Hillcrest Health Care Center

2121 Avenue L, Hawarden, IA 51023 · (712) 551-1074
For profit - Limited Liability company · 64 certified beds

Hillcrest Health Care Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in March 2026, found 23 citations, 1 for actual harm or immediate jeopardy (the Iowa average is 6.5). It was fined 3 times in the last three years, $130,305 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on March 26, 2026 found 23 citations. What an inspection citation means

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.March 26, 2026 · F0600 · Level of harm: Actual harm · Residents affected: Few
• 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.March 26, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.March 26, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.March 26, 2026 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.March 26, 2026 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.March 26, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Reasonably accommodate the needs and preferences of each resident.March 26, 2026 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to manage his or her financial affairs.March 26, 2026 · F0567 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.March 26, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.March 26, 2026 · F0582 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.March 26, 2026 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.March 26, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.March 26, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.March 26, 2026 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.March 26, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.March 26, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.March 26, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.March 26, 2026 · F0693 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.March 26, 2026 · F0744 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.March 26, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.March 26, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Have a plan that describes the process for conducting QAPI and QAA activities.March 26, 2026 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyMarch 26, 2026 · F0868 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 26 citations.

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.May 6, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.May 6, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.May 6, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Reasonably accommodate the needs and preferences of each resident.March 26, 2026 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.March 26, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.March 26, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.March 26, 2026 · F0600 · Level of harm: Actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.March 26, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.March 26, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.October 8, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.March 11, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.March 11, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 11, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.July 28, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Reasonably accommodate the needs and preferences of each resident.July 28, 2024 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 28, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.July 28, 2024 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.July 28, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.July 28, 2024 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.July 28, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.July 28, 2024 · F0805 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.July 28, 2024 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.July 28, 2024 · F0809 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.July 28, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure services provided by the nursing facility meet professional standards of quality.January 31, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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 limited.January 31, 2024 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $104,855March 26, 2026
• Fine of $8,649July 28, 2024
• Fine of $16,801January 31, 2024
• Medicare payment denial for 22 daysStarting April 22, 2026

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home