The home failed to ensure residents received food prepared in a form that met their individual needs. Cited January 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 805 — 42 CFR §483.60 — S/S: K
Nursing home report
Hillcrest Health Care Services & Mica Hill Estates
Registered name: Hillcrest Health Care Center
Hawarden, IA · Medicare-certified · 64 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
1 of 5 overall
Hillcrest Health Care Services & Mica Hill Estates in Hawarden, IA has a 1-star overall rating, with 1-star health inspections, 2-star staffing, and 3-star quality measures. It reports 3.11 nursing hours per resident per day versus the 4.1 federal benchmark, $8,649 in fines in the last 24 months, and a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.1055 hrs/resident/day
Quality measures
Last inspection: May 6, 2026Penalties, last 24 months: $8,649recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1055.
Staffing detail
- Registered nurses
- 0.61
- Licensed practical nurses
- 0.76
- Nurse aides
- 1.73
- Weekend nursing
- 2.56
Hours per resident per day.
Total staff turnover: 75%
Registered nurse turnover: 80%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
15.4%26.5%Worsening
Residents with a fall causing major injury
4.9%2.1%Improving
Residents with pressure ulcers (bedsores)
5.6%5.9%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
5.4%9.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
23.5%20.5%Improving
Residents whose ability to walk got worse
26.6%6.7%Improving
Long-stay residents on antianxiety or sleep medication
15.8%15.9%No change
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
33%18.9%Improving
Residents with depressive symptoms
21.6%4.3%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—95.9%—
Long-stay residents given the pneumonia vaccine
82.9%89.6%Improving
Short-stay residents given the seasonal flu vaccine
—43.5%—
Short-stay residents given the pneumonia vaccine
—48.1%—
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited March 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $8,649 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $25,450 in total fines.
- $8,649
Federal fine
Jul 28, 2024
- $16,801
Federal fine
Jan 31, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of THE ENSIGN GROUP · 346 homes · 3.2 stars avg
- Occupancy
- 53.6 residents on an average day (84% of 64 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 31 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.