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Senior Living in Dubuque

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Bethany Home Retirement Center

Senior Living in Dubuque

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Bethany Home Retirement Center

1005 Lincoln Ave, Dubuque, IA 52001 View map
Overview of Bethany Home Retirement Center

Surrounded by thriving local amenities in Dubuque, IA, Bethany Home Retirement Center is an outstanding community that offers independent living, memory care, and rehabilitation. Featuring purposely built and spacious one- and two-bedroom floor plans, the community ensures residents are comfortable and safe. Housekeeping, laundry, and maintenance are taken care of, providing residents more time to do the things they love.

A variety of recreational activities and engaging programs are conducted to keep residents active and socially connected. With a food service program, residents enjoy delightful and healthy meals that cater to their dietary needs and preferences. The community also offers wellness services to improve residents’ living experiences. Residents are guaranteed the finest retirement experience amidst the community’s vibrant and welcoming environment.

(515) 671-2444

Managed by Joan Hoerner

Administrator

Joan Hoerner serves as the Administrator at Bethany Home Retirement Center. She leads the community with a focus on providing compassionate care and support to residents, ensuring a warm and welcoming environment for all.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
5/5
Iowa average: 3.2/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
5/5
Iowa average: 2.9/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
5/5
Iowa average: 3.7/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
4/5
Iowa average: 3.5/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
4h 11m per day

This home provides 5% less nursing time per resident than the Iowa average.

Iowa average: 4h 25m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 66

This home is often near full

That suggests steady demand, but availability may be limited.

Higher demand than most homes in Iowa
Occupancy rate 101.5%
Residents per day (avg) 66
Occupancy rate
101.5%
Residents per day (avg)
66

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

34% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

57% of new residents, often for short stays.

Typical stay 3 - 4 years

Medicaid

9% of new residents, often for long-term daily care.

Typical stay 4 - 5 years

Finances and operations

Voluntary non-profit community
Home revenue
$9.8M
Operating deficit
-$18.4K
Voluntary non-profit community
Home revenue
$9,791,235.00
Operating deficit
$-18,404.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.4M
54.7% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.6M
Total costs $10.0M
Bed community size
66-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 69 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
102%
In line with Iowa average
Occupied beds
67 / 66
Average residents 51 per day

License details

Issuance March 19, 2025
Expiration March 19, 2026
County: Dubuque

Additional licensing details

License number: 310307
Year opened: 03/19/1959
CMS Certification Number: 165584

Ownership & operating entity

Bethany Home Retirement Center is administrated by Susan Westmark.

Care Services

Nursing Services
Rehabilitation Services
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing

All Levels of Care

Independent Living
Skilled Nursing
Memory Care

Contact Information

Fax: 5635563078

Amenities & Lifestyle

Fully-Equipped Wellness Center
Robust Social Calendar
Delicious Dining
Groundskeeping And Maintenance
Timely Housekeeping And Laundry Services
24/7 On-Site Nursing Staff

Programs & Activities

Specific Programs
Independent Living, Healthcare, Memory Care, Therapy/Rehabilitation, Activities, Food Service, Groundskeeping, Housekeeping/Laundry

Dining & Nutrition

Food Description
Delicious dining with a robust menu offering a variety of meals.

What does this home offer?

Housing options icon
Housing options icon

Housing Options: 1 Bed / 2 Bed

Building type icon
Building type icon

Building Type: 3-story

Dining services icon
Dining services icon

Dining Services

Housekeeping icon
Housekeeping icon

Housekeeping Services

Social and recreational activities icon
Social and recreational activities icon

Social and Recreational Activities

Wellness Programs icon

Wellness Programs

Types of Care at Bethany Home Retirement Center

Independent Living Memory Care
Contact Bethany Home Retirement Center

Inspection History

In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.

12 visits/inspections

4 visits/inspections triggered by complaints

Breakdown by inspection type
  • 6 renewal/recertification inspections
  • 4 complaint investigations
  • 2 incident investigations

Iowa average: 17 visits/inspections

Iowa average: 0 inspections

Latest inspection

Date August 5, 2025

Inspection history

08/05/2025 Complaint
05/01/2025 Recertification
09/27/2024 Complaint
06/27/2024 Recertification
04/23/2024 Complaint, Incident
04/19/2023 Recertification Revisit, Complaint Revisit
Yes
03/30/2023 Recertification, Complaint
02/02/2022 Recertification Revisit, Incident Revisit
Yes
12/14/2021 Recertification, Incident
12/10/2020 FIC
10/20/2020 Complaint, Incident, FIC
06/09/2020 FIC

6 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Inspection Report Summary for Bethany Home Retirement Center

The most recent inspection on August 5, 2025 found the facility to be in substantial compliance following a complaint investigation. Earlier inspections generally showed the facility meeting regulatory requirements, with the exception of a March 30, 2023 annual inspection that cited deficiencies related to medication administration and dietary staff compliance with food safety. Prior reports from December 2021 noted deficiencies involving medication administration, resident supervision, and food service, including an immediate jeopardy finding related to resident elopement that was addressed with corrective actions. Complaint investigations were mostly unsubstantiated, and no fines, license suspensions, or enforcement actions were listed in the available reports. The inspection history suggests improvement over time, with recent surveys showing compliance after earlier issues were corrected.

