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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Surrounded by thriving local amenities in Dubuque, IA, Bethany Home Retirement Center is an outstanding community that offers independent living, memory care, and rehabilitation. Featuring purposely built and spacious one- and two-bedroom floor plans, the community ensures residents are comfortable and safe. Housekeeping, laundry, and maintenance are taken care of, providing residents more time to do the things they love.
A variety of recreational activities and engaging programs are conducted to keep residents active and socially connected. With a food service program, residents enjoy delightful and healthy meals that cater to their dietary needs and preferences. The community also offers wellness services to improve residents’ living experiences. Residents are guaranteed the finest retirement experience amidst the community’s vibrant and welcoming environment.
Joan Hoerner serves as the Administrator at Bethany Home Retirement Center. She leads the community with a focus on providing compassionate care and support to residents, ensuring a warm and welcoming environment for all.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 114th out of 224 homes in Iowa.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 40m per day |
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
34% of new residents, usually for short-term rehab.
57% of new residents, often for short stays.
9% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #36 / 226Payroll — state benchmarkedThis home is ranked 36th out of 226 homes in Iowa.Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Iowa average: 75.4%Bethany Home Retirement Center is administrated by Susan Westmark.
Housing Options: 1 Bed / 2 Bed
Building Type: 3-story
Dining Services
Housekeeping Services
Social and Recreational Activities
Wellness Programs
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 6 | 27 | This facility has 78% fewer total deficiencies than a typical Iowa assisted living residence (6 vs. IA avg 27).↓ 78% better |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 1 | 4.5 | This facility has 78% fewer deficiencies per year than a typical Iowa assisted living residence (1 vs. IA avg 4.5).↓ 78% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 0.5 | 1.8 | This facility has 72% fewer deficiencies per inspection than a typical Iowa assisted living residence (0.5 vs. IA avg 1.8).↓ 72% better |
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 12 | 15 | This facility has 20% fewer total inspections than a typical Iowa assisted living residence (12 vs. IA avg 15).↓ 20% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on August 5, 2025 found the facility to be in substantial compliance following a complaint investigation. Earlier inspections generally showed the facility meeting regulatory requirements, with the exception of a March 30, 2023 annual inspection that cited deficiencies related to medication administration and dietary staff compliance with food safety. Prior reports from December 2021 noted deficiencies involving medication administration, resident supervision, and food service, including an immediate jeopardy finding related to resident elopement that was addressed with corrective actions. Complaint investigations were mostly unsubstantiated, and no fines, license suspensions, or enforcement actions were listed in the available reports. The inspection history suggests improvement over time, with recent surveys showing compliance after earlier issues were corrected.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIowa average 4.9
Last Health inspection on Mar 2023
Iowa average 21.7
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 2 citations resulted from standard inspections.
100% better than Iowa averageIowa average: 0.6
0
100% better than Iowa averageIowa average: 0.9
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 30, 2023
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 30, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Bethany Home Retirement Center is located in Dubuque, Iowa.
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1.2 miles from city center
Estimated distance in miles from Dubuque's city center to Bethany Home Retirement Center's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
21% worse than Iowa averageIowa average ratio: 2.00:1
0% compared with Iowa averageIowa average: 7.4 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursNo contractors work on this role.
Total hours from contractors
738 contractor hours this quarter
| Certified Nursing Assistant | 63 | 0 | 63 | 18,052 | 91 | 100% | 7.1 |
| Registered Nurse | 11 | 0 | 11 | 4,511 | 91 | 100% | 7.6 |
| Licensed Practical Nurse | 9 | 0 | 9 | 2,628 | 89 | 98% | 8.1 |
| Nurse Practitioner | 2 | 0 | 2 | 896 | 65 | 71% | 8.1 |
| Other Dietary Services Staff | 3 | 0 | 3 | 704 | 68 | 75% | 6.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 460 | 55 | 60% | 8.4 |
| Dietitian | 1 | 0 | 1 | 446 | 58 | 64% | 7.7 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 413 | 55 | 60% | 7.5 |
| Administrator | 1 | 0 | 1 | 405 | 54 | 59% | 7.5 |
| Speech Language Pathologist | 0 | 2 | 2 | 136 | 35 | 38% | 3.8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 124 | 24 | 26% | 5.2 |
| Physical Therapy Aide | 0 | 1 | 1 | 124 | 43 | 47% | 2.9 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 112 | 31 | 34% | 3.6 |
| Medication Aide/Technician | 1 | 0 | 1 | 99 | 9 | 10% | 11 |
| Qualified Social Worker | 0 | 1 | 1 | 97 | 57 | 63% | 1.7 |
| Physical Therapy Assistant | 0 | 1 | 1 | 73 | 20 | 22% | 3.7 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 71 | 26 | 29% | 2.4 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
66Part of a Continuing Care Retirement Community offering multiple care levels
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.0
32% better than Iowa averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.7
37% better than Iowa averageIowa average: 21.6
Percent of long-stay residents whose need for help with daily activities has increased
11.8%
37% better than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
9.4%
52% better than Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.9%
24% better than Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
22% better than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
6.9%
58% worse than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
4.0%
20% better than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
15.5%
19% better than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.5%
In line with Iowa averageIowa average: 95.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
18% better than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
5.0%
93% worse than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Bethany Home Retirement Center |
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Dubuque (Eagle Point District) | 66 | No | 69 | 1 Bed / 2 Bed | - | 100.0% | 12 | 4 | 2 |
| Mount Carmel Bluffs |
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Dubuque (South Switch Junction) | 60 | No | 2 | 1 Bed / 2 Bed | 5 | 93.3% | 10 | 2 | 2 |
| Applewood IV Senior Apartments |
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Dubuque | - | No | 62 | 1 Bed / 2 Bed | - | - | - | - | - |
| Asbury Senior Apartments |
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Dubuque | - | Yes | 53 | 1 Bed / 2 Bed | - | - | - | - | - |
| Windsor Park Retirement Apartments |
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Dubuque | - | No | 20 | 1 Bed / 2 Bed | - | - | - | - | - |
Historical financial and operational data for Bethany Home Retirement Center based on CMS SNF Cost Reports.
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Bethany Home Retirement Center is in the Eagle Point District neighborhood of Dubuque.
Bethany Home Retirement Center has a walk score of 69. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to IA state health department records, Bethany Home Retirement Center's license number is 310307.
According to IA state health department records, Bethany Home Retirement Center's license expires on March 19, 2026.
Bethany Home Retirement Center's occupancy is 100%.
The team at Bethany Home Retirement Center can be reached at [email protected].
Susan Westmark is the administrator of Bethany Home Retirement Center.
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