Federal inspection record · CMS data as of October 1, 2026
Sunnycrest Manor
2375 Roosevelt Street, Dubuque, IA · (563) 583-1781
- Certified beds
- 77
- Residents per day
- 70
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 1, 2005
1
How this home got 4 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.
-
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
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Sunnycrest Manor carries 17 inspection points. That is fewer than 73% 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
13 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 Assessment and Care Planning5D
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Assess the resident when there is a significant change in condition
- D
Ensure each resident receives an accurate assessment.
Nutrition and Dietary3F
- E
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
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Infection Control2D
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
Quality of Life and Care1D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Rights1D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Administration1E
- E
Have a plan that describes the process for conducting QAPI and QAA activities.
Inspection history
2026-03-05
3 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2025-02-27
6 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2024-04-11
4 health deficiencies · 5 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 26 min of nursing staff time a day, 40 min of it from a registered nurse.
This home
4 h 26 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 40% of nursing staff and 33% 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
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 days0.6 pts worse | 2.0 | 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 vaccine4.1 pts better | 98.3% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.9 pts better | 98.7% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts better | 3.1% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.7 pts better | 1.5% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.9 pts better | 2.5% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication21.2 pts worse | 42.2% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication16.6 pts worse | 36.4% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained1.5 pts worse | 1.7% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.2 pts worse | 21.4% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4 pts worse | 20.6% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder4.5 pts worse | 5.9% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.7 pts better | 0.7% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.5 pts better | 22.5% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.7 pts better | 1.4% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.4 pts worse | 70.6% | 84.0% | 82.3% |
·
Who owns and runs it
3 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 |
|---|---|---|---|
| County Of Dubuque | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Ettema, Danielle | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Ettema, Danielle | Operational/Managerial Control · Individual | 0% | 1 facilities |
·
Fire safety
10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- D
Ensure proper usage of power strips and extension cords.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Egress1F
- F
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
-
Stonehill Care Center
Dubuque, IA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 31 min
- Fines
- $0
-
Bethany Home
Dubuque, IA
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 22 min
- Fines
- $8,492
-
Harmony Dubuque
Dubuque, IA · Legacy Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 16 min
- Fines
- $19,371