nursing home in Hawarden, IA
Hillcrest Health Care Center
2121 Avenue L, Hawarden, IA 51023 · (712) 551-1074
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★2
- Quality measures★★★★★3
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Hillcrest Health Care Center at a glance
Hillcrest Health Care Center is a 64-bed for-profit nursing home in Hawarden, Iowa (Sioux County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Iowa average of 3.1.
Residents receive about 3.1 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (March 26, 2026) found 27 health citations. The Iowa average is 6.5.
Federal regulators fined it 3 times in the past three years, totaling $130,305.
Nursing staff turnover is 75% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 64
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Ensign Group
- Medicare-certified since
- November 16, 1994
- Resident/family council
- Resident
- County
- Sioux County
- CMS Certification Number
- 165245
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.7 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 3.3 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.11 hrs | 3.82 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.61 hrs | 0.74 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.73 hrs | 2.52 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.56 hrs | 3.37 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 75% | 44% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 80% | 42.1% | 42.9% | Worse |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 27 | 6 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 10 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 149.5 | 54.5 | 80.6 | Worse |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $130,305 | $19,286 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 64 | 65 | 107 | |
| Average residents per day | 54 | 52 | 86 | |
| Occupancy | 83.8% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.1% | 3.8% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.6% | 4.2% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 24.5% | 19.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.2% | 2.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 20.3% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 13.8% | 16.6% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 5.3% | 4.6% | 5.2% | Average |
| Long-stay residents with depressive symptoms (lower is better) | 12% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 17.8% | 20.8% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 27.3% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 95.9% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 89.9% | 94% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2.1% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 43.5% | 73.3% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 34.7% | 84% | 82% | Worse |
Inspection citations
State inspectors cited this home for 72 health deficiencies and 24 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 6, 2026 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected May 14, 2026 |
| May 6, 2026 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected May 14, 2026 |
| May 6, 2026 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected May 14, 2026 |
| March 26, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected March 18, 2026 |
| March 26, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected March 18, 2026 |
| March 26, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected March 18, 2026 |
| March 26, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected April 8, 2026 |
| March 26, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected April 8, 2026 |
| March 26, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected April 8, 2026 |
| March 26, 2026 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected April 8, 2026 |
| March 26, 2026 Complaint | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected April 8, 2026 |
| March 26, 2026 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected April 8, 2026 |
| March 26, 2026 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected April 8, 2026 |
| March 26, 2026 Standard | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected April 8, 2026 |
| March 26, 2026 Standard | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | D Potential harm, isolated | Corrected April 8, 2026 |
| March 26, 2026 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected April 8, 2026 |
| March 26, 2026 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected April 8, 2026 |
| March 26, 2026 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected April 8, 2026 |
| March 26, 2026 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | D Potential harm, isolated | Corrected April 8, 2026 |
| March 26, 2026 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected April 8, 2026 |
| March 26, 2026 Standard | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Tag F0567 | D Potential harm, isolated | Corrected April 8, 2026 |
| March 26, 2026 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected April 8, 2026 |
| March 26, 2026 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected April 8, 2026 |
| March 26, 2026 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected April 8, 2026 |
| March 26, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected April 8, 2026 |
| March 26, 2026 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected April 8, 2026 |
| March 26, 2026 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected April 8, 2026 |
| March 26, 2026 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected April 8, 2026 |
| March 26, 2026 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected April 8, 2026 |
| October 8, 2025 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected October 13, 2025 |
| March 11, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected March 11, 2025 |
| March 11, 2025 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | F Potential harm, widespread | Corrected March 27, 2025 |
| March 11, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected March 4, 2025 |
| March 11, 2025 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected March 27, 2025 |
| March 11, 2025 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected March 5, 2025 |
| March 11, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected March 13, 2025 |
| March 11, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected March 5, 2025 |
| March 11, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected March 12, 2025 |
| March 11, 2025 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | F Potential harm, widespread | Corrected March 17, 2025 |
| March 11, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected March 27, 2025 |
| March 11, 2025 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | F Potential harm, widespread | Corrected March 27, 2025 |
| March 11, 2025 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | F Potential harm, widespread | Corrected March 27, 2025 |
| March 11, 2025 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | F Potential harm, widespread | Corrected March 27, 2025 |
| March 11, 2025 Fire safety | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Tag E0013 | F Potential harm, widespread | Corrected March 27, 2025 |
| March 11, 2025 Fire safety | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Tag E0009 | F Potential harm, widespread | Corrected March 27, 2025 |
| March 11, 2025 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected March 28, 2025 |
| March 11, 2025 Standard | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Tag F0625 | E Potential harm, pattern | Corrected March 28, 2025 |
| March 11, 2025 Standard | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Tag F0801 | E Potential harm, pattern | Corrected March 28, 2025 |
| March 11, 2025 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected March 28, 2025 |
| March 11, 2025 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected March 28, 2025 |
| March 11, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 28, 2025 |
| March 11, 2025 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected March 28, 2025 |
