| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D10 | E5 | F8 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Mar 5, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Mar 5, 2026 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Sep 2, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 27, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Feb 27, 2025 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Apr 11, 2024 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Apr 11, 2024 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D10 | E5 | F8 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Mar 5, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 6, 2026 | |
| Mar 5, 2026 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 6, 2026 | |
| Mar 5, 2026 | F-0641 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| County of Dubuque | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 28, 2021 |
| Danielle Ettema | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 28, 2021 |
| Danielle Ettema | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Apr 28, 2021 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Stonehill Care Center 3485 Windsor Avenue, Dubuque, IA 52001 CCN 165471 | 0.9 km | 185 | Aug 7, 2025 | 18 | — | |
| Bethany Home 1005 Lincoln Avenue, Dubuque, IA 52001 CCN 165584 | 1.5 km | 66 | Jun 18, 2026 | 91 harm | $8,492 | |
| Harmony Dubuque 901 West Third Street, Dubuque, IA 52001 CCN 165104 | 4.4 km | 75 | Aug 25, 2026 | 482 harm5 open | $19k | |
| Dubuque Specialty Care 2935 Kaufmann Avenue, Dubuque, IA 52001 CCN 165228 | 4.6 km | 84 | Jul 30, 2025 | 382 harm | $53k | |
| Luther Manor at Hillcrest 3131 Hillcrest Road, Dubuque, IA 52001 CCN 165513 | 5.6 km | 103 | Feb 12, 2026 | 433 harm | $42k | |
| Ennoble Nursing and Rehab 2000 Pasadena Drive, Dubuque, IA 52001 CCN 165559 | 5.9 km | 85 | Jul 16, 2026 | 9 | — | |
| Mount Carmel Bluffs 1160 Carmel Drive, Dubuque, IA 52003 CCN 165792 | 6.4 km | 60 | Feb 26, 2026 | 15 | — | |
| Grand Meadows Senior Living & Health Care 5300 Grand Meadow Drive, Asbury, IA 52002 CCN 165618 | 8.1 km | 32 | Mar 26, 2026 | 211 IJ | $16k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165556 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165556 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care |
| D · Potential harm Isolated |
| Corrected Mar 26, 2026 |
| Mar 5, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 26, 2026 |
| Mar 5, 2026 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 26, 2026 |
| Sep 2, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Past non-compliance | Complaint |
| Feb 27, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 3, 2025 |
| Feb 27, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 26, 2025 |
| Feb 27, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 5, 2025 |
| Feb 27, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 24, 2025 |
| Feb 27, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 24, 2025 |
| Feb 27, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Mar 24, 2025 |
| Feb 27, 2025 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Mar 24, 2025 |
| Feb 27, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 24, 2025 |
| Apr 11, 2024 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted May 20, 2024 |
| Apr 11, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted May 20, 2024 |
| Apr 11, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 18, 2024 |
| Apr 11, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 18, 2024 |
| Apr 11, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 18, 2024 |
| Apr 11, 2024 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 8, 2024 |
| Apr 11, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 8, 2024 |
| Apr 11, 2024 | F-0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 8, 2024 |
| Apr 11, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected May 8, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.85 (case-mix index 1.28).