Luther Manor at Hillcrest
3131 Hillcrest Road, Dubuque, IA 52001 · Dubuque County · (563) 588-1413
103 certified beds, about 91 residents a day · For profit - Corporation · Medicare and Medicaid since 2004
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165513 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 12, 2026, inspectors cited 12 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 24 health citations since September 2023, 3 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $42,406 in the last three years; the largest was $34,125, and the latest is dated February 12, 2026.
Nurses and nurse aides worked 4.49 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.66 of those hours.
54.3% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Shlomo Hoffman, an affiliated group of 10 nursing homes.
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.
309/23
211/23
108/24
110/24
212/24
209/25
110/25
1202/26
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 24 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
12D
4E
4F
Potential for minimal harm
0A
0B
1C
February 12, 2026Standard inspection, Complaint inspection · 12 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review, staff interview and facility policy review the facility failed to follow fall interventions to prevent falls for 3 out of 4 residents reviewed with falls resulting in injuries. (Resident #11, #13 and #80). Staff failed to properly transfer Resident #11, resulting in a fractured ankle. The facility failed to follow fall interventions to prevent a fall for Resident #80, resulting in a hematoma and abrasion to forehead and a skin tear to left elbow. The facility failed to have interventions in place to prevent an abrasion to Resident #80's knee while in bed. The facility reported a census of 94 residents.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, record review, interviews, and policy review the facility failed to prevent physical contamination of food in the kitchen during 4 observations. Hair nets were improperly worn, the cleaning schedule was not followed, and staff did not adequately sweep and mop floors to remove dead cockroaches. The facility reported a census of 94 residents.
- F Have a plan that describes the process for conducting QAPI and QAA activities.
Inspectors wroteBased on the Centers for Medicare and Medicaid Services (CMS) Statement of Deficiencies forms, review of the facility Quality Assurance and Performance Improvement (QAPI) documentation, QAPI policy review, and staff interview the facility failed to carry out QAPI activities to obtain feedback, use data, and take action to conduct structured, systematic investigations and analysis of underlying causes or contributing factors of problems affecting the facility. The facility reported a census of 94 residents.
- E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, invoices, resident and staff interviews, and policy review the facility failed to maintain a safe and sanitary environment for residents when the facility failed to keep vents between the kitchen and the dining room and in the dining room clean, failed to ensure facility windows, screens, and refrigerators were kept clean, and dead cockroaches from a prior treatment were found two days in a row in the family rooms in addition to sightings of live roaches. The facility reported a census of 94 residents.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on observation, record review, policy review and staff interviews, the facility failed to notify the physician when bilateral lower extremity reduction kit wraps (velcro cloth wraps for legs to help reduce swelling) were not applied as ordered by the physician for 1 of 1 residents reviewed (Resident #89). The facility reported a census of 94 residents.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on clinical record review, therapy documentation, resident interview, and staff interviews the facility failed to provide required Center for Medicare and Medicaid Services (CMS) Skilled Nursing Facility Advanced Beneficiary Notice forms (CMS 10055 and CMS 10123) at the completion of skilled services for 1 of 3 residents reviewed (Resident #61). The facility reported a census of 94 residents.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, clinical record review and staff interview the facility failed to provide complete perineal care after incontinence for 2 out of 5 resident reviewed (Resident #11 and Resident #84). The facility reported a census of 94 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, record review and staff interview the facility failed to provide adequate assessment and intervention after a fall for 1 of 3 residents reviewed with a fall (Resident #11). The facility reported a census of 94 residents.
- D Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Inspectors wroteBased on observation, clinical record review, facility documentation, resident interview and staff interview the facility failed to ensure 2 of 3 residents observed for room trays received their meals in a timely manner (Residents #31 and Resident #104). The facility reported a census of 94 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review and staff interview the facility failed to provide appropriate practices to prevent the spread of infection during wound care for 1 of 2 residents observed for wound care (Resident #80). The facility identified a census of 94 residents.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review, staff interview, and policy review the facility failed to offer and/or administer the influenza vaccine for 2 of 5 residents reviewed (Residents #19 and Resident #64). The facility reported a census of 94 residents.
- C Post nurse staffing information every day.
Inspectors wroteBased on observation, record review, and interview the facility failed to ensure nursing department staffing information was posted with the required information on a daily basis for 3 of 6 days of the survey. The facility reported a census of 94 residents.
October 23, 2025Complaint inspection · 1 citation
- G Ensure that residents are free from significant medication errors.
Inspectors wroteBased on clinical record review, staff interviews and facility policy review the facility failed to remove a transdermal patch prior to administering a new patch on 1 of 1 resident (Resident #2) which caused increased confusion and required an admission to the hospital for treatment of acute encephalopathy. The facility reported a census of 90 residents.
