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C
Below Standard

Dubuque Specialty Care

2935 Kaufmann Avenue · Dubuque, IA 52001

5635560673 · Non profit - Corporation

84 beds52.4 residents70 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Dubuque Specialty Care receives an overall staffing grade of C (Below Standard). With 3.1585 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5698 HPRD, below the recommended 0.75. It is 0.74 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.66% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1585 HPRD — needs 0.32 more hours per resident per day.
⚠️RN staffing (0.5698 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.1585hrs/resident/day▼ 0.74
CMS benchmark: 3.48
RN HPRD
0.5698hrs/resident/day▼ 0.11
Recommended: 0.75
Weekend Drop-off
16.66%
3.3145 weekday → 2.7624 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.4464hrs/resident/day
Direct care aides
LPN HPRD
0.5848hrs/resident/day
Licensed practical nurses
Consistency
0.3336std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Dubuque County Average-1.09 HPRD
4.25
03.16 HPRD
vs. Iowa State Average-0.66 HPRD
3.82
03.16 HPRD
vs. National Average-0.74 HPRD
3.90
03.16 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Dubuque Specialty Care ★
Dubuque · This facility
—
C
3.15850.5698★★☆☆☆
Harmony Dubuque
Dubuque
2.3 mi
B
3.58490.9504★★☆☆☆
Mill Valley Care Center
Bellevue
22.5 mi
A
4.17970.7873★★★★★
Guttenberg Care Center
Guttenberg
27.3 mi
C
3.47120.6524★★★★★
Monticello Nursing & Rehab Center
Monticello
31.2 mi
C
3.33350.7678★★★☆☆
Edgewood Convalescent Home
Edgewood
36.3 mi
C
3.46950.8833★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
25
Total Deficiencies
$53,372
Fines Assessed
Jul 30, 2025Health
8 deficiencies cited
▼
Jul 15, 2024Health
14 deficiencies cited· Includes actual harm
▼
Oct 24, 2023Health
1 deficiency cited· Includes actual harm
▼
Feb 9, 2023Health
2 deficiencies cited· Includes actual harm
▼

Penalty History

Jul 15, 2024Fine
$53,372
Jul 15, 2024Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.