Senior Care Records.

Hillcrest Health Care Center

2121 Avenue L, Hawarden, IA, 51023

Nursing home64 licensed beds0 citations on record
LocationOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 27 deficiencies against Hillcrest Health Care Center in Hawarden, Iowa at its most recent standard inspection on 2026-03-26, 10 of them arising from complaints. 2 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 2 times, totalling $25,450. CMS currently flags this home for abuse. Medicare rates it 1 out of 5 overall.

1 / 5Medicare overall rating
64certified beds
27deficiencies at the last inspection
2immediate-jeopardy findings on record
1actual-harm findings on record
2federal fines, $25,450
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.2
Actual harmA resident was harmed, but not placed in immediate danger.1
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.70
Potential for minimal harmThe least serious band.0
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies · F0550 · 2026-05-06 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies · F0686 · 2026-05-06 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies · F0695 · 2026-05-06 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2026-03-26 · from a complaint · Actual harm to a resident

G

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.

Resident Rights Deficiencies · F0584 · 2026-03-26 · from a complaint · No actual harm, potential for more than minimal harm

E

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies · F0684 · 2026-03-26 · standard survey · No actual harm, potential for more than minimal harm

E

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies · F0725 · 2026-03-26 · standard survey · No actual harm, potential for more than minimal harm

E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies · F0804 · 2026-03-26 · standard survey · No actual harm, potential for more than minimal harm

E

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2026-03-26 · standard survey · No actual harm, potential for more than minimal harm

E

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies · F0558 · 2026-03-26 · from a complaint · No actual harm, potential for more than minimal harm

D

Honor the resident's right to manage his or her financial affairs.

Resident Rights Deficiencies · F0567 · 2026-03-26 · standard survey · No actual harm, potential for more than minimal harm

D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies · F0580 · 2026-03-26 · from a complaint · No actual harm, potential for more than minimal harm

D

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies · F0582 · 2026-03-26 · standard survey · No actual harm, potential for more than minimal harm

D

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0605 · 2026-03-26 · standard survey · No actual harm, potential for more than minimal harm

D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2026-03-26 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Resident Rights Deficiencies · F0628 · 2026-03-26 · standard survey · No actual harm, potential for more than minimal harm

D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies · F0644 · 2026-03-26 · standard survey · No actual harm, potential for more than minimal harm

D

Develop 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 Deficiencies · F0657 · 2026-03-26 · standard survey · No actual harm, potential for more than minimal harm

D

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies · F0677 · 2026-03-26 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies · F0690 · 2026-03-26 · standard survey · No actual harm, potential for more than minimal harm

D
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are2 of 5
Quality measuresResident outcomes reported by the home3 of 5
Nurse hours per resident per dayReported by the home to CMS3.1055
Nursing staff turnoverShare of nursing staff who left in a year75%
Penalties

What Medicare has fined this home

FinesCivil money penalties imposed by CMS2
Total fined$25,450
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one2
Ownership

Who owns Hillcrest Health Care Center

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
BURNAM, SOONIndividualNOT APPLICABLEsince 09/09/2024
KAMSTRA, LEEIndividualNOT APPLICABLEsince 09/16/2024
WILKINS, MELODEEIndividualNOT APPLICABLEsince 07/18/2011
JORGENSEN, DAVIDIndividualNOT APPLICABLEsince 01/01/2024
PORT, BARRYIndividualNOT APPLICABLEsince 07/20/2018
BURNAM, SOONIndividualNOT APPLICABLEsince 09/09/2024
KEETCH, CHADIndividualNOT APPLICABLEsince 03/01/2011
KOENIG, DEBRAIndividualNOT APPLICABLEsince 01/01/2020
SATO, AMIIndividualNOT APPLICABLEsince 09/09/2024
AEROFUND HOLDINGS INCOrganizationNOT APPLICABLEsince 07/18/2011
BLU MEDSTAFF LLCOrganizationNOT APPLICABLEsince 07/18/2011
HEART MEDICAL SOLUTIONS LLCOrganizationNOT APPLICABLEsince 07/18/2011

Part of the THE ENSIGN GROUP group.

Contact

Ask Hillcrest Health Care Center a question

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What is needed

Hillcrest Health Care Center has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 7125511074 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 165245.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction