Hawkeye Care Center Dubuque
5575 Pennsylvania Avenue, Asbury, IA 52002 · Dubuque County · 80 certified beds · avg 74 residents/day · certified since Oct 1, 2005
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · May 2, 2024 · 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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 18, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (10)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 18, 2025 | F · Potential for harm, facility-wide | 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. |
| Sep 18, 2025 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Sep 18, 2025 | D · Potential for harm, one-off | The 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. |
| Sep 12, 2024 | E · Potential for harm, repeated | The 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. |
| Sep 12, 2024 | D · Potential for harm, one-off | 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. |
| May 2, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| May 2, 2024 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| May 2, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 2, 2024 | D · Potential for harm, one-off | The 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. |
| May 2, 2024 | D · Potential for harm, one-off | The 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 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 7 | 1 | G ▲ |
| 2025 | 3 | 0 | F |
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)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.60 | 4.37 | 3.95 | bottom 14% in Iowa; bottom 42% in the U.S. |
| Registered Nurse hours | 0.98 | 0.85 | 0.69 | top 29% in Iowa; top 17% in the U.S. |
| Weekend total nurse staffing | 3.54 | 3.86 | 3.50 | bottom 38% in Iowa; top 40% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.75 | 0.51 | 0.48 | top 12% in Iowa; top 13% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 44.0 | 45.8 | — |
| RN turnover (%) | 0.0 | 42.1 | 42.9 | — |
Hours are per resident per day, 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 3.33, RN 0.91, weekend 3.28. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Elsesser, Brian | Individual | Direct Ownership Interest | NOT APPLICABLE | 09/29/2002 |
| Elsesser, Michelle | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/20/2006 |
| Hamm, Doris | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/01/2024 |
| Hamm, Michael | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/01/2024 |
| Johnson, Douglas | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/20/2006 |
| Johnson, Kelly | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/20/2006 |
| Elsesser, Brian | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Elsesser, Michelle | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Hamm, Doris | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Hamm, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2020 |
| Johnson, Douglas | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Johnson, Kelly | Individual | ADP of the SNF | NOT APPLICABLE | 01/20/2006 |
| Long, Tracey | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/14/2021 |
| Long, Tracey | Individual | ADP of the SNF | NOT APPLICABLE | 06/14/2021 |
| LTC Accounting Services, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2020 |
| LTC Accounting Services, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/24/2025 |
| Premier Senior Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2020 |
| Premier Senior Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/25/2025 |
| Reliant Pro Rehab, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| Runde, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "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 record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Grand Meadows Senior Living & Health Care | 0.9 mi | Asbury, IA | ★☆☆☆☆ | 2/5 | |
| Ennoble Nursing and Rehab | 2.1 mi | Dubuque, IA | ★★★★★ | 5/5 | |
| Luther Manor at Hillcrest | 2.3 mi | Dubuque, IA | ★☆☆☆☆ | 1/5 | |
| Dubuque Specialty Care | 2.8 mi | Dubuque, IA | ★★☆☆☆ | 2/5 | |
| Harmony Dubuque | 4.4 mi | Dubuque, IA | ★★☆☆☆ | 2/5 | |
| Stonehill Care Center | 5.1 mi | Dubuque, IA | ★★★★☆ | 4/5 | |
| Bethany Home | 5.2 mi | Dubuque, IA | ★★★★★ | 4/5 | |
| Mount Carmel Bluffs | 5.6 mi | Dubuque, IA | ★★★★★ | 4/5 | |
| Sunnycrest Manor | 5.6 mi | Dubuque, IA | ★★★★☆ | 4/5 | |
| St Dominic Villa | 11.4 mi | Hazel Green, WI | ★★☆☆☆ | 1/5 | |
| Galena Stauss Nursing Home | 17.3 mi | Galena, IL | ★★★☆☆ | 3/5 | |
| Mercyone Dyersville Senior Care | 18.9 mi | Dyersville, IA | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 165565.