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)
July 28, 2024 · D
Citation F0689Federal surveyors cited this nursing home on 2024-07-28 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-08-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-28.GOVJuly 28, 2024 · D
Citation F0725Federal surveyors cited this nursing home on 2024-07-28 under CMS tag F0725 (CMS scope/severity D: isolated, 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 2024-08-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-28.GOVJuly 28, 2024 · E
Citation F0809Federal surveyors cited this nursing home on 2024-07-28 under CMS tag F0809 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-08-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-28.GOVJuly 28, 2024 · J
Citation F0805Federal surveyors cited this nursing home on 2024-07-28 under CMS tag F0805 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. The deficiency was recorded as corrected on 2024-08-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-28.GOVJuly 28, 2024 · E
Citation F0804Federal surveyors cited this nursing home on 2024-07-28 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 2024-08-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-28.GOVJanuary 31, 2024 · E
Citation F0803Federal surveyors cited this nursing home on 2024-01-31 under CMS tag F0803 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-02-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-31.GOVJanuary 31, 2024 · E
Citation F0725Federal surveyors cited this nursing home on 2024-01-31 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 2024-02-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-31.GOVJanuary 31, 2024 · E
Citation F0804Federal surveyors cited this nursing home on 2024-01-31 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 2024-02-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-31.GOVJanuary 31, 2024 · E
Citation F0802Federal surveyors cited this nursing home on 2024-01-31 under CMS tag F0802 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. The deficiency was recorded as corrected on 2024-02-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-31.GOVJanuary 31, 2024 · D
Citation F0641Federal surveyors cited this nursing home on 2024-01-31 under CMS tag F0641 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2024-02-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-31.GOVJanuary 31, 2024 · E
Citation F0865Federal surveyors cited this nursing home on 2024-01-31 under CMS tag F0865 (CMS scope/severity E: pattern, 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 2024-02-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-31.GOVJanuary 31, 2024 · D
Citation F0644Federal surveyors cited this nursing home on 2024-01-31 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 2024-02-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-31.GOVJanuary 31, 2024 · E
Citation F0809Federal surveyors cited this nursing home on 2024-01-31 under CMS tag F0809 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-02-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-31.GOVJanuary 31, 2024 · E
Citation F0550Federal surveyors cited this nursing home on 2024-01-31 under CMS tag F0550 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2024-02-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-31.GOVJanuary 31, 2024 · D
Citation F0883Federal surveyors cited this nursing home on 2024-01-31 under CMS tag F0883 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures for flu and pneumonia vaccinations. The deficiency was recorded as corrected on 2024-02-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-31.GOVJanuary 31, 2024 · D
Citation F0584Federal surveyors cited this nursing home on 2024-01-31 under CMS tag F0584 (CMS scope/severity D: isolated, 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 2024-02-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-31.GOVJanuary 31, 2024 · D
Citation F0623Federal surveyors cited this nursing home on 2024-01-31 under CMS tag F0623 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2024-02-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-31.GOVJanuary 31, 2024 · E
Citation F0868Federal surveyors cited this nursing home on 2024-01-31 under CMS tag F0868 (CMS scope/severity E: pattern, 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 2024-02-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-31.GOVJanuary 31, 2024 · D
Citation F0758Federal surveyors cited this nursing home on 2024-01-31 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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 l…. The deficiency was recorded as corrected on 2024-02-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-31.GOVJanuary 31, 2024 · E
Citation F0585Federal surveyors cited this nursing home on 2024-01-31 under CMS tag F0585 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-02-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-31.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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