Federal inspection record · CMS data as of October 1, 2026
Hawkeye Care Center Dubuque
5575 Pennsylvania Avenue, Asbury, IA · (563) 583-6447
- Certified beds
- 80
- Residents per day
- 70
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 1, 2005
1
How this home got 3 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
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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Hawkeye Care Center Dubuque carries 27 inspection points. That is fewer than 58% of Iowa's 385 rated homes.
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
10 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.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Administration2F
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Resident Rights2D
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning1D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care1D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspection history
2025-09-18
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Administration (1 deficiency)
2024-09-12
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-05-02
5 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 33 min of nursing staff time a day, 58 min of it from a registered nurse.
This home
3 h 33 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
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 days1.3 pts worse | 2.7 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.7 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine35.4 pts worse | 58.8% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.4 pts worse | 92.4% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts better | 3.4% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.2 pts worse | 4.4% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.5 pts worse | 4.9% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.4 pts better | 9.6% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication15 pts better | 4.8% | 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 worsened10 pts worse | 25.2% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.1 pts worse | 23.7% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.6 pts worse | 4.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.5 pts worse | 3.9% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.5 pts worse | 28.5% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.6 pts better | 1.5% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.4 pts better | 95.4% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.6 pts worse | 15.6% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.5 pts better | 0.6% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13.6 pts better | 88.0% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.1 pts worse | 21.8% | 20.7% | 23.4% |
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Who owns and runs it
23 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 |
|---|---|---|---|
| Elsesser, Brian | Direct Ownership Interest · Individual | 0% | 1 facilities |
| Elsesser, Brian | Adp Of The SNF · Individual | 0% | 1 facilities |
| Elsesser, Michelle | Direct Ownership Interest · Individual | 0% | 1 facilities |
| Elsesser, Michelle | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hamm, Doris | Direct Ownership Interest · Individual | 0% | 1 facilities |
| Hamm, Doris | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hamm, Michael | Direct Ownership Interest · Individual | 0% | 3 facilities |
| Hamm, Michael | Adp Of The SNF · Individual | 0% | 3 facilities |
| Johnson, Douglas | Direct Ownership Interest · Individual | 0% | 2 facilities |
| Johnson, Douglas | Adp Of The SNF · Individual | 0% | 2 facilities |
| Johnson, Kelly | Direct Ownership Interest · Individual | 0% | 1 facilities |
| Johnson, Kelly | Adp Of The SNF · Individual | 0% | 1 facilities |
| Long, Tracey | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Long, Tracey | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ltc Accounting Services, LLC | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Ltc Accounting Services, LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Premier Senior Management LLC | Operational/Managerial Control · Organization | 0% | 6 facilities |
| Premier Senior Management LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Reliant Rehabilitation Holdings Inc | Operational/Managerial Control · Organization | 0% | 13 facilities |
| Runde, Mark | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Runde, Mark | Adp Of The SNF · Individual | 0% | 1 facilities |
| Williams & Company Pc | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Williams & Company Pc | Adp Of The SNF · Organization | 0% | 8 facilities |
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Fire safety
17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure that testing and maintenance of electrical equipment is performed.
- D
Ensure proper usage of power strips and extension cords.
Miscellaneous3F
- F
Have restrictions on the use of highly flammable decorations.
- D
Have restrictions on the use of portable space heaters.
- F
Have simulated fire drills held at unexpected times.
Egress2E
- 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
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Construction2F
- F
Install a two-hour-resistant firewall separation.
- E
Use approved construction type or materials.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
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
-
Ennoble Nursing and Rehab
Dubuque, IA · Shlomo Hoffman
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 52 min
- Fines
- $0
-
Luther Manor at Hillcrest
Dubuque, IA · Shlomo Hoffman
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 7 min
- Fines
- $42,406