What is Maquoketa Care Center's Medicare star rating?

CMS rates Maquoketa Care Center 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Maquoketa Care Center get at its last inspection?

6 health deficiencies at the standard inspection on July 2, 2026. The Iowa average is 6.5.

Does Maquoketa Care Center 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 Maquoketa Care Center?

CMS lists 23 owners and managers, and links the home to Shlomo Hoffman. Legal business name: MAQUOKETA OPCO LLC.

Maquoketa Care Center: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on July 2, 2026, inspectors cited 6 health deficiencies (the Iowa average is 6.5, the national average 9.2).

Of 12 health citations since July 2024, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $8,492 in the last three years; the largest was $8,492, and the latest is dated May 13, 2026.

Nurses and nurse aides worked 3.42 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 1.11 of those hours.

50.0% 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.

007/24

412/24

105/25

105/26

607/26

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 12 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

July 2, 2026Standard inspection, Complaint inspection · 6 citations

G

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it

Inspectors wroteBased on observation, clinical record review, document review, policy review, resident and staff interviews, the facility failed to protect and provide a safe environment for 1 of 3 residents reviewed from resident-to-resident abuse (Resident #32). On 6/14/26 at 7:44 AM Resident #42 walked from his dining room chair over to Resident #32 who sat in a Broda wheelchair (specialty wheelchair) and struck Resident #32 on the left side of the head with his cane. This deficient practice resulted in a 5 Centimeter (CM) bump with a 1 CM lesion to Resident #32's head and facial bruising. The facility reported a census of 33 residents. The concern was identified and corrected June 16, 2026 with an all staff huddle to provide resident safety education, prior to surveyor entrance on June 29, 2026. The deficiency F600 is considered past non-compliance.
E

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 3, 2026

Inspectors wroteBased on observation, clinical record review, policy review and staff interviews, the facility failed to maintain a safe, sanitary, and infection-controlled environment to prevent the potential development and transmission of disease and pathogenic organisms. Specifically, the facility failed to ensure proper hand hygiene protocols were executed during wound care dressing changes for 2 of 2 residents observed (#6 and #24); failed to utilize a gown as part of Enhanced Barrier Precautions (EBP) for 1 of 2 residents observed with indwelling medical devices (Resident #5); and failed to ensure medications were administered free from significant contamination and errors for 2 of 7 residents observed during oral medication administration passes (Resident #18 and Resident #43). [...]
D

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 3, 2026

Inspectors wroteBased on clinical record review, resident interview, staff interviews, and policy review the facility failed to respect a resident's right to choose when to go to bed in the evening (Resident #28). The facility reported a census of 33 residents.
D

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 3, 2026

Inspectors wroteBased on clinical record review, staff interviews, and the Centers for Medicare and Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual the facility failed to submit a quarterly assessment within the required time frame for 1 of 2 residents reviewed (Residents #38). The facility reported a census of 33 residents.
D

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 3, 2026

Inspectors wroteBased on clinical record review, observation, resident interview, staff interview, facility policy, and facility record review, the facility failed to ensure sufficient nursing staff were available to answer call lights in a timely manner to meet the needs of residents. This affected 3 of 3 residents reviewed for sufficient staffing (Residents #5, #24, and #28). The facility reported a census of 33 residents.
D

Ensure that residents are free from significant medication errors.

F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 3, 2026

Inspectors wroteBased on observation, clinical record review, interviews, and policy review the facility failed to ensure timely medication administration was conducted in accordance with manufacturer instructions and professional standards to prevent a significant medication error for 1 of 1 residents observed during medication administration (Resident #33). Specifically, a Registered Nurse (RN) prepared to inject 5 units of Novolog insulin instead of the prescribed 3 units by combining the safety prime and the therapeutic dose into a single mechanical step. The facility further failed to administer medications at the scheduled time for 1 of 1 residents reviewed (Resident #28). The facility reported a census of 33 residents.

