Iowa › Dubuque County › Dubuque
Luther Manor At Hillcrest
3131 Hillcrest Road, Dubuque, IA 52001
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Luther Manor At Hillcrest is a For-profit, corporation nursing home in Dubuque, Iowa, certified for 103 beds and caring for about 91 residents a day.
CMS gives it 1 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 1, staffing 4 and quality measures 2.
Inspectors recorded 24 health deficiencies across the three most recent survey cycles (15, 4, 5 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 23.3 per 100 beds, about the same as the state median of 27.5.
CMS lists 3 penalties in the period covered: fines totalling $42K and 1 payment denial.
Reported nurse staffing is 4.5 hours per resident per day (0.7 RN), close to the Iowa median of 3.7; nursing staff turnover is 54.3%.
Compared with county, state and nation
| Measure | This facility | Dubuque Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 24 | 10 | 16 | 28.7 |
| Citations per 100 beds | 23.3 | 15.0 | 27.5 | 26.8 |
| Total nurse hours per resident day | 4.5 | 4.3 | 3.7 | 3.9 |
| RN hours per resident day | 0.7 | 0.9 | 0.7 | 0.7 |
| Nursing staff turnover | 54.3% | 38.4% | 41.9% | 45.8% |
| Fines listed | $42,406 | $0 | $0 | — |
County and state figures are medians across facilities (12 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 Feb 2026, 17 Oct 2024.
Severity mix: G ×3 D ×12 E ×4 F ×4 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 12 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 6 Mar 2026 |
| 12 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 6 Mar 2026 |
| 12 Feb 2026 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 6 Mar 2026 |
| 12 Feb 2026 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 6 Mar 2026 |
| 12 Feb 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 6 Mar 2026 |
| 12 Feb 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 6 Mar 2026 |
| 12 Feb 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 6 Mar 2026 |
| 12 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 6 Mar 2026 |
| 12 Feb 2026 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | D | Complaint investigation | 6 Mar 2026 |
| 12 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 6 Mar 2026 |
| 12 Feb 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 6 Mar 2026 |
| 12 Feb 2026 | F0732 | Post nurse staffing information every day. | C | Standard survey | 6 Mar 2026 |
| 23 Oct 2025 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 24 Oct 2025 |
| 18 Sep 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 2 Oct 2025 |
| 18 Sep 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 1 Sep 2025 |
| 30 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 23 Jan 2025 |
| 30 Dec 2024 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Complaint investigation | 23 Jan 2025 |
| 17 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 31 Oct 2024 |
| 14 Aug 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 29 Aug 2024 |
| 2 Nov 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 13 Nov 2023 |
| 2 Nov 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 13 Nov 2023 |
| 25 Sep 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 10 Oct 2023 |
| 25 Sep 2023 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 10 Oct 2023 |
| 25 Sep 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 10 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 12 Feb 2026 | Fine | $34,125 | |
| 25 Jul 2025 | Payment denial | — | 34 days |
| 25 Jul 2025 | Fine | $8,281 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 54.3%, RNs 57.9%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 25.5% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.7% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.9% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.4% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.8% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.1% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 34.2% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. CMS groups this facility with 10 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: Hillcrest Opco Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Stellar Healthcare Mgmt LLC | Operational/managerial control | NOT APPLICABLE | 11/01/2024 |
| 3131 Hillcrest Propco LLC | Adp of the snf | NOT APPLICABLE | 11/01/2024 |
| LTC Consulting Services LLC | Adp of the snf | NOT APPLICABLE | 11/01/2024 |
| Midwest SNF Holdings LLC | Adp of the snf | NOT APPLICABLE | 11/01/2024 |
| Stellar Healthcare Mgmt LLC | Adp of the snf | NOT APPLICABLE | 11/01/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Dubuque County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Bethany Home | Dubuque | 66 | 5 | 4 | 5 | 1 | 1.5 | — | 18 Jun 2026 |
| Ennoble Nursing and Rehab | Dubuque | 85 | 5 | 5 | 4 | 2 | 2.4 | — | 18 Jul 2024 |
| Mercyone Dyersville Senior Care | Dyersville | 40 | 5 | 5 | 5 | 6 | 15.0 | — | 7 Nov 2024 |
| Mount Carmel Bluffs | Dubuque | 60 | 5 | 4 | 5 | 7 | 11.7 | — | 26 Feb 2026 |
| Stonehill Care Center | Dubuque | 185 | 4 | 4 | 4 | 4 | 2.2 | — | 7 Aug 2025 |
| Sunnycrest Manor | Dubuque | 77 | 4 | 4 | 4 | 14 | 18.2 | — | 5 Mar 2026 |
| Hawkeye Care Center Dubuque | Asbury | 80 | 3 | 3 | 3 | 10 | 12.5 | — | 18 Sep 2025 |
| Accura Healthcare of Cascade LLCabuse icon | Cascade | 46 | 2 | 2 | 4 | 5 | 10.9 | — | 28 May 2026 |
All 12 facilities in Dubuque County
Questions and answers
How many deficiencies has Luther Manor At Hillcrest been cited for?
24 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Luther Manor At Hillcrest been fined?
Yes. CMS lists fines totalling $42K in the period covered, plus 1 payment denial.
How does staffing at Luther Manor At Hillcrest compare?
Reported total nurse staffing is 4.5 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Luther Manor At Hillcrest?
CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Stellar Healthcare Mgmt LLC. Individual owners and managers are not listed on this site.
When was Luther Manor At Hillcrest last inspected?
The most recent survey or investigation in the CMS record is dated 12 Feb 2026; the most recent standard health survey was 12 Feb 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.