Hillcrest Health Care Center

2121 Avenue L
Hawarden IA 51023
Phone: 7125511074

Abuse icon For profit - Limited Liability company

Official CMS provider data, processing date 2026-09-01. Not an endorsement.

CMS overall rating
1/5
Much below average
Overall rating1/5
Health inspections1/5
Staffing2/5
Quality measures3/5
Long-stay quality3/5
Short-stay qualityNot rated
  • Overall rating vs. the Iowa average: 2.1 star lower (3.1), below average
  • Overall rating vs. the national average: 2.0 star lower (3.0), below average
  • Overall rating vs. the Hawarden average: level with the average (1.0)

CMS records a substantiated abuse citation for this facility in the most recent three inspection cycles.

Facility details

Size, ownership, and inspection history as reported to CMS.

Certified beds64
Average residents per day53.6
Occupancy84%
OwnershipFor profit - Limited Liability company
ChainTHE ENSIGN GROUP (344 facilities)
CountySioux
Provider typeMedicare and Medicaid
First certified for Medicare & Medicaid1994-11-16
CMS certification number (CCN)165245
Health deficiencies in the latest inspection cycle27

Staffing and turnover

Staffing hours and turnover are among the most predictive measures CMS publishes.

Adjusted total nurse staffing hours per resident per day3.79
Reported total nurse staffing hours per resident per day3.11
Registered nurse turnover80.0%
Total nursing staff turnover75.0%
Resident and family councilNo

Fines and penalties

Civil money penalties and payment denials on record, as published by CMS.

Fines (count)3
Fines (total value)$130,305
Payment denials1
Total penalties4
This facility has $130,305 in federal fines on record. Penalties are not proof of poor care on any given day, but a pattern of fines and inspections is the strongest public signal of a compliance record.

Questions to ask Hillcrest Health Care Center

  • What are the staffing levels on the specific unit my relative would be admitted to, and how do they compare with the figures above?
  • How many residents were transferred to hospital in the last year, and for what reasons?
  • What was cited at the most recent inspection, and what has changed since?
  • Does this facility accept Medicaid on admission, and what happens when private funds are exhausted?
  • What is the all-in monthly cost, including therapy, pharmacy, and any ventilator or dialysis surcharges?

Estimate nursing home costs in Iowa Compare all Iowa facilities

Is Hillcrest Health Care Center highly rated?

CMS rates it 1 out of 5 overall, which CMS labels "Much below average". Health inspections rate 1, staffing 2, and quality measures 3.

How many beds does Hillcrest Health Care Center have?

CMS certifies 64 beds; the facility reports an average of 53.6 residents per day (about 84% occupancy).

Does Hillcrest Health Care Center have any fines or citations?

Yes. CMS records $130,305 in fines and 1 payment denials for this facility.

Has Hillcrest Health Care Center been cited for abuse?

CMS records a substantiated abuse citation for this facility in the most recent three inspection cycles.