May 13, 2026Complaint inspection · 1 citation

G

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it · disputed by the home (informal dispute resolution)

Inspectors wroteBased on observation, clinical record review, resident and staff interviews, and facility policy, the facility failed to provide a safe environment and protect one of seven residents reviewed from resident to resident abuse (Resident #2). On 4/19/26, Resident #1 stood over Resident #2 while Resident #2 was in a reclined wheelchair, and Resident #1 hit Resident #2 in the face with the handle of his cane 3 to 4 times. This deficient practice resulted in a slightly swollen eye for Resident #2 with bruising to the left cheek under Resident #2's eye. The facility reported a census of 37 residents. The facility corrected the deficient practice per past noncompliance through the following actions: [...]

May 29, 2025Standard inspection · 1 citation

D

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2025

Inspectors wroteBased on observation, record review, and staff interviews the facility failed to properly assess a residents oxygen saturation level to determine the need for oxygen per physician order for 1 of 1 residents reviewed with oxygen (Resident #2). The facility identified a census of 35 residents.

December 5, 2024Complaint inspection · 4 citations

E

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 15, 2024

Inspectors wroteBased on record review, Facility Assessment review, resident and staff interviews, and policy review the facility failed to employ sufficient numbers of staff to meet resident needs, and failed to answer call lights in a timely manner for 3 of 4 residents reviewed (Resident #1, Resident #3, and Anonymous). The facility reported a census of 31 residents.
E

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 15, 2024

Inspectors wroteBased on observation, staff interviews, and policy review the facility failed to keep all medication locked in the medication cart as required. The facility reported a census of 31 residents.
E

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 15, 2024

Inspectors wroteBased on observation, maintenance record review, resident interviews, and staff interviews the facility failed to maintain a clean and sanitary environment for resident bathing including holes in floor, missing floor tiles, stained wall tiles, and dirty/damaged air vents. The facility reported a census of 31 residents.
D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 15, 2024

Inspectors wroteBased on observation, record review, staff interview, resident interview, and policy review the facility failed to treat residents with dignity and respect throughout cares provided for 1 of 3 residents reviewed (Resident #1). Staff and other residents entered a shower room without the bathing resident's permission and without effective privacy barriers in place. The facility reported a census of 31 residents.

July 18, 2024Standard inspection · 0 citations

Fire safety inspections

9 fire safety citations on file: 2 on July 2, 2026, 5 on May 29, 2025, 2 on July 18, 2024.

Every fire safety citation9 citations

F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · July 2, 2026 · Corrected (the home has a date of correction)
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · July 2, 2026 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · May 29, 2025 · Corrected (the home has a date of correction)
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · May 29, 2025 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · May 29, 2025 · Corrected (the home has a date of correction)
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · May 29, 2025 · Corrected (the home has a date of correction)
E
Have restrictions on the use of highly flammable decorations.

K 753 · May 29, 2025 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · July 18, 2024 · Corrected (the home has a date of correction)
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 · July 18, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

Date	Penalty	Amount or length
May 13, 2026	Fine	$8,492

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)	3.42	3.82	3.86
Registered nurses	1.11	0.74	0.69
All nursing staff on weekends	3.08	3.37	3.42
Nurse aides	2.12
Licensed practical nurses	0.19
Nursing staff turnover (share who left in a year)	50.0%	44.0%	45.8%
Registered nurse turnover	42.9%	42.1%	42.9%
Administrators who left	0

CMS expects 3.80 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 3.56 on weekdays and 3.08 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.69 in April to June 2025 to 3.42 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	3.42	1.11	3.56	3.08	0.1%	0 of 90	38
Oct to Dec 2025	3.64	1.19	3.74	3.37	0.3%	0 of 92	35
Jul to Sep 2025	3.45	1.12	3.58	3.14	1.1%	0 of 92	37
Apr to Jun 2025	3.69	1.18	3.84	3.31	6.7%	0 of 91	36
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.

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

Job	Median	Middle half	Employed
Iowa, all employers
CNAs (nursing assistants)	$18.92	$17.96 to $21.95	22,670
LPNs and LVNs	$30.11	$27.12 to $34.06	5,510
Registered nurses	$37.80	$32.83 to $41.32	34,420
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

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.

