PlainNursing
CMS Nursing Home Compare · March 2026

Dubuque Specialty Care

Dubuque Specialty Care is a non profit - corporation facility in Dubuque, IA with 84 certified beds and a 2-star overall CMS rating. The inspection file holds 25 deficiency records. Total penalties: $53K.

2935 Kaufmann Avenue, Dubuque, IA 52001

Phone: 5635560673

Overall CMS Rating

2/5

vs 3.0 national avg

The verdict

Dubuque Specialty Care holds a 2-star CMS overall rating — below the 3.0-star national average, with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall rating (nat'l avg 3.0)
3.16
Nursing hrs/resident-day (nat'l 3.89)
25
Inspection findings on file · 3 serious
$53K
Federal penalties (1)

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating. Read the components below — they often tell a sharper story than the headline.

Health Inspection

2/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

3/5

Facility Information

Provider Number
165228
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
84
Residents
52
In Hospital
No
County
Dubuque
Last Inspection
Jul 30, 2025

Staffing Data

RN Hours
0.57 (nat'l avg: 0.68)
LPN Hours
0.59
CNA Hours
2.00
Total Nursing Hours
3.16 (nat'l avg: 3.89)
PT Hours
0.09
Nursing Turnover
56.9%
RN Turnover
58.3%

What the CMS Record Reveals About Dubuque Specialty Care

Dubuque Specialty Care operates 84 certified beds in Dubuque, IA with approximately 52 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (3★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 25 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $53K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.16 total nursing hours per resident day (national average 3.89), with RN coverage at 0.57 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Dubuque Specialty Care falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 56.9%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (25 most recent)

D — Isolated - Minimal harm Jul 30, 2025 Tag: 0740

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 28, 2025

D — Isolated - Minimal harm Jul 30, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 28, 2025

F — Widespread - Minimal harm Jul 30, 2025 Tag: 0865

Have a plan that describes the process for conducting QAPI and QAA activities.

Category: Administration Deficiencies

Corrected: Aug 28, 2025

D — Isolated - Minimal harm Jul 30, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 28, 2025

D — Isolated - Minimal harm Jul 30, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Aug 28, 2025

D — Isolated - Minimal harm Jul 30, 2025 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 28, 2025

D — Isolated - Minimal harm Jul 30, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 28, 2025

D — Isolated - Minimal harm Jul 30, 2025 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 28, 2025

D — Isolated - Minimal harm Jul 15, 2024 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Aug 6, 2024

E — Pattern - Minimal harm Jul 15, 2024 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 6, 2024

D — Isolated - Minimal harm Jul 15, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 6, 2024

D — Isolated - Minimal harm Jul 15, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 6, 2024

E — Pattern - Minimal harm Jul 15, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 6, 2024

B — Pattern - No harm Jul 15, 2024 Tag: 0625

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Category: Resident Rights Deficiencies

Corrected: Aug 6, 2024

D — Isolated - Minimal harm Jul 15, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Aug 6, 2024

D — Isolated - Minimal harm Jul 15, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Aug 6, 2024

D — Isolated - Minimal harm Jul 15, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 6, 2024

E — Pattern - Minimal harm Jul 15, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 6, 2024

G — Isolated - Actual harm Jul 15, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 6, 2024

D — Isolated - Minimal harm Jul 15, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 6, 2024

B — Pattern - No harm Jul 15, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Aug 6, 2024

D — Isolated - Minimal harm Jul 15, 2024 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Aug 6, 2024

G — Isolated - Actual harm Oct 24, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 4, 2023

G — Isolated - Actual harm Feb 9, 2023 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 23, 2023

D — Isolated - Minimal harm Feb 9, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 26, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 5.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.0% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.1% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 4.3% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 5.4% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 82.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 45.7% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 19.6% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 25.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 94.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 51.5% No
Percentage of long-stay residents with pressure ulcers Long Stay 2.0% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 27.4% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 27.3% Yes

Penalty History 1 penalties totaling $53K

Date Type Amount
Jul 15, 2024 Fine $53K
Jul 15, 2024 Payment Denial -

Frequently Asked Questions

What is the overall CMS rating for Dubuque Specialty Care?
Dubuque Specialty Care has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (3★), and quality measures (4★).
What are the staffing levels at Dubuque Specialty Care?
Dubuque Specialty Care reports 3.16 total nursing hours per resident day (national average: 3.89). RN hours are 0.57 per resident day (national average: 0.68). Nursing staff turnover is 56.9%.
How many beds does Dubuque Specialty Care have?
Dubuque Specialty Care has 84 certified beds with approximately 52 residents. The facility is located at 2935 Kaufmann Avenue, Dubuque, IA 52001.
Does Dubuque Specialty Care have any deficiencies on record?
Yes, Dubuque Specialty Care has 25 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has Dubuque Specialty Care received any fines or penalties?
Yes, Dubuque Specialty Care has received 1 penalties totaling $53K.
Who owns Dubuque Specialty Care?
Dubuque Specialty Care is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Dubuque Specialty Care last inspected?
The most recent health inspection for Dubuque Specialty Care was on Jul 30, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Dubuque Specialty Care?
Dubuque Specialty Care is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.