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Nursing HomeMedicaid

Hawkeye Care Center Dubuque

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

5575 Pennsylvania Avenue, Asbury, IA 5200280 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
2.9/5

based on 8 Google reviews

5
4
3
2
1
Hawkeye Care Center Dubuque Nursing Home in Asbury, IA — Street View
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What this means for your family

While the facility is praised for its modern environment and cleanliness, the history of serious concerns regarding staff competence and responsiveness is significant. We strongly recommend scheduling an unannounced visit to observe staff engagement and asking management specifically about their training protocols for new medical staff.

Google Reviews

Google Reviews

8 reviews on Google
Hawkeye Care Center presents a polarized experience, with recent reviews highlighting a clean, modern facility and well-equipped rooms in the Transitional Care Unit. Conversely, older reviews raise serious concerns regarding staff accountability, professional competence, and responsiveness to urgent medical needs.

Quality Themes

Tap a score for details
FoodN/AStaff4.0Clean9.0ActivitiesN/AMeds1.0MemoryN/ACommsN/AValueN/A

Strengths

  • Clean, modern facility
  • Well-equipped rooms with amenities
  • Convenient location for family visits

Concerns

  • Lack of staff accountability and professionalism (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.02018(5)1.02019(3)1.02020(2)5.02021(2)5.02024(2)

Distribution · 14 analyzed

5
5
4
2
3
0
2
0
1
7

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed that your team is very active in responding to online feedback; how do you use that family input to improve the daily experience for residents?
  • 2With a 5-star staffing rating, how do you ensure that the high volume of staff translates into consistent, personalized attention for each resident throughout the day?
  • 3I see that medication management is a top priority for our family; could you walk us through your specific process for ensuring accuracy and timely delivery of medications?
  • 4Given the recent health inspection findings, what specific steps has the facility taken to address those areas and ensure a higher standard of care moving forward?
  • 5We appreciate how modern and clean the facility looks; what kind of daily social or recreational activities do you have planned to help residents feel connected and engaged?
  • 6In the event of a medical emergency, what is your protocol for communicating with family members and coordinating with local Dubuque healthcare providers?

Personalized based on this facility's data


Key Review Excerpts

I was pleasantly surprised at how clean and big the facility was. I chose this primarily for two reasons, it was close to my home allowing my husband to easily visit through public transport and it was a newer built facility.

Rehab patient · 2024★★★★★

My father in law was not in there care for more than a few hours before we realized the medical care provider was not trained, competent or knowledgeable of the needs of my father in law.

Family member · 2020☆☆☆☆

Very lazy staff that sit on “Facebook” often behind the nurses stations with no accountability at all it’s a free for all type environment.

Visitor · 2019☆☆☆☆
Source: 8 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.09hrs
OK
Registered nurses for medical care
Total Nursing
3.60hrs
88%
All nurses + aides combined

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

10

measures

Worse Than Avg

7

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility73.3%
Worse than Avg
Here
73.3%
US
93.4%
IA
93.9%
Dubuque
88.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility4.7%
Better than Avg
Here
4.7%
US
15.5%
IA
19.4%
Dubuque
22.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility32.4%
Worse than Avg
Here
32.4%
US
15.3%
IA
17.5%
Dubuque
16.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility34.8%
Worse than Avg
Here
34.8%
US
19.4%
IA
25.9%
Dubuque
25.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.4%
Better than Avg
Here
11.4%
US
19.5%
IA
20.7%
Dubuque
22.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.0%
Better than Avg
Here
3.0%
US
12.1%
IA
4.1%
Dubuque
5.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.8%
Better than Avg
Here
95.8%
US
79.8%
IA
73.3%
Dubuque
59.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.4%
Better than Avg
Here
97.4%
US
81.8%
IA
84.1%
Dubuque
74.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.3%
Better than Avg
Here
1.3%
US
1.6%
IA
2.0%
Dubuque
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
Well below state avg (6.2)
2 complaint-triggered

Families filed complaints that led to findings about resident safety and care quality, with multiple issues appearing across surveys including fire safety systems, infection control, and resident rights violations. The facility has faced recurring problems with electrical systems, smoke barriers, and emergency generator functionality across multiple inspections. While all deficiencies show correction dates, the pattern of repeated fire safety and building infrastructure issues suggests ongoing maintenance challenges that families should discuss during visits.

Sep 18, 2025Routine
6
0865Potential for harm · WidespreadCorrected

Administration Deficiencies

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

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0753Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have restrictions on the use of highly flammable decorations.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Sep 12, 2024Routine
5
0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0223Potential for harm · PatternCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0781Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

May 2, 2024Routine
14
0851Potential for harm · WidespreadCorrected

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

0133Potential for harm · WidespreadCorrected

Construction Deficiencies

Install a two-hour-resistant firewall separation.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0161Potential for harm · PatternCorrected

Construction Deficiencies

Use approved construction type or materials.

0223Potential for harm · PatternCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0921Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

May 2, 2024Complaint
2
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
5deficiencies
Dec 19, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Dec 1, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Sep 18, 2025Inspection
Clean

Fed violations: 3, State violations: 0

Jul 22, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Apr 21, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Feb 11, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Nov 25, 2024Complaint
Clean

Fed violations: 0, State violations: 0

Sep 30, 2024Inspection
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hawkeye Care Center Dubuque

Organization Type

for profit

Ownership & Management

Owners

Elsesser, Brian

Owner

Elsesser, Michelle

Owner

Hamm, Doris

Owner

Hamm, Michael

Owner

Johnson, Douglas

Owner

Johnson, Kelly

Owner

Key personnel

Ltc Accounting Services, LLCAdp of the SnfPremier Senior Management LLCAdp of the SnfWilliams & Company PcAdp of the SnfElsesser, BrianAdp of the SnfElsesser, MichelleAdp of the Snf
Source: Medicare provider data

Contact

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References & Resources

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