PlainNursing
CMS Nursing Home Compare · August 2026

Luther Manor at Hillcrest

3131 Hillcrest Road, Dubuque, IA 52001 · All homes in Dubuque

Luther Manor at Hillcrest, a 103-bed for profit - corporation nursing facility in Dubuque, IA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #334 of 385 rated homes in IA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

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.

Phone: 5635881413

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1 / 5
Much below average · CMS overall · nat'l 3.0
#334 of 385
In-state rank among rated IA homes
4.49
Well above average · nurse hrs/day · nat'l 3.86
24
Inspection findings · 3 serious

The verdict

Luther Manor at Hillcrest, a 103-bed for profit - corporation nursing facility in Dubuque, IA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #334 of 385 rated homes in IA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#334 of 385
In-state rank among rated IA homes
4.49
Nurse hrs/resident-day · national 3.86
24
Inspection findings · 3 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 387 IA nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

4/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
165513
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
103
Residents
91
In Hospital
No
County
Dubuque
Last Inspection
Feb 12, 2026

Staffing Data

How the 4.49 total nursing hours per resident-day are staffed:

RN Hours
0.66 (nat'l avg: 0.69)
LPN Hours
0.38
CNA Hours
3.45
Total Nursing Hours
4.49 (nat'l avg: 3.86)
PT Hours
0.04
Nursing Turnover
54.3%
RN Turnover
57.9%

What the CMS Record Reveals About Luther Manor at Hillcrest

According to CMS Nursing Home Compare, Luther Manor at Hillcrest ranks #334 of 385 rated nursing homes in IA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Luther Manor at Hillcrest operates 103 certified beds in Dubuque, IA with approximately 91 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 4★ · quality 2★).

The inspection file contains 24 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 2 times by CMS, for a combined $42K. Reported nurse staffing runs 4.49 total hours per resident day (national average 3.86); RN hours specifically are 0.66 per resident day.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Luther Manor at Hillcrest falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 54.3% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.

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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

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 the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (24 most recent)

C - Widespread - No harm Feb 12, 2026 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 6, 2026

D - Isolated - Minimal harm Feb 12, 2026 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Mar 6, 2026

D - Isolated - Minimal harm Feb 12, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 6, 2026

D - Isolated - Minimal harm Feb 12, 2026 Tag: 0809

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 6, 2026

D - Isolated - Minimal harm Feb 12, 2026 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 6, 2026

D - Isolated - Minimal harm Feb 12, 2026 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 6, 2026

D - Isolated - Minimal harm Feb 12, 2026 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Mar 6, 2026

D - Isolated - Minimal harm Feb 12, 2026 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: Mar 6, 2026

E - Pattern - Minimal harm Feb 12, 2026 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: Mar 6, 2026

F - Widespread - Minimal harm Feb 12, 2026 Tag: 0865

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

Category: Administration Deficiencies

Corrected: Mar 6, 2026

F - Widespread - Minimal harm Feb 12, 2026 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: Mar 6, 2026

G - Isolated - Actual harm Feb 12, 2026 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: Mar 6, 2026

G - Isolated - Actual harm Oct 23, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Oct 24, 2025

D - Isolated - Minimal harm Sep 18, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Sep 1, 2025

G - Isolated - Actual harm Sep 18, 2025 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 2, 2025

D - Isolated - Minimal harm Dec 30, 2024 Tag: 0865

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

Category: Administration Deficiencies

Corrected: Jan 23, 2025

F - Widespread - Minimal harm Dec 30, 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: Jan 23, 2025

F - Widespread - Minimal harm Oct 17, 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: Oct 31, 2024

E - Pattern - Minimal harm Aug 14, 2024 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 29, 2024

E - Pattern - Minimal harm Nov 2, 2023 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 13, 2023

E - Pattern - Minimal harm Nov 2, 2023 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: Nov 13, 2023

D - Isolated - Minimal harm Sep 25, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Oct 10, 2023

D - Isolated - Minimal harm Sep 25, 2023 Tag: 0638

Assure that each resident’s assessment is updated at least once every 3 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 10, 2023

D - Isolated - Minimal harm Sep 25, 2023 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: Oct 10, 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 25.5% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.7% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.9% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 16.8% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 4.1% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 34.2% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.6% No
Percentage of long-stay residents who have depressive symptoms Long Stay 14.8% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 43.3% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 21.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 68.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 31.2% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 40.3% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 40.9% No

Penalty History 2 penalties totaling $42K

Date Type Amount
Feb 12, 2026 Fine $34K
Jul 25, 2025 Fine $8K
Jul 25, 2025 Payment Denial -

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Luther Manor at Hillcrest, both outside IA so the neighborhoods are not the same-state geography list below.

What the CMS records show for Luther Manor at Hillcrest

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The IA registry aggregates state averages and the highest-rated homes in this cohort. View IA registry
  • Peer homes near 103 beds show how CMS stars vary at a similar scale in IA. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Luther Manor at Hillcrest?
Luther Manor at Hillcrest has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (4★), and quality measures (2★).
Where does Luther Manor at Hillcrest rank among nursing homes in IA?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Luther Manor at Hillcrest ranks 334th among 385 rated nursing homes in IA (#334 of 385). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Luther Manor at Hillcrest?
Luther Manor at Hillcrest reports 4.49 total nursing hours per resident day (national average: 3.86). RN hours are 0.66 per resident day (national average: 0.69). Nursing staff turnover is 54.3%.
How many beds does Luther Manor at Hillcrest have?
Luther Manor at Hillcrest has 103 certified beds with approximately 91 residents. The facility is located at 3131 Hillcrest Road, Dubuque, IA 52001.
Does Luther Manor at Hillcrest have any deficiencies on record?
Yes, Luther Manor at Hillcrest has 24 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has Luther Manor at Hillcrest received any fines or penalties?
Yes, Luther Manor at Hillcrest has received 2 penalties totaling $42K.
Who owns Luther Manor at Hillcrest?
Luther Manor at Hillcrest is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Luther Manor at Hillcrest last inspected?
The most recent health inspection for Luther Manor at Hillcrest was on Feb 12, 2026. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Luther Manor at Hillcrest?
Luther Manor at Hillcrest 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. Verify the same CCN on Medicare.gov Care Compare and 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.

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