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Programs and Services

  • Residential services with 24-hour nursing care
  • Vocational/paid work program for adults
  • Community-based services which include; Respite, Supported Community Living, hourly support in apartments, Group Respite, and Summer Day Camp
  • Day Habilitation to enhance daily life skills (grocery shopping, volunteering, etc.)
  • Autism programs
  • Inclusive Childcare Center
  • Preschool – 3 and 4 year olds
  • LifeTime Program and congregate meals for senior citizens
  • Therapy Programs which include; music therapy, pet therapy, etc.
  • Intergenerational programs for people of all ages and abilities


Chyna's Graduation      Dreams & Desires Trip      Creating a pinewood derby car     Summer nights at the Town Clock in Dubuque


United for Change Barrier Removal Plan

2015 Iowa Department of Inspections and Appeals Survey Deficiency

2015 Constituent Satisfaction Survey Results

2014 Constituent Satisfaction Survey Results

In April 2018, CARF International announced that Hills & Dales was once again accredited for a period of three years for the Community Housing, Community Integration, Respite Services, and Supported Living programs.  The accreditation will extend through 2021.  This achievement is an indication of the organization’s dedication and commitment to improving the quality of the lives of the persons served.  Here is the full CARF Survey report CARF Accreditation Report.