Nursing Homes · Medicare certified
Hillcrest Health Care Center
2121 Avenue L · Hawarden, IA 51023 · 64 certified beds
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About Hillcrest Health Care Center
Hillcrest Health Care Center is a nursing home in Hawarden, Iowa. Its capacity is 64 beds, the same as the Sioux County median for nursing homes. It is run by a for-profit operator and is part of The Ensign Group. It is Medicare certified. Its public inspection record shows 73 citations, the most recent on May 6, 2026. CMS also lists 4 fines or payment denials against it. Nurse staffing averages 3.71 hours per resident per day. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
3.0Quality measures
2.0CMS Care Compare, October 2026.
Inspection history (73)
Records from August 2023 to May 2026.
May 6, 2026
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 14, 2026.
May 6, 2026
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 14, 2026.
May 6, 2026
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 14, 2026.
March 26, 2026
Tag F0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2026.
March 26, 2026
Tag F0567Honor the resident's right to manage his or her financial affairs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2026.
March 26, 2026
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2026.
March 26, 2026
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity G: isolated, actual harm. Corrected April 8, 2026.
March 26, 2026
Tag F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2026.
March 26, 2026
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 8, 2026.
March 26, 2026
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 8, 2026.
March 26, 2026
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2026.
March 26, 2026
Tag F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2026.
March 26, 2026
Tag F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2026.
March 26, 2026
Tag F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2026.
March 26, 2026
Tag F0865Have a plan that describes the process for conducting QAPI and QAA activities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2026.
March 26, 2026
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2026.
March 26, 2026
Tag F0558Reasonably accommodate the needs and preferences of each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2026.
March 26, 2026
Tag F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 8, 2026.
March 26, 2026
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2026.
March 26, 2026
Tag F0760Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2026.
Penalties (4)
Total fines: $130,305
March 26, 2026 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting April 22, 2026, lasting 22 days (triggered by inspection on March 26, 2026).
March 26, 2026 · Fine
CMS recorded a civil money penalty of $104,855 against this nursing home on March 26, 2026.
July 28, 2024 · Fine
CMS recorded a civil money penalty of $8,649 against this nursing home on July 28, 2024.
January 31, 2024 · Fine
CMS recorded a civil money penalty of $16,801 against this nursing home on January 31, 2024.
Staffing
3.71 nurse hours per resident per day in Q2 2026, up from 2.96 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of The Ensign Group, a chain of 347 nursing homes.
Average CMS star ratings across the chain: 3.3 overall, 2.8 for health inspections, 2.8 for staffing, 4.4 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Iowa.
What Medicaid pays nursing homes
This is what Iowa Medicaid pays a nursing home for each resident per day. It is not what a family pays privately, but it shows what the state treats as the cost of a day of care.
Median facility daily rate
$307.06per day
About $9,335 a month.
Median we calculated from the state's own facility rate file, January 1, 2026. Based on 381 facilities.
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