Harmony Dubuque
Inspection Findings
F-Tag F0550
F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
11/6/25 at 12:33 PM indicated the resident scored 14/15 on the BIMS which indicated intact cognition.The CP for the resident with an admission date of 1/18/20 indicated she was at risk for changes in mood related to anxiety and depression, and was on medication for depression. A focus area regarding discharge indicated the resident was unable to discharge to the community and directed staff to support the resident, family, and representatives as needed.An interview with Resident #3 on 11/13/25 at 12:59 PM revealed family visits and phone calls were very important to her. The resident reported a family member told her more than once that she tried to call the resident on the facility phone but had not been able to talk to her.
Another family member reported not being able to speak to the resident by phone for 2 weeks in spite of repeat calls, mostly in the evening. Staff told the family member the resident was eating or sleeping and could not come to the phone. The resident stated if that family member called for her, no one told her and
she would have taken the call. When asked if she called her family, Resident #3 stated no one had ever told her she could use the facility phone to do that.On 11/13/25 at 2:14 PM Staff B, Office Manager stated that until 8:00 PM all calls came through one line and after that when directly to the nurses stations. To get calls to residents the caller would be placed on hold. The calls were announced on the speaker system. There were 2 cordless phones at each nurses station and any staff should take the phone to the resident, take it off of hold, and let the resident talk in private. Otherwise residents could be brought to the nurses station if
they wished. If a resident was eating or sleeping her process was to tell the caller and let them decide if
they wanted to wake them or interrupt their meal, call back, or have the resident call them when they were done. When asked if residents were always given a choice about whether or not to take the call, Staff B stated it depended on if the caller was the Power of Attorney.On 11/13/25 at 2:55 PM Staff E, LPN stated 99 percent of the time residents took calls from loved ones if they knew they were on the phone.On 11/13/25 at 4:37 PM the Administrator stated she had only been there a month and was not aware of concerns about family calls getting through. She expected all staff to be responsible for ensuring residents could speak with their loved ones.A policy titled Resident Rights - Dignity and Respect revised 4/2024 documented the purpose of the policy was to lay the foundation for treating all residents with dignity and respect and maintaining and enhancing his or her self-esteem and self-worth. Residents had the right to considerate and respectful care and to be treated with honesty, dignity, respect, and with reasonable accommodation of individual needs except where the health, safety, or rights of the resident or other individuals in the facility would be endangered. Residents also had the right to be free from involuntary seclusion, to manage their own care, to have access to visitors, and the right to exercise his/her rights of
the facility as a citizen/resident of the United States.
Event ID:
Facility ID:
If continuation sheet
Harmony Dubuque in Dubuque, IA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Dubuque, IA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Harmony Dubuque or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.