Stonehill Care Center
3485 Windsor Avenue, Dubuque, IA 52001 · Dubuque County · (563) 557-7180
185 certified beds, about 157 residents a day · Non profit - Corporation · Medicare and Medicaid since 2002
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165471 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 7, 2025, inspectors cited 2 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 4 health citations since June 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.31 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.93 of those hours.
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.
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 4 health citations on file.
August 7, 2025Standard inspection · 2 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, clinical record review, staff interview, and facility policy review the facility failed to properly clean glucometers for 4 out of 4 residents reviewed for blood glucose monitoring (Resident #90, Resident #144, Resident #174, Resident #175). The facility failed to utilize enhanced barrier precautions for 2 out of 3 residents with a gastrostomy tube (Resident #35, Resident #90). The facility identified a census of 158 residents.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, clinical record review, and staff interview the facility failed to properly administer insulin from a Kwik pen for 2 out of 2 residents reviewed (Resident #174, Resident #175), resulting in a facility medication error rate of 8%. The facility identified a census of 158 residents.
August 8, 2024Standard inspection · 0 citations
June 8, 2023Standard inspection · 2 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on clinical record review, family and staff interviews, and facility policy review the facility failed to follow the care plan which directed the staff to follow the resident with a wheelchair during staff assisted ambulation which resulted in a fall with minor injuries for 1 of 3 residents' sample for fall care plans (Resident #217). The facility identified a census of 156 residents.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review, family and staff interviews, resident images and facililty policy review the facility failed to provide adequate supervision when an aide left a resident that required staff assistance standing in the hallway with his walker unassisted while she went back to his room to get his wheelchair, resulting in a fall with minor injury for 1 of 3 residents reviewed (Resident #217). The facility identified a census of 156 residents.
Fire safety inspections
14 fire safety citations on file: 1 on August 7, 2025, 5 on August 8, 2024, 8 on June 8, 2023.
Every fire safety citation14 citations
- E Have restrictions on the use of highly flammable decorations.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E Have an alternate power supply for its alarm system.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Ensure proper usage of power strips and extension cords.
- F Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Provide a written emergency evacuation plan.
- E Meet requirements for sections of health care facilities separated by fire resistive construction.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Use approved construction type or materials.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 4.31 | 3.82 | 3.86 |
| Registered nurses | 0.93 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.88 | 3.37 | 3.42 |
| Nurse aides | 3.04 | ||
| Licensed practical nurses | 0.34 | ||
| Nursing staff turnover (share who left in a year) | not reported | 44.0% | 45.8% |
| Registered nurse turnover | not reported | 42.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.42 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 4.48 on weekdays and 3.88 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.80 in April to June 2025 to 4.31 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 | 4.31 | 0.93 | 4.48 | 3.88 | 0.0% | 0 of 90 | 157 |
| Oct to Dec 2025 | 4.39 | 0.96 | 4.53 | 4.06 | 0.0% | 0 of 92 | 157 |
| Jul to Sep 2025 | 3.75 | 0.86 | 3.87 | 3.45 | 0.0% | 5 of 92 | 157 |
| Apr to Jun 2025 | 2.80 | 0.63 | 2.92 | 2.50 | 0.0% | 30 of 91 | 157 |
| 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 | 21.6 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 6.6 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.8 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.8 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.0 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.1 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 24.6 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.8 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.3 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 2.1 | 1.8 |
Owners and operators
Legal business name: STONEHILL FRANCISCAN SERVICES.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Pearce, Susan | Corporate director | Individual | 05/07/2021 | |
| Pearce, Susan | Corporate officer | Individual | 05/07/2014 | |
| Stockel, Peggy | Corporate officer | Individual | 08/01/2023 | |
| Stonehill Franciscan Services | Operational/managerial control | Organization | 10/22/1985 | |
| Jahn, Matthew | Operational/managerial control | Individual | 08/01/2023 | |
| Steffen, Kenneth | Operational/managerial control | Individual | 07/01/2024 | |
| Jahn, Matthew | Adp of the SNF | Individual | 02/05/2025 | |
| Steffen, Kenneth | Adp of the SNF | Individual | 02/05/2025 |
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.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on August 7, 2025: "Provide and implement an infection prevention and control program."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on August 7, 2025: "Ensure medication error rates are not 5 percent or greater."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on June 8, 2023: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- 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 8, 2023: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Sunnycrest Manor Dubuque, 0.6 mi · 4 of 5 stars · 13 citations
- Bethany Home Dubuque, 1 mi · 5 of 5 stars · 1 citation
- Dubuque Specialty Care Dubuque, 2.4 mi · 2 of 5 stars · 23 citations
- Harmony Dubuque Dubuque, 2.7 mi · 2 of 5 stars · 28 citations
- Luther Manor at Hillcrest Dubuque, 3 mi · 1 of 5 stars · 24 citations
- Ennoble Nursing and Rehab Dubuque, 3.2 mi · 5 of 5 stars · 2 citations
- Mount Carmel Bluffs Dubuque, 4 mi · 5 of 5 stars · 7 citations
- Grand Meadows Senior Living & Health Care Asbury, 4.5 mi · 2 of 5 stars · 20 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 Stonehill Care Center's Medicare star rating?
- CMS rates Stonehill Care Center 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Stonehill Care Center get at its last inspection?
- 2 health deficiencies at the standard inspection on August 7, 2025. The Iowa average is 6.5.
- Has Stonehill Care Center been fined?
- CMS lists no fines in the last three years.
- Does Stonehill 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 Stonehill Care Center?
- CMS lists 8 owners and managers. Legal business name: STONEHILL FRANCISCAN SERVICES.
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.