Sunnycrest Manor
2375 Roosevelt Street, Dubuque, IA 52001 · Dubuque County · (563) 583-1781
77 certified beds, about 72 residents a day · Government - County · Medicare and Medicaid since 2005
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165556 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 5, 2026, inspectors cited 3 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 13 health citations since April 2024 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 4.34 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.
38.4% 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.
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 13 health citations on file.
March 5, 2026Standard inspection · 3 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review, Center for Medicare and Medicaid (CMS) Long-Term Care (LTC) Facility Resident Assessment Instrument (RAI) 3.0 User Manual, and staff interview the facility failed to accurately code a diagnosis for 1 of 1 resident reviewed for hospitalization (Resident #7). The facility identified a census of 72 residents.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interviews, and record review the facility failed to provide 1 of 1 resident unable to carry out activities of daily living (ADLs) with the services necessary to maintain good personal hygiene (Resident #69). The resident had a brown substance under his nails for 3 days during the survey. The facility reported a census of 72 residents.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on clinical record review, document review, policy review and staff interview the facility failed to provide an updated pneumococcal vaccination per the Center for Disease Control and Prevention (CDC) Immunization schedule for 1 of 5 residents sampled (Resident #7). The facility identified a census of 72 residents.
September 2, 2025Complaint inspection · 1 citation
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, clinical record review, staff and resident interviews, and facility policy, the facility failed to ensure staff treated each resident with dignity and respect for one of four residents reviewed (Resident #1). The facility reported a census of 75 residents.
February 27, 2025Standard inspection · 5 citations
- E 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 and maintain effective sanitizing solution during 4 of 4 kitchen and 2nd floor dining room observations. The facility reported a census of 73 residents.
- E Have a plan that describes the process for conducting QAPI and QAA activities.
Inspectors wroteBased on CMS (Centers for Medicare and Medicaid Services) Statements of Deficiencies, the facility Quality Assessment and Performance Improvement (QAPI) Plan, and staff interviews the facility failed to fully implement Quality Assurance (QA) activities to ensure kitchen related deficiencies were corrected and to prevent repeat occurrences. The facility reported a census of 73 residents.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review, interviews, and policy review the facility failed to review and revise a resident's Care Plan for 1 of 5 residents reviewed for unnecessary medications (Resident #63). The resident's Care Plan did not include focus areas, goals, or interventions for the use of medications for mental health. The facility reported a census of 73 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, staff interview, and record review the facility failed to use proper technique to administer insulin for 1 out of 1 residents injected with an insulin pen (Resident #18). The facility identified a census of 73 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, and record review the facility failed to provide proper hand washing and wound care to prevent the spread of infection in 1 out of 1 wound care observed (Resident #34). The facility identified a census of 73 residents.
April 11, 2024Standard inspection · 4 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, policy review, and staff interview the facility failed to date opened foods, wear hair nets, use gloves appropriately for assembling and serving meals, and wash hands between glove use in order to serve meals under sanitary conditions. The facility reported a census of 62 residents.
- E Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Inspectors wroteBased on observations, policy review, and staff interviews the facility failed to maintain appropriate food holding temperatures to prevent food-borne illness and utilize the menu-approved serving sizes to meet resident nutritional needs. The facility reported a census of 62 residents.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on clinical record review, Center for Medicare and Medicaid (CMS) Long-Term Care (LTC) Facility Resident Assessment Instrument (RAI) 3.0 User's Manual review, and staff interview the facility failed to complete a Significant Change in Status Minimum Data Set (MDS) Assessment within the required time frame for 1 of 2 residents sampled on hospice care (Resident #2). The facility reported a census of 62 residents.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review, Center for Medicare and Medicaid (CMS) Long-Term Care (LTC) Facility Resident Assessment Instrument (RAI) 3.0 User's Manual review, and staff interview the facility failed to accurately code the Minimum Data Set (MDS) assessment for 3 of 3 residents sampled (Resident #2, #23, and #32). The facility identified a census of 62 residents.
Fire safety inspections
10 fire safety citations on file: 2 on March 5, 2026, 3 on February 27, 2025, 5 on April 11, 2024.
Every fire safety citation10 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Have simulated fire drills held at unexpected times.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure proper usage of power strips and extension cords.
- F Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Ensure proper usage of power strips and extension cords.
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) | 4.34 | 3.82 | 3.86 |
| Registered nurses | 0.59 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.87 | 3.37 | 3.42 |
| Nurse aides | 3.13 | ||
| Licensed practical nurses | 0.63 | ||
| Nursing staff turnover (share who left in a year) | 38.4% | 44.0% | 45.8% |
| Registered nurse turnover | 30.8% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.40 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 4.53 on weekdays and 3.87 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 10.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.34 in April to June 2025 to 4.34 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 | 4.34 | 0.59 | 4.53 | 3.87 | 10.9% | 0 of 90 | 72 |
| Oct to Dec 2025 | 4.34 | 0.61 | 4.53 | 3.86 | 10.8% | 0 of 92 | 73 |
| Jul to Sep 2025 | 4.40 | 0.66 | 4.59 | 3.94 | 15.4% | 0 of 92 | 74 |
| Apr to Jun 2025 | 4.34 | 0.70 | 4.58 | 3.76 | 12.7% | 0 of 91 | 73 |
| 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. If you work here, your report helps start one.
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.
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 | 19.5 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 6.0 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.7 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.1 | 3.8 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.6 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.8 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 36.2 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 4.6 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.9 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.1 | 1.8 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Sunnycrest Manor's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Owners and operators
Legal business name: COUNTY OF DUBUQUE.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ettema, Danielle | W-2 managing employee | Individual | 04/28/2021 | |
| County of Dubuque | Operational/managerial control | Organization | 04/28/2021 | |
| Ettema, Danielle | Operational/managerial control | Individual | 04/28/2021 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on March 5, 2026: "Ensure each resident receives an accurate assessment."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on February 27, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- 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 March 5, 2026: "Develop and implement policies and procedures for flu and pneumonia vaccinations."
- 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 March 5, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
Other nursing homes nearby
- Stonehill Care Center Dubuque, 0.6 mi · 4 of 5 stars · 4 citations
- Bethany Home Dubuque, 0.9 mi · 5 of 5 stars · 1 citation
- Harmony Dubuque Dubuque, 2.8 mi · 2 of 5 stars · 28 citations
- Dubuque Specialty Care Dubuque, 2.9 mi · 2 of 5 stars · 23 citations
- Luther Manor at Hillcrest Dubuque, 3.5 mi · 1 of 5 stars · 24 citations
- Ennoble Nursing and Rehab Dubuque, 3.7 mi · 5 of 5 stars · 2 citations
- Mount Carmel Bluffs Dubuque, 3.9 mi · 5 of 5 stars · 7 citations
- Grand Meadows Senior Living & Health Care Asbury, 5.1 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 Sunnycrest Manor's Medicare star rating?
- CMS rates Sunnycrest Manor 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Sunnycrest Manor get at its last inspection?
- 3 health deficiencies at the standard inspection on March 5, 2026. The Iowa average is 6.5.
- Has Sunnycrest Manor been fined?
- CMS lists no fines in the last three years.
- Does Sunnycrest Manor 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 Sunnycrest Manor?
- CMS lists 3 owners and managers. Legal business name: COUNTY OF DUBUQUE.
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.