Harmony Dubuque

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

53.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 77 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 51.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 43 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.27 therapist hours per resident per day in 2026Q1 — more than 40% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 75 beds and averages 56.0 residents a day — about 75% occupied, or roughly 19 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.39 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.86 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.17 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.13 hrs/resident/day on weekends vs 3.50 on weekdays — 11% thinner on weekends. RN hours go from 0.99 to 0.54 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 72% is well above the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

28 citations, most serious first. The 12 most serious are shown; the remaining 16 are one tap away and print in full.

• Actual harm · G2026-03-12 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based 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.Findings include:The Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #9 admitted to the facility on [DATE] from the hospital. The resident scored 13 out of 15 on the Brief Interview for Mental Status (BIMS) cognitive…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2023-11-07 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based 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. Findings include: 1. The Minimum Data Set (MDS) assessment tool, dated 8/30/23 , listed diagnoses for Resident #8 that included: Type 2 diabetes, dysphagia (difficulty swallowing), severe intellectual disability, and fracture of lower right leg. The MDS assessed the resident required extensive assistance of one staff for: bed mobility, transfers, and walking in the room and the corridor; and supervision with set up help only for eating. The MDS did not list the resident's Brief Interview for Mental Status (BIMS) score. The Care Plan revealed a focus area of at risk for falls due to history of falls, impaired balance/poor coordination initiated on 5/27/21. A Progress Note dated 8/20/23 revealed the resident incurred a witnessed fall after using…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-01-14 · tag F0865 — failed to run a quality-improvement (QAPI) program — widespread
  Have a plan that describes the process for conducting QAPI and QAA activities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based 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.Findings include: The Centers for Medicare and Medicaid Services (CMS) 2567 form dated 10/24/24 reflected deficiencies identified for the QAPI program (F865), and infection control (F880) . The current survey conduction 1/5/26 though 1/14/26 also identified the above concerns. In an interview on 1/12/26 at 3:52 PM, the Administrator reported that the Infection Preventionist developed interventions for the past deficiency of F880. A review of the interventions which the Infection Preventionist implemented included, in part, the following: Medication Pass Audits which include watching hand washing, blood sugar checks, cleaning of the glucometers, Insulin administration, eye drops and inhalers. Treatment Audits…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-01-14 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based 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. Findings included:1.The Minimum Data Set (MDS) dated [DATE] identified Resident #5 as cognitively impaired with a BIMS (Brief Interview for Mental Status) score of 03 out of 15. The MDS also identified Resident #5 as always incontinent of urine and bowel, and had one Stage IV pressure ulcer and one unstageable pressure ulcer. Observations of Resident #5 revealed the following: On 1/5/26 at 10:39 AM, the resident was asleep in bed, covered with a bath blanket from waist to feet. On Resident #5's door there was a caddy for PPE (Personal Protective Equipment ) and a sign for Enhanced Barrier Precautions (EBP). On 1/7/26 at 1:55 PM, Staff E, CNA…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-14 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based 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. Findings include: The MDS dated [DATE] identified Resident #35 as moderately cognitively impaired with a BIMS score of 9 out of 15. The MDS also identified Resident #35 had an indwelling urinary catheter and was incontinent of bowel frequently. The Care Plan initiated 10/7/25 identified Resident #35 required assistance with activities of daily living. In an observation of incontinence care on 1/7/26 at 9:22 AM, the Facility Nurse Practitioner entered the room without knocking on the door and asked CNAs (Staff B, CNA and Staff D, CNA) to help her in a different room when they were finished. When she entered the room, the privacy curtain was not pulled around the bed and Resident #35 was not covered with a sheet when she entered. The resident's gown was pulled up above his waist,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-14 · tag F0602 — failed to protect residents from theft of their belongings — isolated
