Hawkeye Care Center Dubuque

In the surveyor’s words

From the most serious findings on record at Hawkeye Care Center Dubuque, in the surveyor’s own words.

• Actual harm, isolatedF689May 2, 2024

  Based on clinical record review, policy review, and staff and family interviews the facility failed to provide adequate supervision and assistance with transfers which led to a fall that caused a resident harm for 1 of 3 residents reviewed (Resident #29). The facility reported a census of 70 residents. Findings include: The Minimum Data Set (MDS) dated [DATE] for Resident #29 documented the presence of short and long-term memory impairment. The MDS indicated the resident required assistance of 2 staff for toileting. It documented diagnoses including osteoporosis (lack of bone density), right leg below knee amputation, and generalized muscle weakness. The resident's Care Plan initiated 8/18/23 identified a focus area for dependence on staff for transfers. […]

• No harm, potential for more than minimal, widespreadF865Sep 18, 2025

  Based on staff interviews, facility record review and facility policy review the facility failed to ensure an effective Quality Assurance Performance Improvement (QAPI) process to address previously identified quality deficiencies, resulting in repeated deficiencies cited on the current survey and cited in previous surveys. The facility reported a census of 71 residents.Findings include:The Centers for Medicare and Medicaid Services (CMS) 2567 form dated 12/22/22 reflected deficiencies identified for infection control.The CMS 2567 form dated 9/12/24 reflected deficiencies identified for infection control .During the current recertification and complaint dated 9/18/25, the team identified same deficiency, Infection Control (F880).On 9/18/25 at 11:22 AM the Infection Preventionist,… […]

• No harm, potential for more than minimal, widespreadF851May 2, 2024

  Based on record review and staff interview the facility failed to submit Payroll Based Journaling (PBJ) data to the Centers for Medicare and Medicaid Services (CMS) as required for the quarter of October 1 through December 31, 2023. The facility reported a census of 70 residents. Findings include: The CMS PBJ Staffing Data Report for Federal Year (FY) Quarter 1 2024 (October 1- December 31) triggered for failure to submit data for the quarter. During an interview on 4/30/24 at 11:40 AM, the Administrator confirmed the corporate office did not submit the data. The corporate office submits the data to CMS. This time the corporate office was waiting for additional information from a 3rd party and submitting the facility data slipped her mind. […]

• No harm, potential for more than minimal, patternF880Sep 12, 2024

  Based on observation, staff interviews, and policy review the facility failed to use appropriate personal protective equipment (PPE) when laundering soiled items. The facility reported a census of 72 residents. Findings include: In an interview on 9/10/24 at 8:50 AM Staff A, Laundry aide explained dirty laundry comes in bags. Whites are separated as are personal items. Laundry from isolation rooms comes in a red bag and they get washed by themselves in the washer. Staff wear gloves and an apron for isolation laundry, and only gloves for regular dirty laundry. In an observation on 9/10/24 at 9:17 AM Staff A put on gloves, took the cover off the soiled laundry bin, and placed soiled linens into two washers without donning a gown. […]

• No harm, potential for more than minimal, patternF812May 2, 2024

  Based on observation, document review and staff interview the facility failed to keep hands off of the drinking rim of cups for 2 of 3 dining rooms observed and failed to contain hair during meal preparation and serving for 2 of 5 staff observed. The facility reported a census of 70 residents. Findings include: During an observation of the noon meal on 4/29/24 from 11:17 AM through 11:53 AM in the Transitional Care Unit (TCU), Staff D, Dietary Aide was noted to have hair outside her hairnet on the side in front of her ears. She was serving residents food and drink from the steam table. During the same observation, Staff D was observed serving 18 cups to 11 residents while touching the drinking rim of the cups. […]