Every one of the 12 certified facilities here, with its CMS rating, nurse staffing hours and enforcement record. Not a shortlist.
4 of these hold the top CMS rating of five. 2 sit at one. Registered nurse cover averages 0.80 hours per resident per day across the county. That is the number worth comparing, and it is the one families rarely see.
CMS overall rating first. Ties go to higher registered nurse hours.
| Facility | City | Overall | Health | Staffing | RN hrs | Beds | Fines |
|---|---|---|---|---|---|---|---|
| MercyOne Dyersville Senior Care | Dyersville | 5 | 5 | 5 | 1.18 | 40 | $0 |
| Mount Carmel Bluffs | Dubuque | 5 | 4 | 5 | 1.18 | 60 | $0 |
| Bethany Home | Dubuque | 5 | 5 | 5 | 0.88 | 66 | $0 |
| Ennoble Nursing and Rehab | Dubuque | 5 | 5 | 4 | 0.48 | 85 | $0 |
| Stonehill Care Center | Dubuque | 4 | 4 | 4 | 0.93 | 185 | $0 |
| Sunnycrest Manor | Dubuque | 4 | 4 | 4 | 0.59 | 77 | $0 |
| Hawkeye Care Center Dubuque | Asbury | 3 | 3 | 3 | 0.91 | 80 | $0 |
| Harmony Dubuque | Dubuque | 2 | 2 | 2 | 0.86 | 75 | $19,371 |
| Dubuque Specialty Care | Dubuque | 2 | 2 | 3 | 0.57 | 84 | $53,372 |
| Accura Healthcare of Cascade LLC ⚑ | Cascade | 2 | 2 | 4 | 0.56 | 46 | $0 |
| Luther Manor at Hillcrest | Dubuque | 1 | 1 | 4 | 0.66 | 103 | $42,406 |
| Grand Meadows Senior Living & Health Care | Asbury | 1 | 2 | 1 | 0.00 | 32 | $16,448 |
⚑ marks a facility CMS cited for abuse.
The overall rating folds together inspections, staffing and quality measures. Inspections carry the most weight.
Staffing hours are the number to read on your own. A five-rated home with thin registered nurse cover is a different place at three in the morning.
Visit before you decide. Go without an appointment. The record here tells you where to look, not what you will find.
| Ownership | Facilities |
|---|---|
| For profit - Limited Liability company | 5 |
| Non profit - Corporation | 3 |
| For profit - Corporation | 3 |
| Government - County | 1 |
Source: CMS Provider Information (Care Compare), retrieved 3 August 2026.