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Residential Services

Residential services are provided at the Intermediate Care Facility for the Intellectually Disabled (ICF/ID), located in Dubuque, Iowa.  Hills & Dales is one of only three licensed residential ICF/ID’s in Iowa that specializes in services to children with disabilities, high medical needs, and significant behavioral presentations.  Hills & Dales is licensed to serve 59 children and young adults within the residential program. This program operates twenty-four hours a day, seven days a week, every day of the year.  Each individual receives individualized support and services to maximize his or her skills and abilities. In many cases skill development is very intense and extends throughout their lifetime.

Challes' trip to Justin Bieber


Nursing services are provided around the clock. The Hills & Dales nursing staff is able to support persons in many post-surgical situations, including hip surgeries, the release of heel cords, gastrostomy tube placements, and spinal rod insertions.  They are also able to provide assistance to individuals with hearing and visual impairments, Cerebral Palsy, respiratory ailments, spasticity, seizures, and many other medical needs.  Hills & Dales’ commitment to on site 24 hour nursing provides individuals with significant medical and health issues the opportunity to continue living in a dynamic developmental environment.  Many of the specialized treatments and therapies that the Hills & Dales nursing staff administers are not available in many ICF/ID environments.


The residential program also provides services for persons with significant, challenging behavioral presentations.  All staff receive specialized training focusing on communication, relationships, and de-escalation techniques to promote and maintain safety for persons supported.

Hills & Dales is able to provide residents the opportunity to have changes and modifications made to their personal adaptive or mobility equipment.  A typical resident may require approximately 150-175 modifications during their lifetime.  The Hills & Dales Adaptive Equipment Technician can customize wheelchair seating systems to fit each individual. Nearly every piece of equipment that is bought for a resident, whether it is a wheelchair, bed, walker or dietary utensils, will need to be modified in one way or another.  The residents that work at the Life Training Center also receive assistance with the use of adaptive equipment.  Adaptations may be made in the work environment to support and promote persons independence and opportunities to participate.

Hills & Dales collaborates with a diverse range of professional consultants and community organizations to assure that comprehensive supports and services are available to meet the needs and desires of each resident.  Consultants include: physical therapists, psychologist, speech and language pathologists, occupational therapists, dietitians, and orthotists.  Community organizations may include Keystone Area Education Agency, Visiting Nurse’s Association and the Dubuque Community Schools.

The adult residents of Hills & Dales who desire community based employment have the opportunity for vocational training and to learn various life skills through the Life Training Center (LTC), which is located at our Community Center in Dubuque.  Community employment will give the individuals an opportunity to work and earn wages in an integrated work setting.

Hills & Dales Notice of Privacy Practices for Residential Services