September 18, 2025Complaint inspection · 2 citations
- G Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on observation, clinical record review, staff and resident interview, along with policy and procedures, the facility failed to treat and manage pain, for 1 out of 3 resident reviewed (Resident #1) Resident #1 ran out of pain medication on 8/13/25-8/18/25, for which resulted in the resident being sent out to the local Emergency Department on 8/16/25 and 8/17/25 for pain medications. The facility reported a census of 99 residents.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on clinical record review, staff interview, facility policy and procedure the facility failed to reconcile narcotic/controlled substance counts at the beginning and ending of every shift for one of three residents reviewed (Resident #2) for which resulted in a narcotic cassette missing. The facility census was 99 residents.
December 30, 2024Complaint inspection · 2 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interviews, and policy review, the facility failed to store, prepare, and distribute food in accordance with standards of food service safety. The facility reported a census of 96 residents.
- D Have a plan that describes the process for conducting QAPI and QAA activities.
Inspectors wroteBased on the Centers for Medicare and Medicaid Services (CMS) Statement of Deficiencies form, the facility Quality Assurance and Performance Improvement (QAPI) Plan, and staff interview the facility failed to carry out Quality Assurance activities to ensure effective measures had been taken to correct deficiencies and prevent their ongoing prevalence. The facility reported a census of 96 residents.
October 17, 2024Standard inspection · 1 citation
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, kitchen record review, staff interview, and policy review the facility failed to store foods according to professional standards, cover foods during hallway transport, and maintain effective sanitizing solution during 2 of 2 kitchen observations and 2 of 3 hallway observations. The facility reported a census of 97 residents.
August 14, 2024Complaint inspection · 1 citation
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation during meal service, record review, and resident and staff interviews the facility failed to serve food at an appropriate temperature and in a palatable manner during two of two meals observed. The facility reported a census of 97 residents.
November 2, 2023Complaint inspection · 2 citations
- E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation and staff interview, the facility failed to provide housekeeping services in a manner to maintain a safe, clean, comfortable, and homelike environment. The facility reported a census of 97 residents.
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on clinical record review, staff and resident interviews, and observations the facility failed to provide 4 of 4 resident's reviewed with 2 baths weekly. The facility reported a census of 97 residents.
September 25, 2023Standard inspection, Complaint inspection · 3 citations
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on clinical record review, facility documentation review, and staff interview, the facility failed to notify the ombudsman for 1 of 3 residents reviewed for notification (Resident #53). The facility reported a census of 90 residents.
- D Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased on record review and staff interviews the facility failed to complete a quarterly minimum data set (MDS) assessment on one out of one residents reviewed for residents assessments (Resident #19). The facility reported a census of 90 residents.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, clinical record review, policy review, and staff interview, the facility failed to ensure an accurate written record of medications administered was created by the individuals administering the medications. The facility reported a census of 90 residents. Review of the Narcotic Administration Record (NAR) for Residents #8 and #242 dated 4/30/23 showed a discrepancy between the medication cards and the NAR for both residents. Staff D, Registered Nurse (RN) was responsible for the medications at the time of the discrepancy. She was unavailable for interview. During an interview on 9/20/23 at 2:43 PM Staff A, RN explained Staff D told her she had disposed of the medications noted in the discrepancy and asked Staff A to sign as a witness the medications had been disposed of. [...]
Fire safety inspections
19 fire safety citations on file: 3 on February 12, 2026, 5 on October 17, 2024, 11 on September 25, 2023.
Every fire safety citation19 citations
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Have restrictions on the use of highly flammable decorations.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E Provide properly protected cooking facilities.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure proper usage of power strips and extension cords.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Conduct risk assessment and an All-Hazards approach.
- F Address subsistence needs for staff and patients.
- F Establish roles under a Waiver declared by secretary.