Health Inspection History

Inspections
Total health inspections 1

Iowa average 4.9


Last Health inspection on Mar 2023

Total health citations 2

Iowa average 21.7

Citations per inspection
2

Iowa average 4.11


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 2 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Iowa average

Iowa average: 0.6


Serious Health citations More info 0
100% better than Iowa average

Iowa average: 0.9

0 critical citations More info Iowa average: 0.6

0 serious citations More info Iowa average: 0.9

2 moderate citations More info Iowa average: 19.7

0 minor citations More info Iowa average: 0.5
Citations history (last 3 years)
Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Mar 30, 2023
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Mar 30, 2023
Corrected

Compare Senior Living around Dubuque The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.

Filter by care type
Bethany Home Retirement Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Dubuque
117
No
69
1 Bed / 2 Bed
-
100.0%
4
2
Mount Carmel Bluffs
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Dubuque
60
No
2
1 Bed / 2 Bed
5
93.3%
2
2
Applewood IV Senior Apartments
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Dubuque
-
No
62
1 Bed / 2 Bed
-
-
0
0
Asbury Senior Apartments
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Dubuque
-
Yes
53
1 Bed / 2 Bed
-
-
0
0
Windsor Park Retirement Apartments
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Dubuque
-
No
20
1 Bed / 2 Bed
-
-
0
0

Places of interest near Bethany Home Retirement Center

Address 1.2 miles from city center

Address 1005 Lincoln Ave, Dubuque, IA 52001

Calculate Travel Distance to Bethany Home Retirement Center

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 104
Employees 93
Contractors 11
Staff to resident ratio 1.58:1
21% worse than Iowa average

Iowa average ratio: 2.00:1

Avg staff/day 45
Average shift 7.2 hours
0% compared with Iowa average

Iowa average: 7.4 hours

Total staff hours (quarter) 29,351
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 63
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.1 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

2.5%

738 contractor hours this quarter

Respiratory Therapy Technician: 3 Occupational Therapy Assistant: 2 Speech Language Pathologist: 2 Qualified Social Worker: 1 Physical Therapy Aide: 1 Occupational Therapy Aide: 1 Physical Therapy Assistant: 1
Staff by category
Certified Nursing Assistant6306318,05291100%7.1
Registered Nurse110114,51191100%7.6
Licensed Practical Nurse9092,6288998%8.1
Nurse Practitioner2028966571%8.1
Other Dietary Services Staff3037046875%6.8
Mental Health Service Worker1014605560%8.4
Dietitian1014465864%7.7
Clinical Nurse Specialist1014135560%7.5
Administrator1014055459%7.5
Speech Language Pathologist0221363538%3.8
Occupational Therapy Aide0111242426%5.2
Physical Therapy Aide0111244347%2.9
Respiratory Therapy Technician0331123134%3.6
Medication Aide/Technician10199910%11
Qualified Social Worker011975763%1.7
Physical Therapy Assistant011732022%3.7
Occupational Therapy Assistant022712629%2.4
63 Certified Nursing Assistant
% of Days 100%
11 Registered Nurse
% of Days 100%
9 Licensed Practical Nurse
% of Days 98%
2 Nurse Practitioner
% of Days 71%
3 Other Dietary Services Staff
% of Days 75%
1 Mental Health Service Worker
% of Days 60%
1 Dietitian
% of Days 64%
1 Clinical Nurse Specialist
% of Days 60%
1 Administrator
% of Days 59%
2 Speech Language Pathologist
% of Days 38%
1 Occupational Therapy Aide
% of Days 26%
1 Physical Therapy Aide
% of Days 47%
3 Respiratory Therapy Technician
% of Days 34%
1 Medication Aide/Technician
% of Days 10%
1 Qualified Social Worker
% of Days 63%
1 Physical Therapy Assistant
% of Days 22%
2 Occupational Therapy Assistant
% of Days 29%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
66 residents
Residents by payment source
Medicare
1 resident (1.5%)
Medicaid
11 residents (16.7%)
Private pay or other
54 residents (81.8%)
Programs & Services
CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 7.0
32% better than Iowa average

Iowa average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 13.7
37% better than Iowa average

Iowa average: 21.6

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 11.8%
37% better than Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 9.4%
52% better than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 19.9%
24% better than Iowa average

Iowa average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.8%
22% better than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.9%
58% worse than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.0%
20% better than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 15.5%
19% better than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
6% better than Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.5%
In line with Iowa average

Iowa average: 95.3%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
18% better than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Iowa average

Iowa average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 5.0%
93% worse than Iowa average

Iowa average: 73.3%

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Financial Aid for Iowa Seniors

Get financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Iowa Family Caregiver Support

IA NFCSP

Caregiver of someone 60+, Iowa resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited slots; rural emphasis.

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled, Iowa resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR, Medicaid-eligible).

$2,000 (individual), $3,000 (couple).

Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Senior Community Service Employment Program (SCSEP)

Iowa SCSEP

Age 55+, unemployed, low-income, Iowa resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

Able Up Iowa

Able Up Iowa

Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.

No strict limit; must demonstrate repayment capacity.

Not specified; credit-based.

Loans up to $25,000; statewide via Easterseals partnership.