Iowa ›Dubuque

Dubuque Specialty Care

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2935 Kaufmann Avenue, Dubuque, IA 52001 (opens Google Maps) · Dubuque County · (563) 556-0673· 84 certified beds · avg 52 residents/day · certified since May 1, 1994 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: CARE INITIATIVES (43 facilities, chain avg rating 2.9★)

2/5
Health inspection rating (on-site)
inspected Jul 30, 2025
2
Serious findings on record
most recent Jul 15, 2024
$53,372
Fines, last 3 years
3.72
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · Jul 15, 2024 · F-0686

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Aug 6, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Oct 24, 2023 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Dec 4, 2023 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 23 inspection findings. Open the full record below to read every finding.

  1. F · Potential for more than minimal harm, widespread

    The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. F-0865

  2. D · Potential for more than minimal harm, isolated

    The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. F-0644

  3. D · Potential for more than minimal harm, isolated

    The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. F-0657

View all 23 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jul 30, 2025F · Potential for more than minimal harm, widespreadThe facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · F-0865
Jul 30, 2025D · Potential for more than minimal harm, isolatedThe facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644
Jul 30, 2025D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Jul 30, 2025D · Potential for more than minimal harm, isolatedThe facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · F-0725
Jul 30, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint · F-0740
Jul 30, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760
Jul 30, 2025D · Potential for more than minimal harm, isolatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jul 30, 2025D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Jul 15, 2024▲ G · Actual harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Jul 15, 2024E · Potential for more than minimal harm, patternThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint · F-0658
Jul 15, 2024E · Potential for more than minimal harm, patternThe facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725
Jul 15, 2024E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jul 15, 2024D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550
Jul 15, 2024D · Potential for more than minimal harm, isolatedThe facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580
Jul 15, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Jul 15, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Jul 15, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Jul 15, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jul 15, 2024D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Jul 15, 2024D · Potential for more than minimal harm, isolatedThe facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint · F-0919
Jul 15, 2024B · Potential for minimal harm, patternThe facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623
Jul 15, 2024B · Potential for minimal harm, patternThe facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · from a complaint · F-0625
Oct 24, 2023▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (14 → 8).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 1
Serious citations (G–L): 1
2024
All citations: 14
Serious citations (G–L): 1
2025
All citations: 8
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202311G ▲
2024141G ▲
202580F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

1 fine totaling $53,372, plus 1 Medicare payment denial period.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Jul 15, 2024Fine$53,372
Jul 15, 2024Payment Denial16 days from Aug 7, 2024

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityIowa averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.72
Iowa average: 4.37
U.S. average: 3.95
Registered Nurse hours
This facility: 0.73
Iowa average: 0.85
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.09
Iowa average: 3.86
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityIowa avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.724.373.95bottom 19% in Iowa; bottom 48% in the U.S.
Registered Nurse hours0.730.850.69bottom 40% in Iowa; top 33% in the U.S.
Weekend total nurse staffing3.093.863.50bottom 10% in Iowa; bottom 36% in the U.S.
Weekend RN hours (not acuity-adjusted)0.290.510.48bottom 14% in Iowa; bottom 30% in the U.S.
Total nursing staff turnover (%)57.144.045.8bottom 15% in Iowa; bottom 21% in the U.S.
RN turnover (%)71.442.142.9bottom 14% in Iowa; bottom 11% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.89, RN 0.57, weekend 2.40.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.89 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Dubuque Specialty Care. CMS inspection and staffing records do not tell us what this home will charge you.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Non profit - Corporation

Owner / managerTypeRoleStakeSince
Care InitiativesOrganization5% or Greater Direct Ownership Interest100%09/01/2009
Baedke, CharissaIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2024
Beal, MichaelIndividualCorporate DirectorNOT APPLICABLE06/01/2020
Beal, MichaelIndividualCorporate OfficerNOT APPLICABLE06/01/2020
Bird, LavernIndividualADP of the SNFNOT APPLICABLE04/11/2025
Bowen, LaneIndividualCorporate DirectorNOT APPLICABLE01/01/2021
Carothers, Mary JaneIndividualCorporate DirectorNOT APPLICABLE01/01/2023
Childs, KevinIndividualCorporate DirectorNOT APPLICABLE04/01/2023
Computershare Corporate Trust Company, NaOrganization5% or Greater Mortgage InterestNOT APPLICABLE02/01/2025
Computershare Corporate Trust Company, NaOrganizationADP of the SNFNOT APPLICABLE04/11/2025
Corless, PeterIndividualCorporate DirectorNOT APPLICABLE01/01/2025
Dixon, DavidIndividualCorporate OfficerNOT APPLICABLE06/01/2016
Drake, EmilyIndividualCorporate OfficerNOT APPLICABLE01/04/2023
Duve, JamieIndividualOperational/Managerial ControlNOT APPLICABLE05/08/2024
Duve, JamieIndividualADP of the SNFNOT APPLICABLE04/11/2025
Gilyard, TanyaIndividualCorporate OfficerNOT APPLICABLE05/23/2025
Krein, KeithIndividualCorporate DirectorNOT APPLICABLE06/29/2022
Kuhn, JeramyIndividualCorporate OfficerNOT APPLICABLE06/25/2008
McDyer, JessicaIndividualCorporate OfficerNOT APPLICABLE02/22/2023
Rust, ElizabethIndividualCorporate DirectorNOT APPLICABLE01/01/2023

Showing 20 of 25 parties CMS has on file for this facility; 5 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Care Initiatives — 43 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 42 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
  • "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
  • "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
  • "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
  • "What mental health services do you provide on-site, and who delivers them?"
  • "What systems do you use to prevent medication errors, and what happens when one occurs?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Iowa midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 57% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 25 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Luther Manor at Hillcrest0.7 miDubuque, IA★☆☆☆☆1/5
Ennoble Nursing and Rehab0.8 miDubuque, IA★★★★★5/5
Harmony Dubuque2.3 miDubuque, IA★★☆☆☆2/5
Grand Meadows Senior Living & Health Care2.3 miAsbury, IA★☆☆☆☆2/5
Stonehill Care Center2.4 miDubuque, IA★★★★☆4/5
Bethany Home2.4 miDubuque, IA★★★★★4/5
Hawkeye Care Center Dubuque2.8 miAsbury, IA★★★☆☆3/5
Sunnycrest Manor2.9 miDubuque, IA★★★★☆4/5
Mount Carmel Bluffs3.8 miDubuque, IA★★★★★4/5
St Dominic Villa8.7 miHazel Green, WI★★☆☆☆1/5
Galena Stauss Nursing Home15.2 miGalena, IL★★★☆☆3/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Dubuque, IA — 12 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Dubuque →

Facility data as of CMS processing date 2026-08-01. CCN 165228.

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