Hillcrest Health Care Center

2121 Avenue L, Hawarden, IA 51023 · CCN 165245 · 64 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing2 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

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Serious inspection findings

2026-03-26 — ACTUAL HARM (tag F0600, severity G)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2024-07-28 — IMMEDIATE JEOPARDY (tag F0805, severity J)

Nutrition and Dietary Deficiencies · correction not recorded in CMS data

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

2024-01-31 — IMMEDIATE JEOPARDY (tag F0805, severity K)

Nutrition and Dietary Deficiencies · correction not recorded in CMS data

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Staffing, from payroll records

Nursing hours / resident / day

2.71

state median 3.10

Weekend staffing gap

−14%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.38

registered nurses only

Contract (agency) staff

32%

share of all nursing hours

Nursing staff turnover

75%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $25,450 in fines.

Date	Type	Amount
2024-07-28	Fine	$8,649
2024-01-31	Fine	$16,801

Ownership

Ownership type: For profit - Limited Liability company. Part of the THE ENSIGN GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

THE HEALTHCARE CENTER OF EASTVIEW (BIRMINGHAM, AL) — CMS overall2 of 5
Polaris Extended Care (ANCHORAGE, AK) — CMS overall2 of 5
THE HEALTH CENTER AT RESEARCH PARK (HUNTSVILLE, AL) — CMS overall1 of 5
POLARIS TRANSITIONAL CARE (ANCHORAGE, AK) — CMS overall3 of 5
Desert Terrace Healthcare Center (PHOENIX, AZ) — CMS overall3 of 5
PUEBLO SPRINGS REHABILITATION CENTER (TUCSON, AZ) — CMS overall2 of 5
CASAS ADOBES POST ACUTE REHAB CENTER (TUCSON, AZ) — CMS overall3 of 5
MISSION PALMS POST ACUTE (MESA, AZ) — CMS overall5 of 5

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 70 · Immediate jeopardy: 2

Survey date	Tag	Category	Severity	Corrected
2026-05-06	F0550	Resident Rights Deficiencies	D	not recorded
2026-05-06	F0686	Quality of Life and Care Deficiencies	D	not recorded
2026-05-06	F0695	Quality of Life and Care Deficiencies	D	not recorded
2026-03-26	F0558	Resident Rights Deficiencies	D	not recorded
2026-03-26	F0567	Resident Rights Deficiencies	D	not recorded
2026-03-26	F0580	Resident Rights Deficiencies	D	not recorded
2026-03-26	F0582	Resident Rights Deficiencies	D	not recorded
2026-03-26	F0584	Resident Rights Deficiencies	E	not recorded
2026-03-26	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	G	not recorded
2026-03-26	F0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-03-26	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-03-26	F0628	Resident Rights Deficiencies	D	not recorded
2026-03-26	F0644	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-03-26	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-03-26	F0677	Quality of Life and Care Deficiencies	D	not recorded
2026-03-26	F0684	Quality of Life and Care Deficiencies	E	not recorded
2026-03-26	F0690	Quality of Life and Care Deficiencies	D	not recorded
2026-03-26	F0693	Quality of Life and Care Deficiencies	D	not recorded
2026-03-26	F0725	Nursing and Physician Services Deficiencies	E	not recorded
2026-03-26	F0744	Quality of Life and Care Deficiencies	D	not recorded
2026-03-26	F0760	Pharmacy Service Deficiencies	D	not recorded
2026-03-26	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2026-03-26	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-03-26	F0865	Administration Deficiencies	D	not recorded
2026-03-26	F0868	Administration Deficiencies	D	not recorded
2026-03-26	F0880	Infection Control Deficiencies	E	not recorded
2025-10-08	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-03-11	F0582	Resident Rights Deficiencies	D	not recorded
2025-03-11	F0584	Resident Rights Deficiencies	D	not recorded
2025-03-11	F0625	Resident Rights Deficiencies	E	not recorded
2025-03-11	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-03-11	F0677	Quality of Life and Care Deficiencies	E	not recorded
2025-03-11	F0684	Quality of Life and Care Deficiencies	D	not recorded
2025-03-11	F0689	Quality of Life and Care Deficiencies	D	not recorded
2025-03-11	F0758	Pharmacy Service Deficiencies	D	not recorded
2025-03-11	F0801	Nutrition and Dietary Deficiencies	E	not recorded
2025-03-11	F0880	Infection Control Deficiencies	D	not recorded
2024-07-28	F0550	Resident Rights Deficiencies	D	not recorded
2024-07-28	F0558	Resident Rights Deficiencies	D	not recorded
2024-07-28	F0689	Quality of Life and Care Deficiencies	D	not recorded
2024-07-28	F0690	Quality of Life and Care Deficiencies	D	not recorded
2024-07-28	F0725	Nursing and Physician Services Deficiencies	D	not recorded
2024-07-28	F0803	Nutrition and Dietary Deficiencies	E	not recorded
2024-07-28	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2024-07-28	F0805	Nutrition and Dietary Deficiencies	J	not recorded
2024-07-28	F0806	Nutrition and Dietary Deficiencies	D	not recorded
2024-07-28	F0809	Nutrition and Dietary Deficiencies	E	not recorded
2024-07-28	F0880	Infection Control Deficiencies	E	not recorded
2024-01-31	F0550	Resident Rights Deficiencies	E	not recorded
2024-01-31	F0584	Resident Rights Deficiencies	D	not recorded
2024-01-31	F0585	Resident Rights Deficiencies	E	not recorded
2024-01-31	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2024-01-31	F0623	Resident Rights Deficiencies	D	not recorded
2024-01-31	F0625	Resident Rights Deficiencies	D	not recorded
2024-01-31	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-01-31	F0644	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-01-31	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-01-31	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-01-31	F0725	Nursing and Physician Services Deficiencies	E	not recorded
2024-01-31	F0726	Nursing and Physician Services Deficiencies	E	not recorded
2024-01-31	F0758	Pharmacy Service Deficiencies	D	not recorded
2024-01-31	F0760	Pharmacy Service Deficiencies	D	not recorded
2024-01-31	F0802	Nutrition and Dietary Deficiencies	E	not recorded
2024-01-31	F0803	Nutrition and Dietary Deficiencies	E	not recorded
2024-01-31	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2024-01-31	F0805	Nutrition and Dietary Deficiencies	K	not recorded
2024-01-31	F0809	Nutrition and Dietary Deficiencies	E	not recorded
2024-01-31	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2024-01-31	F0865	Administration Deficiencies	E	not recorded
2024-01-31	F0868	Administration Deficiencies	E	not recorded
2024-01-31	F0880	Infection Control Deficiencies	F	not recorded
2024-01-31	F0883	Infection Control Deficiencies	D	not recorded
2023-08-17	F0689	Quality of Life and Care Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Hillcrest Health Care Center, Hawarden” at medicare.gov/care-compare.