  Protect each resident from the wrongful use of the resident's belongings or money.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based 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.Findings include:1. The Minimum Data Set (MDS) for Resident #2 dated 11/26/25 documented diagnoses of amputation, cancer, depression, and malnutrition. The resident scored 15/15 on the Brief Interview for Mental Status (BIMS) assessment which indicated intact cognition.On 1/05/26 at 3:06 PM observed Resident #2 in his bed and talking with his [family member] who was seated in a chair near the foot of the bed. The resident's phone rested on his chest, and it had an attached sleeve on the back to hold cards. He pointed to it and slipped his identification out to show how it worked. His debit card was under the phone on his chest. He confirmed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-13 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based 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.Findings include: 1. The Minimum Data Set (MDS) for Resident #1 dated 8/20/25 documented diagnoses of pneumonia, Multiple Sclerosis (MS), Chronic Obstructive Pulmonary Disease (COPD), and Post Traumatic Stress Disorder (PTSD). The Brief Interview for Mental Status (BIMS) score totaled 14/15 which indicated intact cognition.The Care Plan (CP) for the resident with an admission date of 10/4/24 indicated she agreed to sit at an assisted table in the dining room for all 3 meals. She…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-29 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based 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. Findings include: According to the Minimum Data Set (MDS) dated [DATE], Resident #6 had diagnoses which included fractured left femur neck, Parkinson's disease, and sepsis. The MDS revealed the resident had a Brief Interview for Mental Status score of 11, which revealed the resident had moderate cognitive impairment and may need extra help for daily tasks. The resident had a history of falls. The resident required supervision or touch assistance with transfers and partial to moderate assistance with walking. Review of the resident's Care Plan dated 12/10/23 directed the staff to assist the resident with ambulation and transfers as needed and on 3/27/2024 the Care Plan directed the staff to place a sign in the resident's room to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-10-24 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based 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. Findings include: A document titled PBJ Staffing Data Report for Fiscal Year 2024 Quarter 3 (April 1-June 30) documented the facility triggered for excessively low weekend staffing. On 10/22/24 at 8:12 PM the Administrator stated she became aware there was an issue with the PBJ data the day before. She had already reached out to their main office for a report of what was submitted and to try to learn what caused the facility to trigger for low staffing. She reported they were the ones who submitted PBJ data for the facility, and she was not aware of any days with excessively low staff. On 10/23/24 the Administrator provided paper copies of staff schedules for the months of April, May, and June. They documented hours worked by nurses, certified medication aides, and certified nursing aides for three shifts each day and included staff who…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-10-24 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based 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. Findings include: 1. ) During the initial tour of the kitchen on 10/21/24 at 9:20 AM the following items were observed in a refrigerator across from the stove not labeled or dated: - meat sandwiches - tater tot casserole - sliced cheese open to air in original package - sliced cheese and bologna stored together in a plastic container - tomato juice in a pitcher - box of bacon open to air and not dated - large container of strawberries - large container of barbeque pork During an interview on 10/21/24 at 9:45 AM Staff D, cook, stated everything should be labeled and a use by date on it that is stored in the refrigerator. On 10/21/24 at 9:50 AM the dietary manager stated the items would need to be tossed because no date on them. She said all food should…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-10-24 · tag F0865 — failed to run a quality-improvement (QAPI) program — pattern
  Have a plan that describes the process for conducting QAPI and QAA activities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based 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. Findings include: The CMS 2567, dated 10/20/22 listed, in part, the following concerns: F880 The CMS 2567, dated 11/07/23 listed, in part, the following concerns: F677, F812 The current survey, conducted 10/21/24-10/24/24 also identified the above concerns. In an interview on 10/24/24 at 10:48 AM the Administrator explained the QAPI Committee monitors improvement projects for 4-6 weeks depending on what the issue is. After that, they review things monthly and then every other month if there is consistency. She acknowledged she was not aware of the repeat deficiencies. The facility policy titled QAPI Plan, updated 8/16/24 instructed the following: The QAPI Committee is responsible…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-10-24 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based 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. Findings include: The Minimum Data Set (MDS) report dated 10/02/24 for Resident #2 indicated a Brief Interview for Mental Status (BIMS) score of 15/15, indicating no cognitive impairment. The MDS further indicated diagnoses including: acute and chronic respiratory failure, mild intellectual disabilities, and other specified disorders of muscle. It documented the resident as fully dependent on staff for assistance with showering/bathing. The Care Plan revised 7/10/24 instructed staff to assist the resident with shower/bathing per schedule. The Station 1 Shower List, updated 10/03/24 listed Resident #2 shower days as Tuesday and Friday. The Follow Up Question Report compiled 10/22/24 revealed the resident missed showers on the following dates in the last three months: 8/6, 8/20, 8/27, and 9/27. In an observation on 10/21/24 at 9:54 AM Resident #2's hair appeared greasy…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$19,371 in federal fines across 2 penalties.

• $7,443 — penalty dated 2023-11-07
• $11,928 — penalty dated 2023-11-07

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to LEGACY HEALTHCARE — 89 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

4 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $359K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IA