CCN 165584 · Dubuque County, Iowa

Bethany Home

1005 Lincoln Avenue, Dubuque, IA 52001

Bethany Home is a 66-bed nonprofit nursing home in Dubuque, Iowa, first certified for Medicare or Medicaid in 2009. CMS rates it 5 out of 5 stars overall in its September 2026 data, and it averaged 63.1 residents a day, about 96% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).

Facility facts

Certified beds
66
Average residents per day
63.1 (95.6% of beds)
Ownership type
Non profit - Corporation
Certification
Medicare and Medicaid
Legal business name
Bethany Home
Certified since
Apr 17, 2009
Chain or affiliated group
None listed by CMS
Location
Urban, part of a continuing care retirement community

Ratings and staffing

Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.

MeasureThis facilityIowa medianUS median
Overall rating5 of 5State spread: 78 at 1, 61 at 2, 86 at 3, 69 at 4, 91 at 5
Health inspections4 of 5
Quality measures4 of 5
Staffing5 of 5
Total nurse hours per resident per day4.503.693.68
RN hours per resident per day0.880.700.58
Weekend nurse hours per resident per day3.91
Nursing staff turnover32.1%41.9%44.9%
Occupancy (residents / beds)95.6%83.6%85.7%
Fines reported by CMS1 totaling $13,065
Health deficiencies, latest standard survey1 (Jun 18, 2026)

HUD 223(f) Express Lane: the CMS part

HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Bethany Home meets that part today: 5 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.

Who owns and operates it

These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.

NameRoleShareSince
Atkinson, RebeccaIndividualOperational / Managerial Controln/a02/13/2003
Brimeyer, ShannonIndividualOperational / Managerial Controln/a03/28/2007
Gaul, SierraIndividualOperational / Managerial Controln/a02/14/2020
Hoerner, JoanIndividualOperational / Managerial Controln/a05/19/1992
Klein, DanaIndividualOperational / Managerial Controln/a10/23/2012
Lansing, TamiIndividualOperational / Managerial Controln/a02/03/2025
Middleman, LawrenceIndividualOperational / Managerial Controln/a10/01/1993
Powers, JillIndividualOperational / Managerial Controln/a03/01/2024
Westmark, SusanIndividualOperational / Managerial Controln/a09/10/1994

Changes of ownership

No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.

HUD Section 232 loans

No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.

Watch this facility

Get one email when the monthly CMS or HUD files show a change at Bethany Home: a new owner, operator or lender of record, a change of ownership, a new overall star rating, or a change to its HUD loan.

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Sources and dates

Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.

SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.