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HomeIowaHillcrest Health Care Center

Hillcrest Health Care Center

2121 Avenue L, Hawarden, IA 510237125511074WebsiteGoogle Maps
4.0on Google(12 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
2/5
Quality
3/5
Beds
64
certified
This facility has been flagged for abuse.
2 fine(s) totaling $25,450

How Hillcrest Health Care Center Compares in Iowa

Facility results compared with averages for CMS-certified nursing homes in Iowa. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
IA average
3.1/5
Below state average
Health inspection rating
1/5
IA average
2.8/5
Below state average
Staffing rating
2/5
IA average
3.6/5
Below state average
Nursing hours per resident
3.11 hrs/day
IA average
3.81 hrs/day
Below state average
RN hours per resident
0.61 hrs/day
IA average
0.74 hrs/day
Below state average
Staff turnover
75.0%
IA average
44.1%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Iowa average of 3.1/5.
Its 1/5 health inspection rating is below the Iowa average of 2.8/5.
Reported nursing time is 3.11 hours per resident per day, below the state average of 3.81.
Reported RN time is 0.61 hours per resident per day, below the state average of 0.74.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
24
deficiency citations
Inspected Mar 11, 2025
Most recent cycle
27
deficiency citations
Inspected Mar 26, 2026
The most recent cycle recorded 3 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$7,148/mo
Iowa median
Private Room
$8,091/mo
Iowa median
Sioux County 65+
5,762
16.1% of county
County Population
35,815
Sioux County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Hillcrest Health Care Center is a 1-star Medicare and Medicaid certified nursing home in Hawarden, Iowa with 64 certified beds. It has been operating since 1994. Its overall CMS rating is 1 out of 5.

Beds
64
Avg Residents/Day
53.6
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Nov 16, 1994
Sprinklers
Yes
Council
Resident
County
Sioux
Last Inspection
Mar 26, 2026
Deficiencies (Cycle 1)
27
Weighted Score
150.5
Infection Citations
0

Deficiency Citations (73)

F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: May 6, 2026Corrected: NoCycle: 1
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: May 6, 2026Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: May 6, 2026Corrected: NoCycle: 1
F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0567Potential for Harm

Honor the resident's right to manage his or her financial affairs.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0582Potential for Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0605Potential for Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0628Potential for Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0693Potential for Harm

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.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0744Potential for Harm

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0865Potential for Harm

Have a plan that describes the process for conducting QAPI and QAA activities.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0868Potential for Harm

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Oct 8, 2025Corrected: NoCycle: 1
F0625Potential for Harm

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.

Survey: Mar 11, 2025Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Mar 11, 2025Corrected: NoCycle: 2
F0801Potential for Harm

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.

Survey: Mar 11, 2025Corrected: NoCycle: 2

+ 43 more deficiencies

Total Fines
$25,450
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineJul 28, 2024
$8,649
FineJan 31, 2024
$16,801

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.73 hrs
National avg: 2.32 hrs
LPN0.76 hrs
National avg: 0.86 hrs
RN0.61 hrs
National avg: 0.69 hrs
Total Nursing3.11 hrs
National avg: 3.86 hrs
Weekend Total2.56 hrs
National avg: 0.00 hrs
Physical Therapist0.05 hrs
National avg: 0.07 hrs
Total Turnover
75.0%
RN Turnover
80.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (23)

