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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeIowaHillcrest Health Care Center

Hillcrest Health Care Center

2121 Avenue L, Hawarden, IA 510237125511074
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
2/5
Quality
3/5
Beds
64
certified
2 fine(s) totaling $25,450

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 64 certified beds with an average of 41.3 residents per day (65% occupancy)

• Last health inspection found 11 deficiencies (inspected Mar 11, 2025)

• Has been fined a total of $25,450 across 2 fine(s)

• Total nursing staff: 3.15 hours per resident per day

• Staff turnover rate: 56.1% (high)

• Part of the The Ensign Group chain (324 facilities)

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. The facility scored below average compared to Iowa facilities.

Beds
64
Avg Residents/Day
41.3
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 11, 2025
Deficiencies (Cycle 1)
11
Weighted Score
132.5
Infection Citations
0

Deficiency Citations (55)

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
F0582Potential for Harm

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

Survey: Mar 11, 2025Corrected: 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 11, 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: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Mar 11, 2025Corrected: NoCycle: 1
F0758Potential for Harm

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.

Survey: Mar 11, 2025Corrected: NoCycle: 1
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: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 11, 2025Corrected: NoCycle: 1
F0677Potential for Harm

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

Survey: Mar 11, 2025Corrected: NoCycle: 1
F0684Potential for Harm

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

Survey: Mar 11, 2025Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Mar 11, 2025Corrected: NoCycle: 1
F0550Potential for Harm

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

Survey: Jul 28, 2024Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Jul 28, 2024Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jul 28, 2024Corrected: NoCycle: 2
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: Jul 28, 2024Corrected: NoCycle: 2
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: Jul 28, 2024Corrected: NoCycle: 2
F0803Potential for Harm

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.

Survey: Jul 28, 2024Corrected: NoCycle: 2
F0804Potential for Harm

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

Survey: Jul 28, 2024Corrected: NoCycle: 2
F0805Immediate Jeopardy

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Survey: Jul 28, 2024Corrected: NoCycle: 2
F0806Potential for Harm

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Survey: Jul 28, 2024Corrected: NoCycle: 2
F0809Potential for Harm

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.

Survey: Jul 28, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 28, 2024Corrected: NoCycle: 2
F0550Potential for Harm

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

Survey: Jan 31, 2024Corrected: NoCycle: 2
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: Jan 31, 2024Corrected: NoCycle: 2
F0585Potential for Harm

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.

Survey: Jan 31, 2024Corrected: NoCycle: 2
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Jan 31, 2024Corrected: NoCycle: 2
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Jan 31, 2024Corrected: NoCycle: 2
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: Jan 31, 2024Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jan 31, 2024Corrected: NoCycle: 2
F0644Potential for Harm

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

Survey: Jan 31, 2024Corrected: NoCycle: 2

+ 25 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 Aide1.85 hrs
National avg: 2.35 hrs
LPN0.75 hrs
National avg: 0.86 hrs
RN0.56 hrs
National avg: 0.68 hrs
Total Nursing3.15 hrs
National avg: 3.89 hrs
Weekend Total2.66 hrs
National avg: 0.00 hrs
Physical Therapist0.12 hrs
National avg: 0.07 hrs
Total Turnover
56.1%
RN Turnover
0.0%
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 (7)

NameRoleTypeOwnership %Since
GATEWAY HEALTHCARE LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jul 18, 2011
THE ENSIGN GROUP INC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization100%Jul 18, 2011
WILKINS, MELODEEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 18, 2011
BURNAM, SOONCORPORATE OFFICERIndividualN/AJul 18, 2011
FITCH, CRAIGCORPORATE OFFICERIndividualN/AJan 1, 2019
KOENIG, DEBRACORPORATE OFFICERIndividualN/AJan 1, 2020
WILKINS, MELODEEW-2 MANAGING EMPLOYEEIndividualN/AJul 18, 2011

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.
Has Hillcrest Health Care Center had any health inspection violations?▾
Hillcrest Health Care Center had 11 deficiency citations in its most recent health inspection (Mar 11, 2025). The facility has been fined a total of $25,450 across 2 fine(s).
What are the staffing levels at Hillcrest Health Care Center?▾
Hillcrest Health Care Center provides 3.15 total nursing staff hours per resident per day, including 0.56 RN hours, 0.75 LPN hours, and 1.85 nurse aide hours. The total staff turnover rate is 56.1%.
How many beds does Hillcrest Health Care Center have?▾
Hillcrest Health Care Center has 64 certified beds with an average of 41.3 residents per day, resulting in approximately 65% occupancy. The facility is For profit - Limited Liability company owned and is part of the The Ensign Group chain.

Part of The Ensign Group

This chain operates 324 facilities. View all →