Federal inspection record · CMS data as of October 1, 2026
Luther Manor at Hillcrest
3131 Hillcrest Road, Dubuque, IA · (563) 588-1413
- Certified beds
- 103
- Residents per day
- 87
- Ownership
- For-Profit
- Chain
- Shlomo Hoffman
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 1, 2004
1
How this home got 1 star
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.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Luther Manor at Hillcrest carries 102 inspection points. That is fewer than 15% 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
24 health citations on record since 2023. 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 (3)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Ensure that residents are free from significant medication errors.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
Everything else, by area of care
Nutrition and Dietary5F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Resident Rights5E
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Quality of Life and Care3E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
Administration2F
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
- D
Have a plan that describes the process for conducting QAPI and QAA activities.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Pharmacy Service2D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Resident Assessment and Care Planning1D
- D
Assure that each resident’s assessment is updated at least once every 3 months.
Inspection history
2026-02-12
13 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-10-17
5 health deficiencies · 5 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2023-09-25
6 health deficiencies · 11 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 7 min of nursing staff time a day, 37 min of it from a registered nurse.
This home
4 h 7 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 62% of nursing staff and 88% 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
Fines and payment denials
$42,406 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-02-12 | Fine | $34,125 |
| 2025-07-25 | Fine | $8,281 |
| 2025-07-25 | Payment Denial · 34 day denial | $0 |
6
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 days0.2 pts better | 1.2 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better | 1.2 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine46.8 pts worse | 47.4% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.1 pts worse | 88.7% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts better | 3.7% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.3 pts worse | 11.5% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.2 pts better | 2.2% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.6 pts worse | 21.6% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication15 pts worse | 34.8% | 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 worsened0.8 pts better | 14.4% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.7 pts worse | 23.3% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.8% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts worse | 3.2% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.8 pts worse | 32.8% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.5 pts better | 3.6% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine44 pts worse | 40.0% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.9 pts worse | 16.9% | 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 vaccine30 pts worse | 44.4% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.9 pts better | 17.8% | 20.7% | 23.4% |
·
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 |
|---|---|---|---|
| 3131 Hillcrest Propco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Hoffman, Jessica | Individual Is An Owner, Partner Or Trustee Of Any Adp 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 |
| Kirkendall, Matthew | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kirkendall, Matthew | Adp Of The SNF · Individual | 0% | 1 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 |
| Yy Sea Family Irrevocable Trust | Adp Of The SNF · Organization | 0% | 5 facilities |
·
Fire safety
19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Provide properly protected cooking facilities.
- E
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Emergency Preparedness4F
- F
Address subsistence needs for staff and patients.
- F
Establish roles under a Waiver declared by secretary.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct risk assessment and an All-Hazards approach.
Miscellaneous3F
- F
Have restrictions on the use of highly flammable decorations.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Provide a written emergency evacuation plan.
Gas, Vacuum, and Electrical Systems2E
- E
Ensure proper usage of power strips and extension cords.
- E
Ensure proper usage of power strips and extension cords.
Construction1F
- F
Install a two-hour-resistant firewall separation.
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.
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Other homes nearby
-
Ennoble Nursing and Rehab
Dubuque, IA · Shlomo Hoffman
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 52 min
- Fines
- $0
-
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