 3.5849 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.31 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 9.13% compared to weekdays. The facility relies heavily on temporary agency staff (16.67% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (1)

⚠️16.67% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Consistent weekend staffing — only 9.13% drop-off
Total Nurse HPRD
3.5849hrs/resident/day▼ 0.31
CMS benchmark: 3.48
RN HPRD
0.9504hrs/resident/day▲ 0.27
Recommended: 0.75
Weekend Drop-off
9.13%
3.6798 weekday → 3.3438 weekend
Agency Staff
16.67%
22.3% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0391hrs/resident/day
Direct care aides
LPN HPRD
0.4198hrs/resident/day
Licensed practical nurses
Consistency
0.3453std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Dubuque County Average-0.67 HPRD
4.25
03.58 HPRD
vs. Iowa State Average-0.23 HPRD
3.82
03.58 HPRD
vs. National Average-0.31 HPRD
3.90
03.58 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Harmony Dubuque ★
Dubuque · This facility
—
B
3.58490.9504★★☆☆☆
Dubuque Specialty Care
Dubuque
2.3 mi
C
3.15850.5698★★☆☆☆
Mill Valley Care Center
Bellevue
20.3 mi
A
4.17970.7873★★★★★
Guttenberg Care Center
Guttenberg
29.6 mi
C
3.47120.6524★★★★★
Monticello Nursing & Rehab Center
Monticello
31.8 mi
C
3.33350.7678★★★☆☆
Edgewood Convalescent Home
Edgewood
38.4 mi
C
3.46950.8833★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

9
Inspections
33
Total Deficiencies
$19,371
Fines Assessed
Nov 13, 2025Health
1 deficiency cited
▼
Jan 29, 2025Health
1 deficiency cited
▼
Oct 24, 2024Health
5 deficiencies cited
▼
Jul 3, 2024Health
2 deficiencies cited
▼
Jun 5, 2024Health
1 deficiency cited
▼
Jan 8, 2024Health
2 deficiencies cited
▼
Nov 7, 2023Health
11 deficiencies cited· Includes actual harm
▼
Jul 10, 2023Health
5 deficiencies cited· Includes actual harm
▼
Oct 20, 2022Health
5 deficiencies cited
▼

Penalty History

Nov 7, 2023Fine
$7,443
Nov 7, 2023Fine
$11,928
Jul 10, 2023Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.