Federal inspection record · CMS data as of October 1, 2026
Maquoketa Care Center
1202 German Street, Maquoketa, IA · (563) 652-5195
- Cited for abuse (CMS abuse icon)
- Certified beds
- 46
- Residents per day
- 39
- Ownership
- For-Profit
- Chain
- Shlomo Hoffman
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 2007
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
★★★★★+1 star
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.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Iowa homes
Maquoketa Care Center carries 41 inspection points. That is fewer than 42% 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
12 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 (2)
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Resident Rights2D
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nursing and Physician Services2E
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Pharmacy Service2E
- D
Ensure that residents are free from significant medication errors.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Resident Assessment and Care Planning1D
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Quality of Life and Care1D
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspection history
2026-07-02
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2025-05-29
5 health deficiencies · 5 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-07-18
0 health deficiencies · 2 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 3 h 36 min of nursing staff time a day, 57 min of it from a registered nurse.
This home
3 h 36 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 46% of nursing staff and 36% of registered nurses left in the past year.
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
$20,498 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-07-02 | Fine | $12,006 |
| 2026-05-13 | Fine | $8,492 |
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 days0.4 pts better | 1.0 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts worse | 2.5 | 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 injury1.7 pts better | 2.2% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.2 pts worse | 10.4% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.1 pts worse | 6.5% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.6 pts better | 14.4% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication11.1 pts better | 8.7% | 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 worsened4.5 pts better | 10.7% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.8 pts better | 13.8% | 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 infection2.8 pts worse | 5.2% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.1 pts better | 20.9% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.8 pts worse | 6.9% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.4 pts better | 89.4% | 84.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication4 pts worse | 6.1% | 2.1% | 1.5% |
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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 |
|---|---|---|---|
| 1202 Maquoketa Propco LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Carr, Amanda | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Carr, Amanda | Adp Of The SNF · Individual | 0% | 2 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 |
| 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 |
| Rickertsen, Brandon | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rickertsen, Brandon | Adp Of The SNF · Individual | 0% | 1 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 | 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 |
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Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous2F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Have restrictions on the use of highly flammable decorations.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress1E
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
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Other homes nearby
-
Jackson Ridge Healthcare Center
Maquoketa, IA · Shlomo Hoffman
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 34 min
- Fines
- $0
-
Mill Valley Care Center
Bellevue, IA
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 14 min
- Fines
- $0
-
Fieldstone of Dewitt
De Witt, IA · Wesleylife
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 11 min
- Fines
- $0