Occupancy rate
102%
In line with Iowa averageMix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Bethany Home Retirement Center
Senior Living in Dubuque
CMS overall rating
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.
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.
Bethany Home Retirement Center
Senior Living in Dubuque
CMS overall rating
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.
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.
Overview of Bethany Home Retirement Center
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.
Quality ratings
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 122nd out of 240 homes in Iowa.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 122nd out of 240 homes in Iowa.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 11m per day
vs Iowa avg
-5%
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
66
Avg. Length of Stay
519 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
34% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
57% of new residents, often for short stays.
Typical stay
3 - 4 years
Medicaid
9% of new residents, often for long-term daily care.
Typical stay
4 - 5 years
Finances and operations
Voluntary non-profit community
Home revenue
$9.8M
Operating deficit
-$18.4K
Voluntary non-profit community
Home revenue
$9.8M
Operating deficit
-$18.4K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$10.0M
66-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score: 69 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
Occupancy
In line with Iowa averageOccupied beds
67 / 66
Average residents
51 per day
IssuanceMarch 19, 2025
ExpirationMarch 19, 2026
CountyDubuque
License Number310307
Year Opened03/19/1959
CMS Certification Number165584
Bethany Home Retirement Center is administrated by Susan Westmark.
Rehabilitation Services
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Email
[email protected]
Fax5635563078
Fully-Equipped Wellness Center
Robust Social Calendar
Delicious Dining
Groundskeeping And Maintenance
Timely Housekeeping And Laundry Services
24/7 On-Site Nursing Staff
Specific ProgramsHealthcare, Therapy/Rehabilitation, Activities, Food Service, Groundskeeping, Housekeeping/Laundry
Food DescriptionDelicious dining with a robust menu offering a variety of meals.
What does this home offer?
Housing Options: 1 Bed / 2 Bed
Building Type: 3-story
Dining Services
Housekeeping Services
Social and Recreational Activities
Wellness Programs
Types of Care at Bethany Home Retirement Center
Independent Living
Memory Care
Inspection History
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.
12 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
4 visits/inspections triggered by complaints
Breakdown by inspection type
- 6 renewal/recertification inspections
- 4 complaint investigations
- 2 incident investigations
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date
August 5, 2025
Inspection history
08/05/2025
Complaint
05/01/2025
Recertification
09/27/2024
Complaint
06/27/2024
Recertification
04/23/2024
Complaint, Incident
04/19/2023
Recertification Revisit, Complaint Revisit
Yes
03/30/2023
Recertification, Complaint
02/02/2022
Recertification Revisit, Incident Revisit
Yes
12/14/2021
Recertification, Incident
12/10/2020
FIC
10/20/2020
Complaint, Incident, FIC
06/09/2020
FIC
6 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Iowa average: 27 deficiencies
Inspection Report Summary for Bethany Home Retirement Center
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.
Health Inspection History
Inspections
Total health inspections
1
Iowa average 4.9
Last Health inspection on Mar 2023
Total health citations
2
Iowa average 21.7
Citations per inspection
2
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.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
0 critical citations
0 serious citations
2 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 30, 2023
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 30, 2023
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 30, 2023
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.
Compare Senior Living around Dubuque The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
| Bethany Home Retirement Center |
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).
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.
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) | 117 | No | 69 | 1 Bed / 2 Bed | - | 100.0% | - | 12 | 4 | 2 |
| Mount Carmel Bluffs |
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).
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.
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 | - | - | - | 0 | 0 | 0 |
| 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 | - | - | - | 0 | 0 | 0 |
| Windsor Park Retirement Apartments |
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.
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.
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 | - | - | - | 0 | 0 | 0 |
Financial Assistance for
Senior Living in Iowa
Get Financial aid guidance
Places of interest near Bethany Home Retirement Center
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.
Calculate Travel Distance to Bethany Home Retirement Center
Add your location
Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
104
Employees
93
Contractors
11
Staff to resident ratio
1.58:1
21% worse than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
45
Average shift
7.2 hours
0% compared with Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
29,351
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
63
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
2.5%
738 contractor hours this quarter
Respiratory Therapy Technician: 3
Occupational Therapy Assistant: 2
Speech Language Pathologist: 2
Qualified Social Worker: 1
Physical Therapy Aide: 1
Occupational Therapy Aide: 1
Physical Therapy Assistant: 1
Staff by category
| 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 |
63 Certified Nursing Assistant
% of Days
100%
11 Registered Nurse
% of Days
100%
9 Licensed Practical Nurse
% of Days
98%
2 Nurse Practitioner
% of Days
71%
3 Other Dietary Services Staff
% of Days
75%
1 Mental Health Service Worker
% of Days
60%
1 Dietitian
% of Days
64%
1 Clinical Nurse Specialist
% of Days
60%
1 Administrator
% of Days
59%
2 Speech Language Pathologist
% of Days
38%
1 Occupational Therapy Aide
% of Days
26%
1 Physical Therapy Aide
% of Days
47%
3 Respiratory Therapy Technician
% of Days
34%
1 Medication Aide/Technician
% of Days
10%
1 Qualified Social Worker
% of Days
63%
1 Physical Therapy Assistant
% of Days
22%
2 Occupational Therapy Assistant
% of Days
29%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
66
Medicare
1
1.5% of residents
Medicaid
11
16.7% of residents
Private pay or other
54
81.8% of residents
Programs & Services
CCRC
Part 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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.0
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.7
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
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
11.8%
Percent of long-stay residents whose need for help with daily activities has increased
11.8%
37% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
9.4%
Percent of long-stay residents whose ability to move independently worsened
9.4%
52% better than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.9%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
22% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.9%
Percent of long-stay high risk residents with pressure ulcers
6.9%
58% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.0%
Percent of long-stay residents who lose too much weight
4.0%
20% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
15.5%
Percent of long-stay residents who received an antipsychotic medication
15.5%
19% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.5%
In line with Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
18% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
5.0%
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.
Financial Trends
Historical financial and operational data for Bethany Home Retirement Center based on CMS SNF Cost Reports.
Occupancy Rate
93.5%
↓ 4.1pp vs 2022
Net Income
-$18.4K
↑ ~$918.0K vs 2022
Total Payroll
$6.3M
↑ ~$216.4K vs 2022
Profit Margin
-0.2%
↑ 11.0pp vs 2022
Loading trend charts...
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Contact Us
Planning a tour? Check our touring checklist.
Thinking of living here? We can help you speak to a current resident
Looking for a job? Apply for Open Positions at Bethany Home Retirement Center
Thinking about senior living? Use our bidding system to get competitive quotes from the best homes in your area.
Touring Checklist for Senior Living
Touring a community? Use this expert-backed checklist to stay organized, ask the right questions, and find the perfect fit.
Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
0/250
Send Checklist to Your Email
We'll send you a PDF version of the touring checklist.
Feedback
Write a review for Bethany Home Retirement Center
Rate your overall experience with this community
Explore Open Rooms
1
Contact details
2
What type of senior care service are you looking for?
3
What budget do you have in mind for senior care?
4
How soon do you need to find care?
5
Additional details
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
Need Help?
Let us help you or a loved one find the perfect senior home.
