Mount Carmel Bluffs
1160 Carmel Drive, Dubuque, IA 52003
Mount Carmel Bluffs is a nursing home in Dubuque, Iowa. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 5 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 2 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (563) 556-5474
- Last standard health inspection
- February 26, 2026 (8 months ago)
- Certified beds
- 60
- Residents per day, on average
- 53.2
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Bvm-Phs Senior Housing INC
- Chain
- Presbyterian Homes & Services
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Iowa average (7 vs 21).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
1 citation
Health inspection on February 26, 2026
CMS lists this as a standard inspection.
Citation F0725. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS lists it as corrected on March 18, 2026.
2 citations
Fire safety inspection on February 26, 2026
CMS lists this as a standard inspection.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on March 15, 2026.
CMS has cited this home for K0353 2 times since 2025.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on March 15, 2026.
CMS update of November 20, 2025
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of July 30, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
3 citations
Health inspection on July 9, 2025
CMS lists this as a complaint inspection.
Citation F0689. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on August 19, 2025.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on August 19, 2025.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on August 19, 2025.
CMS update of April 30, 2025
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
2 citations
Fire safety inspection on February 20, 2025
CMS lists this as a standard inspection.
Citation K0324. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on March 18, 2025.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on March 18, 2025.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 1 of 5.
3 citations
Health inspection on April 4, 2024
CMS lists this as a standard inspection.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on May 3, 2024.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on May 3, 2024.
Citation F0803. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
CMS lists it as corrected on May 3, 2024.
4 citations
Fire safety inspection on April 4, 2024
CMS lists this as a standard inspection.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on May 9, 2024.
Citation K0311. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have an enclosure around a vertical opening shaft.
CMS lists it as corrected on May 9, 2024.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on May 9, 2024.
Citation K0920. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on May 9, 2024.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- PRESBYTERIAN HOMES AND SERVICES5% or greater direct ownership interest · 50% · since 08/31/2021
- SISTERS OF CHARITY OF THE BLESSED VIRGIN MARY5% or greater direct ownership interest · 50% · since 08/31/2021
- MANTERNACH, LADONNA5% or greater indirect ownership interest · 25% · since 08/01/2022
- PHS MANAGEMENT, LLCOperational/managerial control · not applicable · since 10/15/2020
- FLETCHER, JONATHANOperational/managerial control · not applicable · since 02/01/2025
- MEYER, MARKOperational/managerial control · not applicable · since 09/07/2018
- PETERSON, HEIDIOperational/managerial control · not applicable · since 01/01/2023
- RENTZ, SARAHOperational/managerial control · not applicable · since 10/15/2020
- RIES, ANDREAOperational/managerial control · not applicable · since 07/01/2022
Questions
When was Mount Carmel Bluffs last inspected?
CMS lists February 26, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Mount Carmel Bluffs have?
CMS lists 7 health citations since April 4, 2024. CMS also calls these deficiencies.
Has Mount Carmel Bluffs been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Mount Carmel Bluffs?
Its CMS overall star rating is 5 of 5.
Is Mount Carmel Bluffs a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.