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Nursing Home in Iowa

CMS overall rating Info 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.

Stonehill Care Center

Nursing Home in Iowa

CMS overall rating Info 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.

Stonehill Care Center

3485 Windsor Avenue, Dubuque, IA 520011312 View map
Overview of Stonehill Care Center
Stonehill Care Center is a senior living community located in Dubuque, Iowa. It offers a range of services including assisted living, memory care, post-acute care, and independent living. The community is dedicated to providing health and hope to those in need of care.
(563) 557-7180

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
3/5
Iowa average: 3.3/5
Health Inspection Info 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.
4/5
Iowa average: 3.0/5
Staffing Info 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.
1/5
Iowa average: 3.7/5
Quality Measures Info 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.
4/5
Iowa average: 3.5/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 11m per day

This home provides 28% less nursing time per resident than the Iowa average.

Iowa average: 4h 25m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 185

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Iowa average
Occupancy rate 85.4%
Residents per day (avg) 157
Occupancy rate
85.4%
Residents per day (avg)
157

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

87% of new residents, usually for short-term rehab.

Typical stay 20 days

Private pay

12% of new residents, often for short stays.

Typical stay 1 years

Medicaid

1% of new residents, often for long-term daily care.

Typical stay 10 years

Finances and operations

Voluntary non-profit community
Operated by a church.
Home revenue
$29.3M
Surplus of revenue
$1.8M
Voluntary non-profit community Operated by a church.
Home revenue
$29,287,952.00
Surplus of revenue
$1,759,077.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$14.2M
48.5% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$13.3M
Total costs $27.5M
Bed community size
185-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Years in operation
20 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

About this community

Occupancy

Occupancy rate
85%
In line with Iowa average
Occupied beds
158 / 185
Average residents 51 per day

License details

Facility type
Free Standing Nf/snf
Status Active
Issuance July 28, 2005
Expiration June 18, 2026
County: Dubuque

Additional licensing details

License number: 310824
CMS Certification Number: 165471
Certification type: FALSE

Ownership & operating entity

Stonehill Care Center is administrated by Matt Jahn.

Care Services

Nursing Services
Rehabilitation Services
Memory Care
Independent Living
Skilled Nursing

Contact Information

Fax: 5635578934

Amenities & Lifestyle

Wellness Center
Volunteer Opportunities
Caregiver Resource Center
Memory Care
Assisted Living
Independent Living
Post-Acute Care
Outpatient Therapy

Programs & Activities

Specific Programs
Assisted Living, Assisted Living Memory Care, Caregiver Resource Center, GUIDE Dementia Program, Independent Living, Long Term Care, Memory Care, Outpatient Therapy, Post-Acute Care, Stonehill at Home, Wellness Center, Class Schedule, Membership Options, Health Coaching, Personal Training, Volunteer Opportunities
Volunteer Programs
Yes
Contact Stonehill Care Center

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.

16 visits/inspections

Iowa average: 17 visits/inspections

Iowa average: 0 inspections

Latest inspection

Date October 15, 2025

4 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Iowa average: 27 deficiencies

Inspection Report Summary for Stonehill Care Center

The most recent inspection on October 14, 2025 found the facility to be in substantial compliance with no deficiencies cited. Earlier inspections showed a mixed record, with the August 7, 2025 annual survey identifying deficiencies related to medication administration errors and infection prevention practices. Prior reports noted issues with care planning and supervision that led to resident falls, and some substantiated complaints related to those areas. Complaint investigations were generally unsubstantiated, with the exception of the substantiated fall-related complaints in mid-2023. The facility’s record shows some improvement following the 2025 deficiencies, with the latest complaint investigation indicating compliance.

Health Inspection History

Inspections
Total health inspections 2

Iowa average 4.9


Last Health inspection on Aug 2025

Total health citations 4

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.

2 of 4 citations resulted from standard inspections; and 2 of 4 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Iowa average

Iowa average: 0.6


Serious Health citations More info 0
100% better than Iowa average

Iowa average: 0.9

0 critical citations More info Iowa average: 0.6

0 serious citations More info Iowa average: 0.9

4 moderate citations More info Iowa average: 19.7

0 minor citations More info Iowa average: 0.5
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Aug 07, 2025
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Aug 07, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Jun 08, 2023
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Jun 08, 2023
Corrected

Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.

5 facilities compared · CMS & IA Dept. of Health data · Updated Apr 2026

Filter by care type
Akron Care Center, INC
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).

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.

Akron
45
98.1%
+30%
4.71
+15%
+10%
0
4
2.0
0
42
City Of Akron
$4.7M
$2.1M
46.1%
165595
Accura HealthCare of Carlisle
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).

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.

