Inspection Reports for The Rose of Dubuque
3390 Lake Ridge Dr, Dubuque, IA 52003, United States, IA, 52003
Back to Facility ProfileInspection Report Summary
The most recent inspection on August 11, 2025, found no deficiencies during the complaint investigation. Earlier inspections generally showed no regulatory insufficiencies, with only a few isolated deficiencies related mainly to service plans and documentation in reports from 2019 and before. Prior findings included issues with service plans not reflecting tenant needs, tenant rights concerns, staffing training, and food service sanitation, but no fines, immediate jeopardy findings, or license actions were listed in the available reports. Complaint investigations over time were consistently unsubstantiated, with no regulatory insufficiencies cited. The inspection history suggests improvement in compliance, particularly with recent inspections showing no deficiencies.
Deficiencies (last 11 years)
Deficiencies (over 11 years)
0.9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
80% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
69 residents
Based on a August 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Census: 69
Deficiencies: 0
Aug 11, 2025
Visit Reason
Investigation of Complaint #129988-C regarding the assisted living program at Rose of Dubuque.
Findings
No regulatory insufficiencies were cited during the investigation of the complaint.
Complaint Details
Complaint #129988-C was investigated and found to have no regulatory insufficiencies.
Report Facts
Number of tenants without cognitive impairment: 69
Number of tenants with cognitive impairment: 0
Total census: 69
Inspection Report
Renewal
Census: 64
Deficiencies: 0
Nov 25, 2024
Visit Reason
The visit was conducted as a recertification to determine compliance with certification rules for an Assisted Living Program and included an investigation of a complaint (#119690-C).
Findings
No regulatory insufficiencies were cited during the recertification visit or the complaint investigation.
Complaint Details
Complaint #119690-C was investigated and no regulatory insufficiencies were found.
Report Facts
Number of tenants without cognitive impairment: 64
Number of tenants with cognitive impairment: 0
Total census: 64
Inspection Report
Complaint Investigation
Census: 65
Deficiencies: 0
Feb 14, 2024
Visit Reason
Investigation of Complaint #116867-C regarding the assisted living program.
Findings
No regulatory insufficiencies were cited during the complaint investigation.
Complaint Details
Complaint #116867-C was investigated and found to have no regulatory insufficiencies.
Report Facts
Number of tenants without cognitive impairment: 65
Number of tenants with cognitive impairment: 0
Total census: 65
Inspection Report
Complaint Investigation
Census: 66
Deficiencies: 0
Jul 5, 2023
Visit Reason
Investigation of Complaint #113632-C and Complaint #113844-C at the assisted living facility.
Findings
No regulatory insufficiencies were cited during the investigation of the complaints.
Complaint Details
Investigation of Complaint #113632-C and Complaint #113844-C found no regulatory insufficiencies.
Report Facts
Number of tenants without cognitive impairment: 66
Number of tenants with cognitive impairment: 0
Total census: 66
Inspection Report
Complaint Investigation
Census: 67
Deficiencies: 0
Feb 13, 2023
Visit Reason
Investigation of Complaint #110854-C at the assisted living facility Rose of Dubuque.
Findings
No regulatory insufficiencies were cited during the complaint investigation.
Complaint Details
Complaint #110854-C was investigated and found to have no regulatory insufficiencies.
Report Facts
Number of tenants without cognitive impairment: 67
Number of tenants with cognitive impairment: 0
Total census: 67
Inspection Report
Renewal
Census: 61
Deficiencies: 0
Mar 3, 2022
Visit Reason
The inspection was conducted as a recertification to determine compliance with certification for an Assisted Living Program and included investigation of two complaints and one incident.
Findings
No regulatory insufficiencies were cited during the recertification or during the investigation of Complaint #98787-C, Incident #94794-I, and Complaint #98358-C.
Complaint Details
The investigation of Complaint #98787-C, Incident #94794-I, and Complaint #98358-C found no regulatory insufficiencies.
