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Bethany Home

1005 Lincoln Avenue, Dubuque, IA 52001 · Dubuque County · (563) 556-5233

66 certified beds, about 63 residents a day · Non profit - Corporation · Medicare and Medicaid since 2009

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 165584 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 18, 2026, inspectors cited 1 health deficiency (the Iowa average is 6.5, the national average 9.2).

Of 1 health citation since June 2024, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $13,065 in the last three years; the largest was $13,065, and the latest is dated June 18, 2026.

Nurses and nurse aides worked 4.50 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.88 of those hours.

32.1% of nursing staff left within the year CMS measured (Iowa average 44.0%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 1 health citation on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
0D
0E
0F
Potential for minimal harm
0A
0B
0C
June 18, 2026Standard inspection, Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 19, 2026
    Inspectors wroteBased on observation, clinical record review, document review, procedure review, manufacturer use manual, and staff interview, the facility failed to ensure Certified Nursing Assistants (CNAs) locked wheelchair brakes during pivot and full body mechanical lift transfers for 1 of 4 residents reviewed (Resident #23). This failure resulted in Resident #23 falling and sustaining a left ulna fracture (a break in the ulna is one of the two long bones in the forearm (running along the pinky-finger side). The facility identified a census of 63 residents.
May 1, 2025Standard inspection · 0 citations
June 27, 2024Standard inspection · 0 citations

Fire safety inspections

8 fire safety citations on file: 2 on June 18, 2026, 3 on May 1, 2025, 3 on June 27, 2024.

Every fire safety citation8 citations
  1. F
    Have restrictions on the use of highly flammable decorations.
    K 753 · June 18, 2026 · Corrected (the home has a date of correction)
  2. E
    Meet requirements for the use and maintenance of medical gas equipment.
    K 922 · June 18, 2026 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 1, 2025 · Corrected (the home has a date of correction)
  4. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · May 1, 2025 · Corrected (the home has a date of correction)
  5. E
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · May 1, 2025 · Corrected (the home has a date of correction)
  6. F
    Provide a written emergency evacuation plan.
    K 711 · June 27, 2024 · Corrected (the home has a date of correction)
  7. E
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · June 27, 2024 · Corrected (the home has a date of correction)
  8. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · June 27, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
June 18, 2026Fine $13,065

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeIowaUnited States
All nursing staff (RN, LPN and aides)4.503.823.86
Registered nurses0.880.740.69
All nursing staff on weekends3.913.373.42
Nurse aides3.17
Licensed practical nurses0.45
Nursing staff turnover (share who left in a year)32.1%44.0%45.8%
Registered nurse turnover7.1%42.1%42.9%
Administrators who left0

CMS expects 3.15 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.74 on weekdays and 3.91 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.44 in April to June 2025 to 4.50 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.500.884.743.91 1.1%0 of 9063
Oct to Dec 20254.370.944.583.83 1.2%0 of 9265
Jul to Sep 20254.370.914.613.76 0.7%1 of 9266
Apr to Jun 20254.440.974.753.67 0.0%0 of 9166
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Iowa, Jan to Mar 20263.800.713.983.364.7%0.3% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Iowa

JobMedianMiddle halfEmployed
Iowa, all employers
CNAs (nursing assistants)$18.92$17.96 to $21.9522,670
LPNs and LVNs$30.11$27.12 to $34.065,510
Registered nurses$37.80$32.83 to $41.3234,420
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeIowaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
14.317.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.51.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.62.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.43.83.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.02.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
10.716.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.64.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
21.719.415.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.51.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.22.11.8

Owners and operators

Legal business name: BETHANY HOME.

NameRoleTypeShareSince
Chapman, SusanCorporate directorIndividual03/30/2015
Edwards, DoriCorporate directorIndividual05/01/2025
Goodman, JohnCorporate directorIndividual05/01/2025
Loetscher, SaraCorporate directorIndividual07/01/2019
Meurer, AllenCorporate directorIndividual07/01/2024
Roush, BenjaminCorporate directorIndividual05/01/2025
Stender, RichardCorporate directorIndividual07/01/2019
Stevensen, ToddCorporate directorIndividual05/01/2025
Brannon, MikeCorporate officerIndividual05/01/2025
Hayertz, JanetCorporate officerIndividual05/01/2025
Miller, KennethCorporate officerIndividual03/30/2015
Wilfong, MarshaCorporate officerIndividual04/21/2022
Atkinson, RebeccaOperational/managerial controlIndividual02/13/2003
Brimeyer, ShannonOperational/managerial controlIndividual03/28/2007
Gaul, SierraOperational/managerial controlIndividual02/14/2020
Hoerner, JoanOperational/managerial controlIndividual05/19/1992
Klein, DanaOperational/managerial controlIndividual10/23/2012
Lansing, TamiOperational/managerial controlIndividual02/03/2025
Middleman, LawrenceOperational/managerial controlIndividual10/01/1993
Powers, JillOperational/managerial controlIndividual03/01/2024
Westmark, SusanOperational/managerial controlIndividual09/10/1994
Bcg Holdings IncAdp of the SNFOrganization10/01/2024
Brighton Consulting Group LLCAdp of the SNFOrganization10/01/2024
Ces Computers IncAdp of the SNFOrganization05/01/2013
Mercy Health Services-Iowa CorpAdp of the SNFOrganization12/01/1995
Millennium Rehab & Consulting IncAdp of the SNFOrganization01/01/2019
Williams & Company PCAdp of the SNFOrganization08/01/2023
Hilby, RebeccaAdp of the SNFIndividual05/01/2006
Molony, MichaelAdp of the SNFIndividual05/01/2013
Powers, JillAdp of the SNFIndividual11/01/2025
Westmark, SusanAdp of the SNFIndividual11/01/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on June 18, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."

Other nursing homes nearby

Iowa contacts for a concern about a nursing home

These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.

Common questions

What is Bethany Home's Medicare star rating?
CMS rates Bethany Home 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Bethany Home get at its last inspection?
1 health deficiency at the standard inspection on June 18, 2026. The Iowa average is 6.5.
Has Bethany Home been fined?
Yes. CMS lists 1 fine totaling $13,065 in the last three years.
Does Bethany Home accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Bethany Home?
CMS lists 31 owners and managers. Legal business name: BETHANY HOME.

Sources

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