Carlisle
46
80.5%
+7%
5.85
-40%
+36%
0
17
5.7
2
39
American Healthcare Associates Inc
$4.1M
$2.5M
59.9%
165311
Stonehill Care 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).

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.

Dubuque
185
85.6%
+13%
3.18
0%
-26%
0
4
2.0
0
157
Stockel, Peggy
$27.7M
$14.2M
51.3%
165471
Accura Healthcare of Spirit Lake
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).

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.

Spirit Lake
85
66.6%
-12%
4.29
-8%
0%
1
21
7.0
1
65
-
$7.1M
$3.0M
42.7%
165528
Accura Healthcare of Lake City, LLC
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).

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.

Lake City
46
70.4%
-7%
5.17
-33%
+20%
4
39
3.9
4
40
Accura Healthcare Of The Heartland Llc
$2.0M
$1.0M
47.4%
165082

Places of interest near Stonehill Care Center

Address 0.0 miles from city center

Address 3485 Windsor Avenue, Dubuque, IA 520011312

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 267
Employees 244
Contractors 23
Staff to resident ratio 1.69:1
15% worse than Iowa average

Iowa average ratio: 2.00:1

Avg staff/day 68
Average shift 7.8 hours
5% better than Iowa average

Iowa average: 7.4 hours

Total staff hours (quarter) 47,619
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 31
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 17
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 121
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.3 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

10.7%

5,101 contractor hours this quarter

Respiratory Therapy Technician: 7 Physical Therapy Aide: 4 Physical Therapy Assistant: 4 Speech Language Pathologist: 3 Qualified Social Worker: 2 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant121012117,0236168%7.3
Medication Aide/Technician410419,8066168%8.5
Registered Nurse310315,7106168%9.2
Licensed Practical Nurse170173,3976168%10
Clinical Nurse Specialist140142,6096168%8.4
Respiratory Therapy Technician0771,3768392%6.5
Physical Therapy Aide0441,2776774%6.1
Other Dietary Services Staff8081,1315359%6.5
Mental Health Service Worker3039694853%7.9
Nurse Aide in Training6068955864%7.7
Qualified Social Worker0228316572%7.2
Speech Language Pathologist0337966572%4.9
Nurse Practitioner2026444348%8
Occupational Therapy Aide0114056471%6.3
Administrator1013364247%8
Physical Therapy Assistant0443165662%5.4
Occupational Therapy Assistant011972427%4.1
Medical Director011211%2
121 Certified Nursing Assistant
% of Days 68%
41 Medication Aide/Technician
% of Days 68%
31 Registered Nurse
% of Days 68%
17 Licensed Practical Nurse
% of Days 68%
14 Clinical Nurse Specialist
% of Days 68%
7 Respiratory Therapy Technician
% of Days 92%
4 Physical Therapy Aide
% of Days 74%
8 Other Dietary Services Staff
% of Days 59%
3 Mental Health Service Worker
% of Days 53%
6 Nurse Aide in Training
% of Days 64%
2 Qualified Social Worker
% of Days 72%
3 Speech Language Pathologist
% of Days 72%
2 Nurse Practitioner
% of Days 48%
1 Occupational Therapy Aide
% of Days 71%
1 Administrator
% of Days 47%
4 Physical Therapy Assistant
% of Days 62%
1 Occupational Therapy Assistant
% of Days 27%
1 Medical Director
% of Days 1%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
158 residents
Residents by payment source
Medicare
33 residents (20.9%)
Medicaid
57 residents (36.1%)
Private pay or other
68 residents (43%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.1
12% better than Iowa average

Iowa average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 19.7
9% better than Iowa average

Iowa average: 21.6

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 17.5%
7% better than Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 17.0%
14% better than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 24.5%
7% better than Iowa average

Iowa average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.6%
56% worse than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.9%
33% better than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.5%
41% worse than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.3%
55% better than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 2.4%
38% better than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 25.5%
34% worse than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.8%
6% better than Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.2%
In line with Iowa average

Iowa average: 95.3%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 91.5%
8% better than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 3.0%
61% worse than Iowa average

Iowa average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 93.6%
28% better than Iowa average

Iowa average: 73.3%

Guides for Better Senior Living

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Financial Aid for Iowa Seniors

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Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Iowa Family Caregiver Support

IA NFCSP

Caregiver of someone 60+, Iowa resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited slots; rural emphasis.

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled, Iowa resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR, Medicaid-eligible).

$2,000 (individual), $3,000 (couple).

Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Senior Community Service Employment Program (SCSEP)

Iowa SCSEP

Age 55+, unemployed, low-income, Iowa resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

Able Up Iowa

Able Up Iowa

Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.

No strict limit; must demonstrate repayment capacity.

Not specified; credit-based.

Loans up to $25,000; statewide via Easterseals partnership.

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