Report Facts
Number of tenants without cognitive disorder: 61
Number of tenants with cognitive disorder: 0
Total census: 61
Inspection Report
Complaint Investigation
Census: 67
Deficiencies: 0
Oct 6, 2020
Visit Reason
Investigation of Complaint #92767-C and an onsite infection control survey.
Findings
No regulatory insufficiencies were cited during the complaint investigation or the infection control survey.
Complaint Details
Complaint #92767-C was investigated and found to have no regulatory insufficiencies.
Report Facts
Number of tenants without cognitive disorder: 65
Number of tenants with cognitive disorder: 2
Total census: 67
Inspection Report
Complaint Investigation
Census: 63
Deficiencies: 1
Apr 4, 2019
Visit Reason
The inspection was conducted as an investigation of Complaint #81803-C regarding regulatory insufficiencies at the assisted living program.
Findings
The investigation found a deficiency related to service plans where the program failed to develop a service plan reflecting identified needs for one tenant with a managed risk agreement. No regulatory insufficiencies were found for Complaint #82057-C.
Complaint Details
Investigation of Complaint #81803-C resulted in a deficiency related to service plans. Complaint #82057-C had no regulatory insufficiencies identified.
Deficiencies (1)
| Description |
|---|
| The program failed to develop a service plan that reflected identified needs for one tenant reviewed with a managed risk agreement. |
Report Facts
Number of tenants without cognitive disorder: 62
Number of tenants with cognitive disorder: 1
Total census: 63
Date of managed risk agreement: Feb 14, 2019
Date of tenant signature on agreement: Mar 9, 2019
Date of administrator signature on agreement: Feb 14, 2019
Date of tenant's use of pendant: Feb 1, 2019
Date of interview: Apr 4, 2019
Date of compliance: May 3, 2019
Audit period: 2
Inspection Report
Complaint Investigation
Census: 65
Deficiencies: 5
Nov 20, 2018
Visit Reason
The inspection was conducted as part of a complaint investigation (#79081-C) and the recertification visit to determine compliance with certification for an Assisted Living Program.
Findings
Multiple regulatory insufficiencies were cited including violations of tenant rights, staffing training deficiencies, failure to follow involuntary transfer protocols, incomplete tenant documentation, inadequate service plans, and food service sanitation and safety issues. The provider contested some findings and submitted plans of correction.
Complaint Details
The complaint investigation (#79081-C) focused on tenant rights violations and other regulatory compliance issues. The provider contested some deficiencies, particularly tenant rights and involuntary transfer findings.
Deficiencies (5)
| Description |
|---|
| Tenant rights violations including restrictions on sharing food, bringing beverages, use of dining room, and tenant privacy concerns. |
| Staffing training deficiencies related to nurse delegation and dependent adult abuse training. |
| Failure to follow involuntary transfer protocol for tenants. |
| Incomplete tenant documentation including nurse's notes and service plans. |
| Food service sanitation and safe food handling training deficiencies. |
Report Facts
Number of tenants without cognitive disorder: 65
Number of tenants with cognitive disorder: 0
Total census: 65
Number of tenants at tenant meeting: 25
Number of tenants affected by tenant rights deficiency: 65
Number of direct care staff reviewed for nurse delegation training: 5
Number of staff reviewed for dependent adult abuse training: 7
Number of staff failing dependent adult abuse training: 2
Number of tenants reviewed for tenant documentation: 8
Number of tenants with incomplete service plans: 7
Number of tenants with reviewed files showing behavioral concerns: 4
Number of staff reviewed for food handling training: 7
Number of staff failing food handling training: 2
Inspection Report
Renewal
Census: 73
Deficiencies: 1
Nov 30, 2016
Visit Reason
The inspection was conducted as a recertification to determine compliance with certification for an Assisted Living Program.
Findings
The program failed to address tenants' identified needs and preferences for assistance in the service plans for 4 of 7 tenants reviewed, including failure to update service plans to reflect fall interventions, seizure precautions, hospice services, and post-surgery medication assistance.
