CMS data shows Dubuque Specialty Care earning a D grade with a score of 40/100, placing it below most facilities in Iowa. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing levels are a potential concern at Dubuque Specialty Care, with 3.16 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent inspections identified 23 deficiencies at Dubuque Specialty Care. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.16 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.57 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.59 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.00 | 2.4 | Below Average |
| Weekend Total Nursing | 2.76 | 3.8 | Below Average |
| Weekend RN Hours | 0.29 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0865 Severity FHave a plan that describes the process for conducting QAPI and QAA activities.Jul 29, 2025 · Administration Deficiencies
- Tag 0644 Severity DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Jul 29, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0657 Severity DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Jul 29, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0725 Severity DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Jul 29, 2025 · Nursing and Physician Services Deficiencies
- Tag 0760 Severity DEnsure that residents are free from significant medication errors.Jul 29, 2025 · Pharmacy Service Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.0% | 4.5% | Better |
| Falls with major injury | 5.4% | 3.0% | Worse |
| On antipsychotic medication | 27.3% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 5.8% | 14.0% | Better |
| Excessive weight loss | 3.0% | 7.5% | Better |
| New/worsened incontinence | 27.4% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $53,372
How This Grade Was Calculated
This facility's grade of D is based on a score of 40 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -5 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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