Nursing homes across Dubuque County, Iowa, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
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.
Mercyone Dyersville Senior Care runs about 4.06 nurse hours per resident day, roughly 5% above the national average, and weekends dip about 10% below its own weekday levels, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 37.5%, well under the 45.8% national figure, which matters for whether your parent sees the same faces month to month. The inspection record is clean where it counts: six deficiencies total, none at the harm level and none abuse-related, with the most recent survey in November 2025.
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.
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.
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.
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.
Grand Meadows runs 32 certified beds in Asbury under corporate for-profit ownership, and the numbers are worth walking through before you tour. Twenty deficiencies sit on its current record, including one that rose to the level of actual harm or jeopardy and three tied to abuse, that combination matters more than the single $16,448 fine on file. Staffing is where this home falls furthest behind, landing at the bottom of CMS's rating scale, which means the people doing the daily hands-on care are stretched thin relative to what federal reviewers expect. The last inspection, in March 2026, is recent, so these findings reflect how the place operates now, not a fix from years ago.
Hawkeye Care Center Dubuque runs about 3.33 nursing hours per resident each day, roughly 14% under the national average of 3.86, and weekend coverage dips slightly below its own weekday staffing. The 80-bed home is owned by a for-profit limited liability company and carries ten deficiencies on its current record, one of them serious enough to reach harm or jeopardy level, though none are abuse-related. Its last inspection was September 18, 2025, and CMS gives it three stars each for health inspections, quality measures, and staffing. That's a home sitting squarely in the middle, decent marks across the board, but staffing hours that fall short of what most residents need.
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.
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.
Accura Healthcare of Cascade sits in a small Dubuque County town with 46 certified beds, run by a for-profit limited liability company. The staffing numbers are the strong point: 4.26 nurse hours per resident day, roughly 10% above the national average, and turnover at 30.6% beats the 45.8% national figure. Weekends run about 11% leaner than weekdays, which is common but worth knowing. The trouble is on the inspection side, where the health inspection rating lands at 2 out of 5. Five deficiencies are on the current record, including one at the harm or jeopardy level and one abuse-related. The last inspection was in May 2025. Good staffing can't fully offset a harm-level finding. Ask what happened and what changed.
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.