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Hawkeye Care Center Dubuque
5575 Pennsylvania Avenue, Asbury, IA 52002 (opens Google Maps) · Dubuque County · (563) 583-6447· 80 certified beds · avg 74 residents/day · certified since Oct 1, 2005 · 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 →
3/5
Health inspection rating (on-site)
inspected Sep 18, 2025
1
Serious findings on record
most recent May 2, 2024
$0
Fines, last 3 years
3.60
Nurse hours/resident/day (adjusted)
Every record stays on this page.
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: ★★★☆☆3/5 · CMS overall rating: 3/5 · 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 · 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.
▲ Actual harm, isolated · 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): 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: May 18, 2024 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 10 inspection findings. Open the full record below to read every finding.
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
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. F-0578
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. F-0880
View all 10 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.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 18, 2025 | 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 |
| Sep 18, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| Sep 18, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Sep 12, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Sep 12, 2024 | 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 |
| May 2, 2024 | ▲ G · Actual harm, isolated | 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 · F-0689 |
| May 2, 2024 | F · Potential for more than minimal harm, widespread | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · F-0851 |
| May 2, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| May 2, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0580 |
| May 2, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0684 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 3).
All citationsSerious citations (G–L)
2024
All citations: 7
Serious citations (G–L): 1
2025
All citations: 3
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityIowa averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.60
Iowa average: 4.37
U.S. average: 3.95
Registered Nurse hours
This facility: 0.98
Iowa average: 0.85
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.54
Iowa average: 3.86
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 (%) | — | 44.0 | 45.8 | — |
| RN turnover (%) | — | 42.1 | 42.9 | — |
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 3.33, RN 0.91, weekend 3.28.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.33 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 Hawkeye Care Center Dubuque. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
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 →
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 |
Showing 20 of 23 parties CMS has on file for this facility; 3 are not displayed. The full list is in the CMS Ownership dataset.
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?"
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?"
- "The ownership record on file lists 23 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 (12 closest of 13 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 |
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.
- Accura Healthcare of Cascade LLC — Cascade, IA · overall 2/5abuse
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 165565.
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