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 Center
Hawarden, IA · Medicare-certified · 64 beds
Needs attention
Abuse citationFor-profitChain member
1 of 5 overall
Hillcrest Health Care Center in Hawarden, IA has an overall rating of 1 out of 5 stars, with 1-star health inspection and staffing ratings, despite a 4-star quality measures rating. It also has $8,649 in fines in the last 24 months and a recent abuse citation, with recent inspection problems cited in food preparation, abuse protection, and infection control.
Facility ratings
Health inspections
Staffing
Quality measures
Last inspection: March 26, 2026Penalties, last 24 months: $8,649recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
Staffing detail
Total staff turnover: 69%
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
13.3%28%Worsening
Residents with a fall causing major injury
8.5%2.5%Improving
Residents with pressure ulcers (bedsores)
4.7%3.8%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
12.2%2.8%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
35.9%19.4%Improving
Residents whose ability to walk got worse
18.2%11.2%Improving
Long-stay residents on antianxiety or sleep medication
19%21.1%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
33.6%26.6%Improving
Residents with depressive symptoms
28.6%5.4%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
80.9%95%Improving
Short-stay residents given the seasonal flu vaccine
—43.5%—
Short-stay residents given the pneumonia vaccine
—59.1%—
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 needed care and help with daily activities for residents who could not do them on their own. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
Recent history
- 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 · 338 homes · 3.2 stars avg
- Occupancy
- 44.9 residents on an average day (70% 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.