Federal inspection record · CMS data as of October 1, 2026
Ennoble Nursing and Rehab
2000 Pasadena Drive, Dubuque, IA · (563) 557-1076
- CMS high-performer trophy
- Certified beds
- 85
- Residents per day
- 67
- Ownership
- For-Profit
- Chain
- Shlomo Hoffman
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 28, 2005
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Ennoble Nursing and Rehab carries 0 inspection points, the cleanest record possible.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
2 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights1E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Inspection history
2026-07-16
0 health deficiencies · 3 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2025-06-05
0 health deficiencies · 2 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2024-07-18
2 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 52 min of nursing staff time a day, 27 min of it from a registered nurse.
This home
3 h 52 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 39% of nursing staff and 33% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.0 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better | 1.3 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better | 100.0% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better | 100.0% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.3 pts better | 1.6% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3 pts worse | 7.2% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.9 pts better | 0.5% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.1 pts better | 17.9% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.1 pts better | 15.7% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.3 pts worse | 15.5% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.5 pts worse | 17.1% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3.7 pts worse | 6.1% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.8 pts better | 17.2% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.9 pts better | 2.2% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16 pts better | 100.0% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.2 pts better | 10.8% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine25.6 pts better | 100.0% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission9.2 pts better | 11.5% | 20.7% | 23.4% |
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Who owns and runs it
24 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 2000 Ia Propco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Hoffman, Jessica | Trustee Of The SNF · Individual | 0% | 5 facilities |
| Hoffman, Shlomo | Direct Ownership Interest · Individual | 0% | 5 facilities |
| Johnson, Cassandra | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Johnson, Cassandra | Adp Of The SNF · Individual | 0% | 2 facilities |
| Ltc Consulting Services LLC | Adp Of The SNF · Organization | 0% | 36 facilities |
| Midwest SNF Holdings LLC | Adp Of The SNF · Organization | 0% | 15 facilities |
| Pavel, Asher | Direct Ownership Interest · Individual | 0% | 6 facilities |
| Pavel, Asher | Managing Control - Governing Body · Individual | 0% | 6 facilities |
| Pavel, Asher | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Pavel, Asher | Adp Of The SNF · Individual | 0% | 6 facilities |
| Sheinbein, Joshua | Direct Ownership Interest · Individual | 0% | 6 facilities |
| Sheinbein, Joshua | Managing Control - Governing Body · Individual | 0% | 6 facilities |
| Sheinbein, Joshua | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Sheinbein, Joshua | Adp Of The SNF · Individual | 0% | 6 facilities |
| Stellar Healthcare Mgmt LLC | Operational/Managerial Control · Organization | 0% | 6 facilities |
| Stellar Healthcare Mgmt LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Svarc, Jonah | Direct Ownership Interest · Individual | 0% | 8 facilities |
| Svarc, Jonah | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Svarc, Jonah | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Svarc, Jonah | Adp Of The SNF · Individual | 0% | 8 facilities |
| Vandigo, Gregory | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Vandigo, Gregory | Adp Of The SNF · Individual | 0% | 1 facilities |
| Yy Sea Family Irrevocable Trust | Adp Of The SNF · Organization | 0% | 5 facilities |
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Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
Egress1E
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Gas, Vacuum, and Electrical Systems1E
- E
Ensure proper usage of power strips and extension cords.
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Other homes nearby
-
Luther Manor at Hillcrest
Dubuque, IA · Shlomo Hoffman
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 7 min
- Fines
- $42,406
-
Dubuque Specialty Care
Dubuque, IA · Care Initiatives
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 12 min
- Fines
- $53,372
-
Grand Meadows Senior Living & Health Care
Asbury, IA · Tutera Senior Living & Health Care
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 5 h 8 min
- Fines
- $16,448