Nursing HomeMedicaid

Stonehill Care Center

Strong Medicare quality ratings; families often praise highly effective rehabilitation and physical therapy. Still worth an in-person visit.

3485 Windsor Avenue, Dubuque, IA 52001|185 beds|Licensed & Active

4/5

Medicare

Inspection

Quality

Staffing

Google rating

4.5/5

based on 34 Google reviews

(563) 557-7180 Directions Website

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What this means for your family

Stonehill Care Center is highly regarded for its rehabilitation services and supportive staff, making it a strong candidate for short-term recovery. However, given the serious reports of neglect and disrespectful treatment on certain units, we strongly recommend that families conduct unannounced visits and speak directly with residents about their daily care experiences.

Google Reviews

34 reviews on Google

“Stonehill Care Center receives high praise for its rehabilitation and physical therapy services, with many reviewers highlighting the competence and kindness of the staff. However, there are serious, isolated reports of neglect and disrespectful treatment toward residents, particularly regarding assistance with basic needs like toileting. Families should be aware that while the facility is often commended for its clinical care, there are significant concerns regarding the consistency of care standards on certain units.”

Quality Themes

Tap a score for details

Strengths

Highly effective rehabilitation and physical therapy
Friendly and supportive nursing and CNA staff
Clean and well-maintained facility
Strong social and emotional support for families

Concerns

Inconsistent quality of care between units (mentioned by 2 reviewers)
Reports of disrespectful treatment and neglect of basic needs (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 36 analyzed

How They Respond to Reviews

43%response rate

This facility responds to some reviews.

Questions for Your Tour

1I noticed that the staffing rating is lower than other metrics; how does the facility ensure consistent, high-quality care for residents across all units throughout the day?
2Given that rehabilitation is a noted strength here, how do you integrate those therapy goals into the resident's daily routine and social activities?
3We want to ensure our loved one feels respected and heard; what kind of training or oversight do you have in place to maintain a consistently compassionate environment for all residents?
4I see that you engage with families online, which is great; what is your preferred method for keeping families updated on their loved one’s care and addressing any immediate concerns?
5How does the team handle medical emergencies or sudden changes in health status, especially during evening or weekend hours?
6What specific steps does the facility take to ensure that basic daily needs are met promptly and consistently for every resident?

Personalized based on this facility's data

Key Review Excerpts

“I spent two weeks at Stonehill, including over Thanksgiving holiday, and was treated with respect, genuine care, competency and kindness.”

Rehab patient · 2026★★★★★

“The staff there were so supportive and helpful to me and my family, but exceptionally supportive to my mom! Tamisha or (Tammy) as my dad called her, was exceptional with the hearfelt attention she gave my dad.”

Long-term resident's family · 2024★★★★★

“My grandmother was treated with disrespect and with absolute undignified behavior. She “asked to go to the bathroom too often” and was left to sit on the toilet for over a half hour on multiple occasions with a broken pelvis.”

Long-term resident's family · 2023★☆☆☆☆

Source: 34 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.96hrs

Registered nurses for medical care

Total Nursing

4.39hrs

All nurses + aides combined

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

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

Medicare Rating

4/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility99.8%

Better than Avg

Here

99.8%

93.4%

93.9%

Dubuque

86.1%

😔

Residents with depression symptoms

↓ Lower is better

This Facility2.7%

Better than Avg

Here

2.7%

12.1%

4.1%

Dubuque

5.5%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility13.4%

Better than Avg

Here

13.4%

19.5%

20.7%

Dubuque

22.1%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility24.0%

Worse than Avg

Here

24.0%

15.5%

19.4%

Dubuque

20.3%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility20.5%

Worse than Avg

Here

20.5%

14.4%

17.6%

Dubuque

18.0%

💉

Residents vaccinated for the flu

↑ Higher is better

This Facility99.2%

Better than Avg

Here

99.2%

95.5%

95.3%

Dubuque

94.1%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility93.6%

Better than Avg

Here

93.6%

79.8%

73.3%

Dubuque

59.8%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility91.7%

Better than Avg

Here

91.7%

81.8%

84.1%

Dubuque

75.2%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility2.2%

Worse than Avg

Here

2.2%

1.6%

2.0%

Dubuque

1.6%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies

Well below state avg (6.2)

2 complaint-triggered

Stonehill Care Center shows a concerning pattern of recurring fire safety issues across multiple surveys, with deficiencies in sprinkler systems, smoke barriers, and fire alarm systems appearing repeatedly from 2023 to 2024. The facility has also had problems with medication error rates and care planning, with two complaint-triggered deficiencies in 2023 involving resident safety and care planning where families filed reports. While all issues show correction dates, the repeated fire safety violations suggest ongoing infrastructure challenges that families should discuss during visits.

Aug 7, 2025Routine3 findings

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0753Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have restrictions on the use of highly flammable decorations.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Aug 8, 2024Routine5 findings

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0344Potential for harm · PatternCorrected

Smoke Deficiencies

Have an alternate power supply for its alarm system.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

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

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Jun 8, 2023Complaint2 findings

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0689Potential for 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.

Jun 8, 2023Routine8 findings

0342Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

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.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0131Potential for harm · PatternCorrected

Construction Deficiencies

Meet requirements for sections of health care facilities separated by fire resistive construction.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

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

0372Potential for harm · PatternCorrected

Smoke Deficiencies

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

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total

4deficiencies

Feb 4, 2026ComplaintNo deficiencies

Clean