NameRoleTypeOwnership %Since
BURNAM, SOONMANAGING CONTROL - GOVERNING BODYIndividualN/ASep 9, 2024
KAMSTRA, LEEMANAGING CONTROL - GOVERNING BODYIndividualN/ASep 16, 2024
WILKINS, MELODEEMANAGING CONTROL - GOVERNING BODYIndividualN/AJul 18, 2011
JORGENSEN, DAVIDCORPORATE DIRECTORIndividualN/AJan 1, 2024
PORT, BARRYCORPORATE DIRECTORIndividualN/AJul 20, 2018
BURNAM, SOONCORPORATE OFFICERIndividualN/ASep 9, 2024
KEETCH, CHADCORPORATE OFFICERIndividualN/AMar 1, 2011
KOENIG, DEBRACORPORATE OFFICERIndividualN/AJan 1, 2020
SATO, AMICORPORATE OFFICERIndividualN/ASep 9, 2024
AEROFUND HOLDINGS INCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJul 18, 2011
BLU MEDSTAFF LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJul 18, 2011
HEART MEDICAL SOLUTIONS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJul 18, 2011
HELPING HANDS NURSING SOLUTION INCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJul 18, 2011
ONSHIFT INCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJul 18, 2011
KAMSTRA, LEEOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 16, 2024
WILKINS, MELODEEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 18, 2011
CARETRUST GP LLCADP OF THE SNFOrganizationN/AJul 18, 2011
CARETRUST REIT INCADP OF THE SNFOrganizationN/AJul 18, 2011
CTR PARTNERSHIP LPADP OF THE SNFOrganizationN/AJul 18, 2011
ENSIGN SERVICES INCADP OF THE SNFOrganizationN/AJun 1, 2011
THE ENSIGN GROUP INCADP OF THE SNFOrganizationN/AJul 29, 2002
KAMSTRA, LEEADP OF THE SNFIndividualN/AJul 10, 2025
WILKINS, MELODEEADP OF THE SNFIndividualN/AJul 10, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Hillcrest Health Care Center and nearby alternatives.

All Iowa facilities
Hillcrest Health Care Center
Hawarden, IACurrent facilityAbuse flag
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $25,450
Akron Care Center, INC
Akron, IA13.9 mi
CMS
4/5
Health
4/5
Staffing
4/5
Recorded fines: None
Crown Pointe Estates Care Center
Sioux Center, IA16.3 mi
CMS
4/5
Health
3/5
Staffing
5/5
Recorded fines: None
Hegg Memorial Health Center
Rock Valley, IA16.6 mi
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: None
Fellowship Village
Inwood, IA20.7 mi
CMS
3/5
Health
4/5
Staffing
1/5
Recorded fines: None
Pleasant Acres Care Center
Hull, IA20.9 mi
CMS
3/5
Health
3/5
Staffing
4/5
Recorded fines: None
Prairie Ridge Care Center
Orange City, IA22.0 mi
CMS
4/5
Health
3/5
Staffing
5/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Hillcrest Health Care Center
Hawarden, IA · Current facility
—1/51/52/5$25,450
Akron Care Center, INC
Akron, IA
13.9 mi4/54/54/5None recorded
Crown Pointe Estates Care Center
Sioux Center, IA
16.3 mi4/53/55/5None recorded
Hegg Memorial Health Center
Rock Valley, IA
16.6 mi5/54/55/5None recorded
Fellowship Village
Inwood, IA
20.7 mi3/54/51/5None recorded
Pleasant Acres Care Center
Hull, IA
20.9 mi3/53/54/5None recorded
Prairie Ridge Care Center
Orange City, IA
22.0 mi4/53/55/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Hillcrest Health Care Center?▾
Hillcrest Health Care Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 2/5, and quality measures rating of 3/5. This facility is rated below average.
How much does Hillcrest Health Care Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Iowa is $7,148/month for a semi-private room and $8,091/month for a private room (Genworth/CareScout 2024). Hillcrest Health Care Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Hillcrest Health Care Center had any health inspection violations?▾
Hillcrest Health Care Center had 27 deficiency citations in its most recent health inspection (Mar 26, 2026). The current CMS dataset records 2 fine(s) totaling $25,450.
What are the staffing levels at Hillcrest Health Care Center?▾
Hillcrest Health Care Center provides 3.11 total nursing staff hours per resident per day, including 0.61 RN hours, 0.76 LPN hours, and 1.73 nurse aide hours. The total staff turnover rate is 75.0%.
How many beds does Hillcrest Health Care Center have?▾
Hillcrest Health Care Center has 64 certified beds with an average of 53.6 residents per day, resulting in approximately 84% occupancy. The facility is For profit - Limited Liability company owned and is part of the The Ensign Group chain.
Are there other nursing homes near Hillcrest Health Care Center?▾
Yes. This page lists 6 nearby nursing homes in Iowa. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Hillcrest Health Care Center?▾
On Google Maps, Hillcrest Health Care Center has a rating of 4.0 out of 5 based on 12 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of The Ensign Group

This chain operates 346 facilities. View all →