facebook tracking Luther Manor at Hillcrest, Dubuque IA: CMS Ratings
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Luther Manor at Hillcrest

All states › Iowa › Dubuque › Luther Manor at Hillcrest

3131 Hillcrest Road Dubuque, IA 52001 · Dubuque County

(563) 588-1413

All 8 nursing homes in Dubuque, IA (8 take Medicaid)

Accepts Medicare Accepts Medicaid 103 certified beds For profit Continuing care retirement community

CMS certification number 165513 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Luther Manor at Hillcrest a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Luther Manor at Hillcrest as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Iowa average of 3.1. Inspectors issued 24 citations in the last three years. CMS imposed 3 penalties, including $42,406 in fines, in that time. For short-term rehab patients CMS rates quality 4 out of 5; for long-term residents, 3 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 4.11 hours per resident per day at Luther Manor at Hillcrest, above the Iowa median of 3.76 (US median: 3.72). About 0.61 of those hours are from registered nurses. On weekends it falls to 3.51 hours, 15% below its all-week average. 61.5% of nursing staff left within a year (Iowa median 41.7%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.

Nursing care per resident per day 4.11 hours
Above the Iowa median of 3.76 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.61 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.51 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 61.5% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 88.2% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds103
Residents per day 87 About 84% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceMarch 2004
Part of a chainShlomo Hoffman
Legal business nameHILLCREST OPCO LLC

Paying for care at Luther Manor at Hillcrest: Medicare and Medicaid

Luther Manor at Hillcrest is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on February 12, 2026 and found 7 deficiencies, plus 6 from complaint inspections in the same period. In total, inspectors issued 24 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 24 citations at Luther Manor at Hillcrest across 8 inspection dates, 13 of them from complaint investigations. 3 were at the actual-harm level (G–I), most recently on February 12, 2026. The most common areas cited were nutrition and dietary (5) and quality of life and care (5). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, February 12, 2026).

February 12, 2026 · 12 citations · includes complaint inspection

GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Mar 6, 2026)

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (Mar 6, 2026)

FHave a plan that describes the process for conducting QAPI and QAA activities.

Potential for more than minimal harm · Administration Deficiencies · Tag F0865 · Deficient, Provider has date of correction (Mar 6, 2026)

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Mar 6, 2026)

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Deficient, Provider has date of correction (Mar 6, 2026)

DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Mar 6, 2026)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Mar 6, 2026)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Mar 6, 2026)

DEnsure 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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0809 · Complaint inspection · Deficient, Provider has date of correction (Mar 6, 2026)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Mar 6, 2026)

DDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (Mar 6, 2026)

CPost nurse staffing information every day.

Potential for minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has date of correction (Mar 6, 2026)

October 23, 2025 · 1 citation, includes actual harm · includes complaint inspection

GEnsure that residents are free from significant medication errors.

Actual harm · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Deficient, Provider has date of correction (Oct 24, 2025)

September 18, 2025 · 2 citations, includes actual harm · includes complaint inspection

GProvide safe, appropriate pain management for a resident who requires such services.

Actual harm · Quality of Life and Care Deficiencies · Tag F0697 · Complaint inspection · Deficient, Provider has date of correction (Oct 2, 2025)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Past Non-Compliance (Sep 1, 2025)

December 30, 2024 · 2 citations · includes complaint inspection

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (Jan 23, 2025)

DHave a plan that describes the process for conducting QAPI and QAA activities.

Potential for more than minimal harm · Administration Deficiencies · Tag F0865 · Complaint inspection · Deficient, Provider has date of correction (Jan 23, 2025)

October 17, 2024 · 1 citation

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Oct 31, 2024)

August 14, 2024 · 1 citation · includes complaint inspection

EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Complaint inspection · Deficient, Provider has date of correction (Aug 29, 2024)

November 2, 2023 · 2 citations · includes complaint inspection

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (Nov 13, 2023)

EProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Nov 13, 2023)

September 25, 2023 · 3 citations

DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0623 · Deficient, Provider has date of correction (Oct 10, 2023)

DAssure that each resident’s assessment is updated at least once every 3 months.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0638 · Deficient, Provider has date of correction (Oct 10, 2023)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Oct 10, 2023)

Questions to ask on a tour of Luther Manor at Hillcrest

  1. Inspectors cited the home at the actual-harm level on February 12, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. Nursing staff turnover was 61.5% a year. How many of the staff come from agencies?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

3 penalties in the last three years, including $42,406 in fines.

DateTypeAmount or length
Feb 12, 2026 Fine $34,125
Jul 25, 2025 Fine $8,281
Jul 25, 2025 Payment Denial 34 days of payments denied

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 1/5 3/5 3/5
August 2026 1/5 1/5 4/5 2/5
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Location

Hospitals near Luther Manor at Hillcrest

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 1.6 mi
    The Finley Hospital Dubuque
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 1h 54m for patients treated and sent home
  • 2.3 mi
    Mercy Medical Center-Dubuque Dubuque
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 3h 24m for patients treated and sent home
  • 13.7 mi
    Midwest Medical Center Galena
    Emergency room

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Ennoble Nursing and Rehab Dubuque · 0.2 mi away ★★★★★ Inspection 5/5 · Staffing 3/5 85 beds · Medicaid
Dubuque Specialty Care Dubuque · 0.7 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 84 beds · Medicaid
Grand Meadows Senior Living & Health Care Asbury · 2.0 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 32 beds · Medicaid
Hawkeye Care Center Dubuque Asbury · 2.3 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 80 beds · Medicaid
Harmony Dubuque Dubuque · 2.3 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 75 beds · Medicaid

More nursing homes near Luther Manor at Hillcrest ›   All nursing homes in Dubuque ›

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Other Shlomo Hoffman nursing homes in Iowa

Affiliation comes from CMS's affiliated-entity data, October 2026. All 10 Shlomo Hoffman nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/iowa/dubuque/luther-manor-at-hillcrest/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.