Mount Carmel Bluffs
1160 Carmel Drive, Dubuque, IA 52003 · Dubuque County · 60 certified beds · avg 54 residents/day · certified since Aug 31, 2021
Part of chain: PRESBYTERIAN HOMES & SERVICES (21 facilities, chain avg rating 4.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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.
All citations in the current public record (7)
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 |
|---|---|---|
| Feb 26, 2026 | D · Potential for harm, one-off | The 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. |
| Jul 9, 2025 | E · Potential for harm, repeated | 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 |
| Jul 9, 2025 | D · Potential for harm, one-off | The 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 |
| Jul 9, 2025 | 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 |
| Apr 4, 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. |
| Apr 4, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Apr 4, 2024 | D · Potential for harm, one-off | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 3 | 0 | E |
| 2025 | 3 | 0 | E |
| 2026 | 1 | 0 | D |
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) | 5.10 | 4.37 | 3.95 | top 15% in Iowa; top 12% in the U.S. |
| Registered Nurse hours | 1.39 | 0.85 | 0.69 | top 6% in Iowa; top 6% in the U.S. |
| Weekend total nurse staffing | 4.57 | 3.86 | 3.50 | top 14% in Iowa; top 11% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.73 | 0.51 | 0.48 | top 14% in Iowa; top 15% in the U.S. |
| Total nursing staff turnover (%) | 29.0 | 44.0 | 45.8 | top 15% in Iowa; top 13% in the U.S. |
| RN turnover (%) | 7.7 | 42.1 | 42.9 | top 5% in Iowa; top 3% in the U.S. |
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 4.32, RN 1.18, weekend 3.87. Staffing rating: 5/5.
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: 2/5 · long-stay residents: 1/5 · short-stay residents: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Manternach, Ladonna | Individual | 5% or Greater Indirect Ownership Interest | 25% | 08/01/2022 |
| Presbyterian Homes and Services | Organization | 5% or Greater Direct Ownership Interest | 50% | 08/31/2021 |
| Sisters of Charity of the Blessed Virgin Mary | Organization | 5% or Greater Direct Ownership Interest | 50% | 08/31/2021 |
| Fletcher, Jonathan | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2025 |
| Fletcher, Jonathan | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Fletcher, Jonathan | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| Lindh, Daniel | Individual | Corporate Director | NOT APPLICABLE | 09/07/2018 |
| Meyer, Mark | Individual | Corporate Director | NOT APPLICABLE | 09/07/2018 |
| Meyer, Mark | Individual | Corporate Officer | NOT APPLICABLE | 09/07/2018 |
| Meyer, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/07/2018 |
| Meyer, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 09/07/2018 |
| Midwestone Bank | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 07/01/2019 |
| Midwestone Bank | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 07/01/2019 |
| Peterson, Heidi | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| Peterson, Heidi | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| PHS Management, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/15/2020 |
| PHS Management, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/18/2025 |
| Rentz, Sarah | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/15/2020 |
| Rentz, Sarah | Individual | ADP of the SNF | NOT APPLICABLE | 10/15/2020 |
| Ries, Andrea | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2022 |
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 nurse and aide staffing ratio on each shift, including nights and weekends?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "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 |
|---|---|---|---|---|---|
| Harmony Dubuque | 1.6 mi | Dubuque, IA | ★★☆☆☆ | 2/5 | |
| Bethany Home | 3.0 mi | Dubuque, IA | ★★★★★ | 4/5 | |
| Luther Manor at Hillcrest | 3.7 mi | Dubuque, IA | ★☆☆☆☆ | 1/5 | |
| Ennoble Nursing and Rehab | 3.8 mi | Dubuque, IA | ★★★★★ | 5/5 | |
| Dubuque Specialty Care | 3.8 mi | Dubuque, IA | ★★☆☆☆ | 2/5 | |
| Sunnycrest Manor | 3.9 mi | Dubuque, IA | ★★★★☆ | 4/5 | |
| Stonehill Care Center | 4.0 mi | Dubuque, IA | ★★★★☆ | 4/5 | |
| Hawkeye Care Center Dubuque | 5.6 mi | Asbury, IA | ★★★☆☆ | 3/5 | |
| Grand Meadows Senior Living & Health Care | 5.6 mi | Asbury, IA | ★☆☆☆☆ | 2/5 | |
| St Dominic Villa | 6.8 mi | Hazel Green, WI | ★★☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 165792.