Deficiencies (1)
| Description |
|---|
| The service plan failed to address the tenant's identified needs and preferences for assistance, including fall interventions and safety measures. |
Report Facts
Number of tenants without cognitive disorder: 73
Number of tenants with cognitive disorder: 0
Total Population of Program at time of on-site: 73
Tenants reviewed for service plan deficiencies: 7
Tenants with unmet service plan needs: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Signed the plan of correction on 12-9-16 |
Inspection Report
Complaint Investigation
Census: 67
Deficiencies: 0
Feb 3, 2015
Visit Reason
The inspection was conducted as a final complaint/incident investigation for complaint numbers 51687-C and 51689-I at Rose of Dubuque, Dubuque, IA.
Findings
No regulatory insufficiencies were cited during the investigations. Tenants were treated in a kind and considerate manner, and staffing was appropriate with service plans developed to meet tenant needs.
Complaint Details
The program reported incident (#51689-I) and complaint (#51687-C) were investigated and found to be not substantiated.
Report Facts
Number of tenants without cognitive disorder: 65
Number of tenants with cognitive disorder: 2
Total Population of Program at time of on-site: 67
Total census of Assisted Living Program: 67
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rose Boccella | Program Coordinator | Contact person for questions regarding the enclosed report |
Inspection Report
Monitoring
Census: 70
Deficiencies: 0
Nov 12, 2014
Visit Reason
The visit was conducted as a Final Recertification Monitoring Evaluation to determine compliance with certification for an Assisted Living Program.
Findings
No regulatory insufficiencies were found during the evaluation. The recertification documents were accepted, and the State Fire Marshal's inspection report and Facility Engineer's approval of evacuation plans were received.
Report Facts
Number of tenants without cognitive disorder: 70
Number of tenants with cognitive disorder: 0
Total Population of Program at time of on-site: 70
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rose Boccella | Program Coordinator | Signed letter regarding the Final Recertification Monitoring Evaluation Report |
Inspection Report
Complaint Investigation
Census: 71
Deficiencies: 0
Jun 16, 2014
Visit Reason
The inspection was conducted as a complaint/incident investigation regarding an allegation that a tenant had a large sum of cash ($1000) taken from her room by staff.
Findings
The investigation found no regulatory insufficiencies. Interviews with staff and tenants revealed no evidence of missing money or awareness of the alleged incident, and an exact timeframe or perpetrator could not be identified.
Complaint Details
The complaint alleged that Tenant #1 had $1000 taken from her room by staff. Tenant #1 reported the money missing after about three weeks. Staff and family were unaware of the money, and no evidence supported the allegation. No regulatory insufficiencies were noted.
Report Facts
Tenant age: 90
Cash amount alleged missing: 1000
Census: 71
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Wendy E. Kuhse | RN, BS | Monitor of the complaint/incident investigation |
Inspection Report
Monitoring
Census: 34
Deficiencies: 3
Mar 28, 2013
Visit Reason
The visit was a Final Initial Certification Monitoring Evaluation conducted to review regulatory insufficiencies and monitor compliance for the Assisted Living Program at Rose of Dubuque.
Findings
The report found regulatory insufficiencies related to individualized service plans, nurse reviews, and record checks. The facility submitted a plan of correction which was accepted, and certification will continue.
Deficiencies (3)
| Description |
|---|
| The service plan did not indicate preferences for nursing facility care. |
| Nurse reviews were not completed every 90 days related to health and medications, including ensuring prescription medications were current. |
| The record check evaluation by DHS was not completed prior to employment for a staff member. |
Report Facts
Number of tenants without cognitive disorder: 34
Number of tenants with cognitive disorder: 0
Total Population of Program at time of on-site: 34
Community meeting attendees: 12
Number of tenant files reviewed: 3
Number of staff files reviewed: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Cummins | Monitor | Conducted the monitoring visit |
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