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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D8 | E8 | F10 |
| 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 | |
|---|---|---|---|---|---|---|
| Sep 18, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Sep 18, 2025 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Sep 12, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Sep 12, 2024 | Health | Health Standard | 2 | Potential harm | — | Open → |
| May 2, 2024 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| May 2, 2024 | Health | Health Complaint, Health Standard | 5 | Actual harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D8 | E8 | F10 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Sep 18, 2025 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 26, 2025 | |
| Sep 18, 2025 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 26, 2025 | |
| Sep 18, 2025 | K-0918 |
“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 |
|---|---|---|---|---|---|
| Brian Elsesser | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Sep 29, 2002 |
| Michelle Elsesser | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jan 20, 2006 |
| Doris Hamm | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2024 |
| Michael Hamm | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2024 |
| Douglas Johnson | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jan 20, 2006 |
| Kelly Johnson | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jan 20, 2006 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Brian Elsesser | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Sep 29, 2002 |
| Michelle Elsesser | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jan 20, 2006 |
| Doris Hamm | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2024 |
| Michael Hamm | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2024 |
| Douglas Johnson | Individual |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Grand Meadows Senior Living & Health Care 5300 Grand Meadow Drive, Asbury, IA 52002 CCN 165618 | 1.5 km | 32 | Mar 26, 2026 | 211 IJ | $16k | |
| Ennoble Nursing and Rehab 2000 Pasadena Drive, Dubuque, IA 52001 CCN 165559 | 3.4 km | 85 | Jul 16, 2026 | 9 | — | |
| Luther Manor at Hillcrest 3131 Hillcrest Road, Dubuque, IA 52001 CCN 165513 | 3.6 km | 103 | Feb 12, 2026 | 433 harm | $42k | |
| Dubuque Specialty Care 2935 Kaufmann Avenue, Dubuque, IA 52001 CCN 165228 | 4.5 km | 84 | Jul 30, 2025 | 382 harm | $53k | |
| Harmony Dubuque 901 West Third Street, Dubuque, IA 52001 CCN 165104 | 7.1 km | 75 | Aug 25, 2026 | 482 harm5 open | $19k | |
| Stonehill Care Center 3485 Windsor Avenue, Dubuque, IA 52001 CCN 165471 | 8.3 km | 185 | Aug 7, 2025 | 18 | — | |
| Bethany Home 1005 Lincoln Avenue, Dubuque, IA 52001 CCN 165584 | 8.3 km | 66 | Jun 18, 2026 | 91 harm | $8,492 | |
| Mount Carmel Bluffs 1160 Carmel Drive, Dubuque, IA 52003 CCN 165792 | 9 km | 60 | Feb 26, 2026 | 15 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165565 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165565 | 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
| 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 Sep 26, 2025 |
| Sep 18, 2025 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 10, 2025 |
| Sep 18, 2025 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Oct 10, 2025 |
| Sep 18, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 10, 2025 |
| Sep 12, 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 | E · Potential harm Pattern | Corrected Sep 17, 2024 |
| Sep 12, 2024 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 17, 2024 |
| Sep 12, 2024 | 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 Sep 16, 2024 |
| Sep 12, 2024 | 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 Sep 25, 2024 |
| Sep 12, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 25, 2024 |
| May 2, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected May 18, 2024 | Complaint |
| May 2, 2024 | K-0133 | Install a two-hour-resistant firewall separation. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 6, 2024 |
| May 2, 2024 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 6, 2024 |
| May 2, 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 | E · Potential harm Pattern | Corrected May 24, 2024 |
| May 2, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 6, 2024 |
| May 2, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 9, 2024 |
| May 2, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 10, 2024 |
| May 2, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 6, 2024 |
| May 2, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 17, 2024 |
| May 2, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 6, 2024 |
| May 2, 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 May 21, 2024 |
| May 2, 2024 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 6, 2024 |
| May 2, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 18, 2024 |
| May 2, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 18, 2024 | Complaint |
| May 2, 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 | E · Potential harm Pattern | Corrected May 18, 2024 |
| May 2, 2024 | F-0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected May 18, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.83 (case-mix index 1.30).
| Direct owner |
| DIRECT OWNERSHIP INTEREST |
| not provided |
| Jan 20, 2006 |
| Kelly Johnson | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jan 20, 2006 |
| Ltc Accounting Services, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2020 |
| Premier Senior Management LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2020 |
| Reliant Rehabilitation Holdings Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2023 |
| Williams & Company PC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2023 |
| Tracey Long | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 14, 2021 |
| Mark Runde | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2020 |
| Ltc Accounting Services, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 24, 2025 |
| Premier Senior Management LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 25, 2025 |
| Williams & Company PC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 24, 2025 |
| Brian Elsesser | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2024 |
| Michelle Elsesser | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2024 |
| Doris Hamm | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2024 |
| Michael Hamm | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2020 |
| Douglas Johnson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2024 |
| Kelly Johnson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 20, 2006 |
| Tracey Long | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 14, 2021 |
| Mark Runde | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2020 |