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Nursing HomeMedicaid Investigative

Luther Manor at Hillcrest

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

3131 Hillcrest Road, Dubuque, IA 52001103 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 7 Google reviews

5
4
3
2
1
Luther Manor at Hillcrest Nursing Home in Dubuque, IA — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • High RN turnover (56%)

Below average in IA · Below recommended RN staffing · Above recommended total nurse staffing · $8,281 in fines

Source: Medicare data

What this means for your family

Luther Manor at Hillcrest is highly regarded for its compassionate staff and active community life, making it a strong contender for those seeking a supportive environment. However, due to a serious report regarding pest control, we strongly advise families to request a tour of the specific unit where their loved one will reside and to ask management directly about their current pest management protocols.

Google Reviews

Google Reviews

7 reviews on Google
Luther Manor at Hillcrest receives praise for its caring nursing staff and welcoming environment in both independent living and nursing care sections. However, a serious report of pest infestations raises significant concerns regarding facility maintenance and hygiene standards that families must investigate.

Quality Themes

Tap a score for details
Food8.0Staff9.0Clean5.0Activities9.0MedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Caring and attentive nursing and CNA staff
  • Clean and well-maintained environment
  • Strong sense of community and social activities
  • High resident satisfaction in independent living

Concerns

  • Reports of pest infestations including bed bugs, rats, and cockroaches

Rating Trends

Tap a year to see what changed

2345.02024(2)3.52025(4)5.02026(1)

Distribution · 7 analyzed

5
5
4
0
3
1
2
0
1
1

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about the caring and attentive nature of your nursing and CNA staff; how do you ensure that level of personal connection is maintained with every resident?
  • 2Since we noticed the facility is very well-maintained, what specific protocols do you have in place for regular deep cleaning and pest prevention to keep the environment pristine?
  • 3With the recent health inspection findings, what specific steps is the administration taking to address those deficiencies and improve the overall care rating?
  • 4Could you tell us more about the social calendar and what kind of community activities are available to help residents stay engaged with one another?
  • 5In the event of a medical emergency during the night, what is the immediate process for notifying the family and coordinating care?
  • 6We love the sense of community mentioned by others; how do you help new residents transition into the social life here at Luther Manor?

Personalized based on this facility's data


Key Review Excerpts

Nursing and CNA staff are great and caring. Food is good Very clean environment.

Spouse of resident · 2024★★★★★

This is the fourth nursing home my mom has been to, she seems so much happier and seems to enjoy it and the workers, nurses and CNA’s seem very nice and actually care about her wellbeing.

Child of resident · 2025★★★★★

I recently moved into the independent apartments and it's wonderful. The community and activities are great.

Independent living resident · 2024★★★★★
Source: 7 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.58hrs
77%
Registered nurses for medical care
Total Nursing
4.36hrs
OK
All nurses + aides combined
Staff Turnover
47%
Lower is better (< 30% = good)
RN Turnover
60%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

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

Medicare Rating
2/ 5
Better Than Avg

4

measures

Worse Than Avg

10

measures

Mixed Results

3

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility41.3%
Worse than Avg
Here
41.3%
US
93.4%
IA
93.9%
Dubuque
91.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility68.0%
Worse than Avg
Here
68.0%
US
95.5%
IA
95.3%
Dubuque
96.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility32.4%
Worse than Avg
Here
32.4%
US
15.5%
IA
19.4%
Dubuque
19.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility27.9%
Worse than Avg
Here
27.9%
US
14.4%
IA
17.6%
Dubuque
17.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility15.8%
Worse than Avg
Here
15.8%
US
12.1%
IA
4.1%
Dubuque
4.3%

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

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility30.4%
Worse than Avg
Here
30.4%
US
19.4%
IA
25.9%
Dubuque
26.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility41.0%
Worse than Avg
Here
41.0%
US
81.8%
IA
84.1%
Dubuque
79.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility40.9%
Worse than Avg
Here
40.9%
US
79.8%
IA
73.3%
Dubuque
65.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IA
2.0%
Dubuque
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies
3penalties
Well above state avg (6.2)
14 complaint-triggered
$8,281 in fines

Luther Manor at Hillcrest has concerning patterns of complaints filed by families, resulting in 9 complaint-triggered deficiencies across the 3-year period. The facility shows recurring problems with medication management, fire safety systems, and food service that persist across multiple surveys. While all deficiencies show correction dates, the repeated nature of issues with sprinkler systems, fire alarms, and food handling suggests ongoing operational challenges that families should investigate during visits.

Feb 12, 2026Routine
10
0865Potential for harm · WidespreadCorrected

Administration Deficiencies

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

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0753Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have restrictions on the use of highly flammable decorations.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor 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.

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.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

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

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Feb 12, 2026Complaint
5
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.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0809Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure 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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Oct 23, 2025Complaint
1
0760Actual harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Sep 18, 2025Complaint
2
0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0755Potential for harm · IsolatedResolved (past non-compliance)

Pharmacy Service Deficiencies

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

Dec 30, 2024Complaint
2
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0865Potential for harm · IsolatedCorrected

Administration Deficiencies

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

Oct 17, 2024Routine
6
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0346Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Federal Penalties

Fine

Feb 12, 2026

$34,125

Fine

Jul 25, 2025

$8,281

Payment Denial

Jul 25, 2025

34-day denial

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
26deficiencies
Mar 23, 2026Inspection
Clean

Fed violations: 0, State violations: 0

Feb 12, 2026Inspection
Clean

Fed violations: 12, State violations: 1

Dec 16, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Dec 16, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Oct 23, 2025Complaint
Clean

Fed violations: 1, State violations: 1

Sep 18, 2025Complaint
Clean

Fed violations: 2, State violations: 1

Jul 25, 2025Complaint
Clean

Fed violations: 5, State violations: 1

Mar 25, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Luther Manor at Hillcrest

Organization Type

nonprofit

Chain Affiliation

Chain Name

Shlomo Hoffman

Chain Size

10 facilities nationwide

Ownership & Management

Owners

Hoffman, Shlomo

Owner

Pavel, Asher

Owner

Sheinbein, Joshua

Owner

Svarc, Jonah

Owner

Hoffman, Jessica

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Pavel, AsherManaging Control - Governing BodySheinbein, JoshuaManaging Control - Governing BodySvarc, JonahManaging Control - Governing BodyStellar Healthcare Mgmt LLCManagerJohnson, CassandraManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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