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UPDATED JUL 2026

Nursing Homes · Medicare certified

Hillcrest Health Care Center

2121 Avenue L · Hawarden, IA 51023 · 64 certified beds

7125511074

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Public record

CMS Care Compare · Updated Jul 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

1.0

Quality-measure rating

4.0

Inspections on record

2

Cited deficiencies

48

Inspection history (70)

  • July 28, 2024 · D

    Citation F0689

    Federal 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.GOV
  • July 28, 2024 · D

    Citation F0725

    Federal 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.GOV
  • July 28, 2024 · E

    Citation F0809

    Federal 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.GOV
  • July 28, 2024 · J

    Citation F0805

    Federal 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.GOV
  • July 28, 2024 · E

    Citation F0804

    Federal 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.GOV
  • January 31, 2024 · E

    Citation F0803

    Federal 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.GOV
  • January 31, 2024 · E

    Citation F0725

    Federal 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.GOV
  • January 31, 2024 · E

    Citation F0804

    Federal 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.GOV
  • January 31, 2024 · E

    Citation F0802

    Federal 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.GOV
  • January 31, 2024 · D

    Citation F0641

    Federal 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.GOV
  • January 31, 2024 · E

    Citation F0865

    Federal 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.GOV
  • January 31, 2024 · D

    Citation F0644

    Federal 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.GOV
  • January 31, 2024 · E

    Citation F0809

    Federal 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.GOV
  • January 31, 2024 · E

    Citation F0550

    Federal 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.GOV
  • January 31, 2024 · D

    Citation F0883

    Federal 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.GOV
  • January 31, 2024 · D

    Citation F0584

    Federal 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.GOV
  • January 31, 2024 · D

    Citation F0623

    Federal 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.GOV
  • January 31, 2024 · E

    Citation F0868

    Federal 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.GOV
  • January 31, 2024 · D

    Citation F0758

    Federal 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.GOV
  • January 31, 2024 · E

    Citation F0585

    Federal 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.

  1. 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/mo
See full IA cost breakdownSource: Genworth Cost of Care Survey · Updated 2024

Nursing Homes

Median · IA$9,277/mo
See full IA cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

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Hillcrest Health Care Center in Hawarden, IA · Inspections page 3 · ElderCareCosts