- F Install a two-hour-resistant firewall separation.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Provide a written emergency evacuation plan.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Ensure proper usage of power strips and extension cords.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 12, 2026 | Fine | $34,125 |
| July 25, 2025 | Fine | $8,281 |
| July 25, 2025 | Payment Denial | 34 days from September 20, 2025 |
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.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.49 | 3.82 | 3.86 |
| Registered nurses | 0.66 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.99 | 3.37 | 3.42 |
| Nurse aides | 3.45 | ||
| Licensed practical nurses | 0.38 | ||
| Nursing staff turnover (share who left in a year) | 54.3% | 44.0% | 45.8% |
| Registered nurse turnover | 57.9% | 42.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.23 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 4.70 on weekdays and 3.99 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 29.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.14 in April to June 2025 to 4.49 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.49 | 0.66 | 4.70 | 3.99 | 29.0% | 0 of 90 | 91 |
| Oct to Dec 2025 | 4.36 | 0.58 | 4.54 | 3.91 | 15.4% | 0 of 92 | 98 |
| Jul to Sep 2025 | 4.23 | 0.62 | 4.41 | 3.78 | 10.9% | 0 of 92 | 96 |
| Apr to Jun 2025 | 4.14 | 0.56 | 4.33 | 3.66 | 10.1% | 0 of 91 | 95 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 25.5 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.7 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.9 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.4 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.8 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.1 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 34.2 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.0 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.0 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 2.1 | 1.8 |
Owners and operators
Legal business name: HILLCREST OPCO LLC. CMS links this home to Shlomo Hoffman, a group of 10 nursing homes averaging 2.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Hoffman, Shlomo | Direct ownership interest | Individual | 11/01/2024 | |
| Pavel, Asher | Direct ownership interest | Individual | 11/01/2024 | |
| Sheinbein, Joshua | Direct ownership interest | Individual | 11/01/2024 | |
| Svarc, Jonah | Direct ownership interest | Individual | 11/01/2024 | |
| Pavel, Asher | Managing control - governing body | Individual | 11/01/2024 | |
| Sheinbein, Joshua | Managing control - governing body | Individual | 11/01/2024 | |
| Svarc, Jonah | Managing control - governing body | Individual | 11/01/2024 | |
| Stellar Healthcare Mgmt LLC | Operational/managerial control | Organization | 11/01/2024 | |
| Johnson, Cassandra | Operational/managerial control | Individual | 09/13/2025 | |
| Kirkendall, Matthew | Operational/managerial control | Individual | 11/01/2024 | |
| Pavel, Asher | Operational/managerial control | Individual | 11/01/2024 | |
| Sheinbein, Joshua | Operational/managerial control | Individual | 11/01/2024 | |
| Svarc, Jonah | Operational/managerial control | Individual | 11/01/2024 | |
| Hoffman, Jessica | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 05/12/2025 | |
| 3131 Hillcrest Propco LLC | Adp of the SNF | Organization | 11/01/2024 | |
| LTC Consulting Services LLC | Adp of the SNF | Organization | 11/01/2024 | |
| Midwest SNF Holdings LLC | Adp of the SNF | Organization | 11/01/2024 | |
| Stellar Healthcare Mgmt LLC | Adp of the SNF | Organization | 11/01/2024 | |
| Yy Sea Family Irrevocable Trust | Adp of the SNF | Organization | 11/01/2024 | |
| Johnson, Cassandra | Adp of the SNF | Individual | 09/13/2025 | |
| Kirkendall, Matthew | Adp of the SNF | Individual | 11/01/2024 | |
| Pavel, Asher | Adp of the SNF | Individual | 11/01/2024 | |
| Sheinbein, Joshua | Adp of the SNF | Individual | 11/01/2024 | |
| Svarc, Jonah | Adp of the SNF | Individual | 11/01/2024 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on February 12, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on February 12, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on February 12, 2026: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on October 23, 2025: "Ensure that residents are free from significant medication errors."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Ennoble Nursing and Rehab Dubuque, 0.2 mi · 5 of 5 stars · 2 citations
- Dubuque Specialty Care Dubuque, 0.7 mi · 2 of 5 stars · 23 citations
- Grand Meadows Senior Living & Health Care Asbury, 2 mi · 2 of 5 stars · 20 citations
- Hawkeye Care Center Dubuque Asbury, 2.3 mi · 3 of 5 stars · 10 citations
- Harmony Dubuque Dubuque, 2.3 mi · 2 of 5 stars · 28 citations
- Bethany Home Dubuque, 2.9 mi · 5 of 5 stars · 1 citation
- Stonehill Care Center Dubuque, 3 mi · 4 of 5 stars · 4 citations
- Sunnycrest Manor Dubuque, 3.5 mi · 4 of 5 stars · 13 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Luther Manor at Hillcrest's Medicare star rating?
- CMS rates Luther Manor at Hillcrest 1 out of 5 stars overall, with 1 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Luther Manor at Hillcrest get at its last inspection?
- 12 health deficiencies at the standard inspection on February 12, 2026. The Iowa average is 6.5.
- Has Luther Manor at Hillcrest been fined?
- Yes. CMS lists 2 fines totaling $42,406 in the last three years.
- Does Luther Manor at Hillcrest 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 Luther Manor at Hillcrest?
- CMS lists 24 owners and managers, and links the home to Shlomo Hoffman. Legal business name: HILLCREST OPCO LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.