Nursing Homes · Medicare certified
Hillcrest Health Care Center
2121 Avenue L · Hawarden, IA 51023 · 64 certified beds
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Public record
CMS Care Compare · Updated Jul 2026
Certification
- Medicare-certified (CMS Certification Number on file)
Ratings
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
1.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
48
Inspection history (70)
March 26, 2026 · D
Citation F0582Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0582 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. The deficiency was recorded as corrected on 2026-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOVMarch 26, 2026 · D
Citation F0628Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0628 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. The deficiency was recorded as corrected on 2026-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOVMarch 26, 2026 · D
Citation F0677Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2026-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOVMarch 26, 2026 · E
Citation F0880Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2026-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOVMarch 26, 2026 · D
Citation F0693Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0693 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOVMarch 26, 2026 · E
Citation F0684Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0684 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2026-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOVMarch 26, 2026 · D
Citation F0644Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0644 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. The deficiency was recorded as corrected on 2026-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOVMarch 26, 2026 · D
Citation F0558Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0558 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2026-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOVMarch 26, 2026 · E
Citation F0804Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0804 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. The deficiency was recorded as corrected on 2026-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOVMarch 26, 2026 · D
Citation F0605Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0605 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. The deficiency was recorded as corrected on 2026-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOVMarch 26, 2026 · D
Citation F0842Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2026-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOVMarch 26, 2026 · D
Citation F0657Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2026-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOVMarch 26, 2026 · D
Citation F0760Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2026-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOVMarch 26, 2026 · D
Citation F0567Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0567 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to manage his or her financial affairs. The deficiency was recorded as corrected on 2026-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOVMarch 26, 2026 · D
Citation F0744Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0744 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. The deficiency was recorded as corrected on 2026-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOVMarch 26, 2026 · D
Citation F0609Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2026-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOVMarch 26, 2026 · E
Citation F0725Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0725 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2026-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOVMarch 26, 2026 · D
Citation F0868Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0868 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Have the Quality Assessment and Assurance group have the required members and meet at least quarterly. The deficiency was recorded as corrected on 2026-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOVMarch 26, 2026 · D
Citation F0865Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0865 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Have a plan that describes the process for conducting QAPI and QAA activities. The deficiency was recorded as corrected on 2026-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOVMarch 26, 2026 · E
Citation F0584Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOV
Penalties
Total fines on file: $25,450
Staffing
Latest: 2.96 nurse staffing hours per resident per day (2025Q4)
Ownership
For profit - Limited Liability company
CMS Care Compare chain: The Ensign Group
Chain ID 507 · 342 facilities in chain (CMS)
- Chain average overall rating: 3.2
- Chain average health inspection rating: 2.9
- Chain average staffing rating: 2.4
- Chain average quality measure rating: 4.4
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Parent organization: Gateway Healthcare LLC
parent · PAC 4688843139
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth Cost of Care Survey · 2024
This provider doesn't publish a specific price to us. Below is the typical IA range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · IA$7,858/moNursing Homes
Median · IA$9,277/moNearby alternatives
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