Measure	This home	Iowa	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	18.9	17.1	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	1.5	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	4.7	2.4	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	2.3	3.8	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	5.8	2.1	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	15.8	16.6	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	6.9	4.2	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	9.4	19.4	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	18.2	20.9	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	4.9	13.2	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.3	1.5	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.6	2.1	1.8

Owners and operators

Legal business name: MAQUOKETA OPCO LLC. CMS links this home to Shlomo Hoffman, a group of 10 nursing homes averaging 2.1 stars overall.

Name	Role	Type	Since
Hoffman, Shlomo	Direct ownership interest	Individual	04/01/2023
Pavel, Asher	Direct ownership interest	Individual	08/01/2024
Sheinbein, Joshua	Direct ownership interest	Individual	08/01/2024
Svarc, Jonah	Direct ownership interest	Individual	04/01/2023
Pavel, Asher	Managing control - governing body	Individual	08/01/2024
Sheinbein, Joshua	Managing control - governing body	Individual	08/01/2024
Stellar Healthcare Mgmt LLC	Operational/managerial control	Organization	04/01/2023
Carr, Amanda	Operational/managerial control	Individual	11/01/2019
Pavel, Asher	Operational/managerial control	Individual	08/01/2024
Rickertsen, Brandon	Operational/managerial control	Individual	01/01/2019
Sheinbein, Joshua	Operational/managerial control	Individual	08/01/2024
Svarc, Jonah	Operational/managerial control	Individual	04/01/2023
Hoffman, Jessica	Individual is an owner, partner or trustee of any ADP of the SNF	Individual	04/07/2026
1202 Maquoketa Propco LLC	Adp of the SNF	Organization	04/01/2023
LTC Consulting Services LLC	Adp of the SNF	Organization	04/01/2023
Midwest SNF Holdings LLC	Adp of the SNF	Organization	04/01/2023
Stellar Healthcare Mgmt LLC	Adp of the SNF	Organization	04/06/2026
Yy Sea Family Irrevocable Trust	Adp of the SNF	Organization	04/01/2023
Carr, Amanda	Adp of the SNF	Individual	11/01/2019
Pavel, Asher	Adp of the SNF	Individual	08/01/2024
Rickertsen, Brandon	Adp of the SNF	Individual	01/01/2019
Sheinbein, Joshua	Adp of the SNF	Individual	08/01/2024
Svarc, Jonah	Adp of the SNF	Individual	04/01/2023

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 are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on July 2, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on July 2, 2026: "Provide and implement an infection prevention and control program."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on July 2, 2026: "Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice."
How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on July 2, 2026: "Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.08 hours per resident per day, below the Iowa average of 3.37.

Other nursing homes nearby

Jackson Ridge Healthcare Center
Maquoketa, 0.4 mi · 2 of 5 stars · 20 citations
Mill Valley Care Center
Bellevue, 17.8 mi · 5 of 5 stars · 9 citations
Fieldstone of Dewitt
De Witt, 18 mi · 4 of 5 stars · 6 citations
Wheatland Manor
Wheatland, 18.3 mi · 4 of 5 stars · 7 citations
Clarence Nursing Home
Clarence, 23.5 mi · 5 of 5 stars · 7 citations
Accura Healthcare of Cascade LLC
Cascade, 23.6 mi · 2 of 5 stars · 5 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 Maquoketa Care Center's Medicare star rating?: CMS rates Maquoketa Care Center 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Maquoketa Care Center get at its last inspection?: 6 health deficiencies at the standard inspection on July 2, 2026. The Iowa average is 6.5.
Has Maquoketa Care Center been fined?: Yes. CMS lists 1 fine totaling $8,492 in the last three years.
Does Maquoketa Care Center 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 Maquoketa Care Center?: CMS lists 23 owners and managers, and links the home to Shlomo Hoffman. Legal business name: MAQUOKETA 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.