| March 11, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected March 28, 2025 |
| March 11, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected March 28, 2025 |
| March 11, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected March 28, 2025 |
| July 28, 2024 Complaint | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | J Immediate jeopardy, isolated | Corrected August 7, 2024 |
| July 28, 2024 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected August 13, 2024 |
| July 28, 2024 Complaint | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Tag F0809 | E Potential harm, pattern | Corrected August 13, 2024 |
| July 28, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected August 13, 2024 |
| July 28, 2024 Complaint | 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. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected August 13, 2024 |
| July 28, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected August 13, 2024 |
| July 28, 2024 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected August 13, 2024 |
| July 28, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 13, 2024 |
| July 28, 2024 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected August 13, 2024 |
| July 28, 2024 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | D Potential harm, isolated | Corrected August 13, 2024 |
| July 28, 2024 Complaint | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected August 13, 2024 |
| January 31, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected February 5, 2024 |
| January 31, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected January 29, 2024 |
| January 31, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected February 2, 2024 |
| January 31, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected February 6, 2024 |
| January 31, 2024 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | D Potential harm, isolated | Corrected January 30, 2024 |
| January 31, 2024 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | D Potential harm, isolated | Corrected February 2, 2024 |
| January 31, 2024 Standard | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | K Immediate jeopardy, pattern | Corrected February 8, 2024 |
| January 31, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected February 14, 2024 |
| January 31, 2024 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected February 14, 2024 |
| January 31, 2024 Standard | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Tag F0802 | E Potential harm, pattern | Corrected February 14, 2024 |
| January 31, 2024 Standard | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Tag F0809 | E Potential harm, pattern | Corrected February 14, 2024 |
| January 31, 2024 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected February 14, 2024 |
| January 31, 2024 Standard | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | E Potential harm, pattern | Corrected February 14, 2024 |
| January 31, 2024 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected February 14, 2024 |
| January 31, 2024 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | E Potential harm, pattern | Corrected February 14, 2024 |
| January 31, 2024 Standard | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Tag F0585 | E Potential harm, pattern | Corrected February 14, 2024 |
| January 31, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected February 14, 2024 |
| January 31, 2024 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | E Potential harm, pattern | Corrected February 14, 2024 |
| January 31, 2024 Standard | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | E Potential harm, pattern | Corrected February 14, 2024 |
| January 31, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected February 14, 2024 |
| January 31, 2024 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected February 14, 2024 |
| January 31, 2024 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected February 14, 2024 |
| January 31, 2024 Complaint | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected February 14, 2024 |
| January 31, 2024 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected February 14, 2024 |
| January 31, 2024 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected February 14, 2024 |
| January 31, 2024 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected February 14, 2024 |
| January 31, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected February 14, 2024 |
| January 31, 2024 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected February 14, 2024 |
| January 31, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected February 14, 2024 |
| January 31, 2024 Standard | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected February 14, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 4 federal penalties in the past three years, including $130,305 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| March 26, 2026 | Payment Denial | 22 days from April 22, 2026 |
| March 26, 2026 | Fine | $104,855 |
| July 28, 2024 | Fine | $8,649 |
| January 31, 2024 | Fine | $16,801 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CARETRUST GP LLC Organization | adp of the snf | NOT APPLICABLE | 07/18/2011 |
| CARETRUST REIT INC Organization | adp of the snf | NOT APPLICABLE | 07/18/2011 |
| CTR PARTNERSHIP LP Organization | adp of the snf | NOT APPLICABLE | 07/18/2011 |
| ENSIGN SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 06/01/2011 |
| KAMSTRA, LEE Individual | adp of the snf | NOT APPLICABLE | 07/10/2025 |
| THE ENSIGN GROUP INC Organization | adp of the snf | NOT APPLICABLE | 07/29/2002 |
| WILKINS, MELODEE Individual | adp of the snf | NOT APPLICABLE | 07/10/2025 |
| JORGENSEN, DAVID Individual | corporate director | NOT APPLICABLE | 01/01/2024 |
| PORT, BARRY Individual | corporate director | NOT APPLICABLE | 07/20/2018 |
| BURNAM, SOON Individual | corporate officer | NOT APPLICABLE | 09/09/2024 |
| KEETCH, CHAD Individual | corporate officer | NOT APPLICABLE | 03/01/2011 |
| KOENIG, DEBRA Individual | corporate officer | NOT APPLICABLE | 01/01/2020 |
| SATO, AMI Individual | corporate officer | NOT APPLICABLE | 09/09/2024 |
| BURNAM, SOON Individual | managing control - governing body | NOT APPLICABLE | 09/09/2024 |
| KAMSTRA, LEE Individual | managing control - governing body | NOT APPLICABLE | 09/16/2024 |
| WILKINS, MELODEE Individual | managing control - governing body | NOT APPLICABLE | 07/18/2011 |
| AEROFUND HOLDINGS INC Organization | operational/managerial control | NOT APPLICABLE | 07/18/2011 |
| BLU MEDSTAFF LLC Organization | operational/managerial control | NOT APPLICABLE | 07/18/2011 |
| HEART MEDICAL SOLUTIONS LLC Organization | operational/managerial control | NOT APPLICABLE | 07/18/2011 |
| HELPING HANDS NURSING SOLUTION INC Organization | operational/managerial control | NOT APPLICABLE | 07/18/2011 |
| KAMSTRA, LEE Individual | operational/managerial control | NOT APPLICABLE | 09/16/2024 |
| ONSHIFT INC Organization | operational/managerial control | NOT APPLICABLE | 07/18/2011 |
| WILKINS, MELODEE Individual | operational/managerial control | NOT APPLICABLE | 07/18/2011 |
Other nursing homes near Hillcrest Health Care Center
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★★★★★5Much above average- ★★★★★4Above average
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Crown Pointe Estates Care Center
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★★★★★4Above averageHegg Memorial Health Center
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Frequently asked questions
What is Hillcrest Health Care Center's rating?
Hillcrest Health Care Center has 1 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did Hillcrest Health Care Center receive?
Its most recent standard health inspection found 27 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Hillcrest Health Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Hillcrest Health Care Center?
It is for profit - limited liability company and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Hillcrest Health Care Center and how do I contact it?
Hillcrest Health Care Center is at 2121 Avenue L, Hawarden, IA 51023. Phone: (712) 551-1074.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.