★★★★★CMS 5/566 bedsNon-profitMedicaid
- Nurse hours
- 4.50 /day
- Staff turnover
- 32%
- Serious cites
- 0
Bethany Home runs on 4.50 nurse staffing hours per resident day, roughly 16% above the national average, and its weekend coverage dips about 13% below its own weekday level, a gap worth asking about if you're planning visits or worrying about Saturday-night response times. Staff turnover sits at 32.1%, well under the 45.8% national figure, which suggests less churn than most places and more familiar faces on the floor. The inspection record is thin: two deficiencies total, none at harm or jeopardy level, none abuse-related, with the last survey in May 2025. Corporate for-profit ownership, 66 beds, and a clean survey history carry real weight here.
★★★★★CMS 5/560 bedsFor-profitMedicaid
- Nurse hours
- 4.32 /day
- Staff turnover
- 29%
- Serious cites
- 0
Mount Carmel Bluffs runs on 4.32 nurse hours per resident day, about 12 percent above the national average, and its staff tends to stay, 29 percent turnover against a national 45.8. That steadiness shows up in the inspection record: seven deficiencies, none at the harm level, none tied to abuse, with a survey completed in late February 2026. The trade-off is quality measures, where the home scores low despite the strong staffing. Weekend coverage slips roughly 10 percent below its own weekday level, so ask how that gap gets filled. It's a for-profit limited liability company with 60 beds.
★★★★☆CMS 4/5185 bedsNon-profitMedicaid
- Nurse hours
- 4.31 /day
- Staff turnover
- n/a
- Serious cites
- 0
Stonehill Care Center runs 4.31 nursing hours per resident per day, roughly 12% above the national average of 3.86, and that staffing shows up in its four-star rating. Weekend coverage dips about 10% below its own weekday level, which is common but worth knowing if you're visiting on a Saturday. The inspection record is clean where it counts: four total deficiencies, none at the harm or jeopardy level and none abuse-related, with a visit as recent as August 2025. As a nonprofit with 185 beds in Dubuque, it's working from a stable base. Families weighing options here are looking at a home that's solidly staffed and hasn't had serious trouble.
★★★★★CMS 5/585 bedsFor-profitMedicaid
- Nurse hours
- 3.60 /day
- Staff turnover
- 40%
- Serious cites
- 0
Ennoble Nursing And Rehab runs 85 certified beds in Dubuque under for-profit limited liability ownership. The numbers that matter most here are clean: two deficiencies on the current record, none causing harm or jeopardy, none abuse-related, and a state inspection completed in June 2025. Staff turnover sits at 40%, a bit better than the 45.8% national average, though total nurse staffing of 3.60 hours per resident day lands about 7% under the national figure. Weekend coverage drops roughly 16% below its own weekday level, which is worth asking about directly. A five-star inspection rating and five-star quality measures carry real weight, but the staffing margin is thinner than those marks suggest.
★★★★☆CMS 4/577 bedsGovernmentMedicaid
- Nurse hours
- 4.34 /day
- Staff turnover
- 38%
- Serious cites
- 0
Sunnycrest Manor is county-owned, and the numbers show a home that's better staffed than most, 4.34 nurse hours per resident day, roughly 12% above the national figure. Turnover sits at 38.4%, well under the 45.8% national average, which matters for whether your family sees the same faces month to month. The tradeoff shows up in care quality measures, where it scores near the bottom, and in 14 deficiencies on its current record, though none involved actual harm or abuse. Weekend coverage drops about 11% below weekday levels, so ask about Saturday and Sunday staffing specifically. Its last inspection was in March 2026, so the record is recent.
★☆☆☆☆CMS 1/5103 bedsFor-profitMedicaid
- Nurse hours
- 4.49 /day
- Staff turnover
- 54%
- Serious cites
- 0
Luther Manor At Hillcrest runs a for-profit shop with 103 certified beds, and the numbers split in two directions. Nurse staffing sits at 4.49 hours per resident day, about 16 percent above the national average of 3.86, but weekends drop roughly 11 percent below the home's own weekday coverage, and annual turnover is 54.3 percent against a national 45.8. That combination means bodies are scheduled, though not always the same ones.
The inspection record is where the trouble concentrates: a one-out-of-five health inspection rating, 24 deficiencies including three at harm or jeopardy level, and $42,406 in fines across two events. No abuse citations appear. The most recent inspection was February 12, 2026.
Quality measures score two out of five. Ask about weekend coverage and the plan for the three harm-level findings before you decide.
★★☆☆☆CMS 2/575 bedsFor-profitMedicaid
- Nurse hours
- 3.39 /day
- Staff turnover
- 72%
- Serious cites
- 0
Harmony Dubuque runs on thinner nurse coverage than most homes, 3.39 hours per resident day against a national average of 3.86, and weekends dip about 8% below what the home itself staffs on weekdays. That gap matters most when a resident needs help on a Saturday, and it's harder to absorb when more than seven in ten workers leave over a year, well above the 45.8% national rate. On inspections the home has drawn a two-star rating, with 33 deficiencies on record, three serious enough to cause harm and one tied to abuse, plus two fines totaling $19,371. Its last inspection was January 14, 2026.
★★☆☆☆CMS 2/584 bedsNon-profitMedicaid
- Nurse hours
- 2.89 /day
- Staff turnover
- 57%
- Serious cites
- 0
Dubuque Specialty Care runs about 2.89 nurse staffing hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop another 17% below its own weekday coverage. Staff turnover sits at 57.1% against a national 45.8%, meaning more than half the nursing team leaves each year. The inspection record carries 23 deficiencies, two of them serious enough to involve harm or jeopardy, plus a $53,372 fine, and the most recent inspection was July 30, 2025. Quality measures score mid-range, but thin staffing and high turnover are the numbers that matter most for day-to-day care.