Nursing HomeInspections

Hillcrest Health Care Center

Nursing home in Hawarden, IA

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

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Public-record details

Address
2121 Avenue L, Hawarden, IA 51023
Phone
(712) 551-1074
Listed under
For-profit
Medicare CCN
165245
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
3 of 5
Certified beds
64
Average residents per day
54
Ownership
For-profit, limited Liability company
Legal business name
Riverside Healthcare, INC.
Chain
The Ensign Group (342 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 16, 1994
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 165245. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 26, 2026. CMS lists 73 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 17, 2023 to May 6, 2026): 27 from complaint inspections, 3 at the “actual harm” level or higher, including 2 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
May 6, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
May 6, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
May 6, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 26, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 26, 2026Honor the resident's right to manage his or her financial affairs.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 26, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 26, 2026Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 26, 2026Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Mar 26, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 26, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 26, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 26, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 73. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $130,305 and 1 denial of Medicare payment for new admissions in the last three years.

Mar 26, 2026Fine: $104,855
Mar 26, 2026Payment denial for 22 days from Apr 22, 2026
Jul 28, 2024Fine: $8,649
Jan 31, 2024Fine: $16,801

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.11 hours
Registered nurse (RN) time per resident per day
0.61 hours
Nurse aide time per resident per day
1.73 hours
Total nurse staffing on weekends
2.56 hours
Nursing staff turnover (yearly)
75%
RN turnover (yearly)
80%

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.