D

Luther Manor at Hillcrest

3131 Hillcrest Road, Dubuque, IA 52001
Score: 43 / 100

CMS data shows Luther Manor At Hillcrest earning a D grade with a score of 43/100, placing it below most facilities in Iowa. Prospective residents and families should carefully review the specific areas of concern detailed below.

Staffing levels at Luther Manor At Hillcrest exceed national averages, with 4.23 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.62 hours per resident per day is near the national average of 0.7 hours.

Recent inspections identified 18 deficiencies at Luther Manor At Hillcrest. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.23 3.8 Above Average
Registered Nurses (RN) 0.62 0.7 Below Average
Licensed Practical Nurses (LPN) 0.28 0.7 Below Average
Certified Nursing Assistants (CNA) 3.33 2.4 Above Average
Weekend Total Nursing 3.78 3.8 Average
Weekend RN Hours 0.52 0.7 Below Average

🔍 Inspection & Deficiency History

18
Total Deficiencies
Oct 22, 2025
Most Recent Inspection
🟠 18 Moderate
View recent deficiencies (5 shown)
  • Tag 0760 Severity G
    Ensure that residents are free from significant medication errors.
    Oct 22, 2025 · Pharmacy Service Deficiencies
  • Tag 0697 Severity G
    Provide safe, appropriate pain management for a resident who requires such services.
    Sep 17, 2025 · Quality of Life and Care Deficiencies
  • Tag 0755 Severity D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Sep 17, 2025 · Pharmacy Service Deficiencies
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Dec 29, 2024 · Nutrition and Dietary Deficiencies
  • Tag 0865 Severity D
    Have a plan that describes the process for conducting QAPI and QAA activities.
    Dec 29, 2024 · Administration 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 5.0% 4.5% Worse
Falls with major injury 3.0% 3.0% Average
On antipsychotic medication 31.6% 14.5% Worse
Urinary tract infections 1.2% 2.5% Better
ADL decline (daily activities) 29.5% 14.0% Worse
Excessive weight loss 7.3% 7.5% Average
New/worsened incontinence 33.8% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $8,281

How This Grade Was Calculated

This facility's grade of D is based on a score of 43 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: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -0 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Other
Certified Beds
103
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Oct 16, 2024
Deficiencies (Cycle 1)
4

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