Hillcrest Health Care Center
Hawarden, IA · Medicare and Medicaid-certified nursing home (CCN 165245) · 64 certified beds
Health inspection: 1 · Quality measures: 3 · Staffing: 2
Federal fines: 3 totaling $130,305 · 1 payment denial
Phone: (712) 551-1074 · Verify on Medicare Care Compare ↗
Hillcrest Health Care Center has a CMS overall rating of 1 out of 5 stars, below the Iowa state average of 3.07. Its health inspection rating is 1 star and its staffing rating is 2 stars.
Hillcrest Health Care Center reports 3.11 total nurse hours per resident per day, including 0.61 RN hours per resident per day, with a staffing rating of 2 out of 5 stars. Nursing staff turnover is reported at 75.0%.
Hillcrest Health Care Center has 3 federal fines on record totaling $130,305.00, plus 1 payment denial. CMS also displays its abuse icon for this facility, so families should review the inspection record on Medicare Care Compare.
About this facility
Hillcrest Health Care Center is a 64-bed nursing home in Hawarden, Iowa (Sioux County), certified for both Medicare and Medicaid since November 1994. It is operated as a for-profit limited liability company and is part of The Ensign Group chain, which includes 342 facilities nationwide with an average chain rating of 3.2 stars. Average daily occupancy is 53.6 residents.
According to CMS Care Compare, Hillcrest holds an overall star rating of 1 out of 5, which is below the Iowa state average of 3.07. Its health inspection rating is 1 star, its quality measure (QM) rating is 3 stars, and its staffing rating is 2 stars.
Total nurse staffing is reported at 3.11 hours per resident per day, including 0.61 RN hours per resident per day. Nursing staff turnover is high at 75.0%.
CMS records show 3 federal fines totaling $130,305.00 for this facility, along with 1 payment denial. CMS also displays its abuse icon for this facility, indicating a substantiated finding related to abuse; families are advised to review the full inspection record on Medicare Care Compare before making decisions.
There is no indication in the data that ownership changed within the past 12 months, so current ratings reflect the present operator. This profile is based on CMS Care Compare data; families should verify current details directly on Care Compare, as ratings and penalty records are updated periodically.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Hillcrest Health Care Center has an overall rating of 1 out of 5 stars, below the Iowa state average of 3.07.
Does this facility accept Medicare, Medicaid, or both?
Yes, it is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 3.11 hours per resident per day, including 0.61 RN hours, with a staffing rating of 2 stars and a nursing turnover rate of 75.0%.
Does this facility have federal fines or penalties on record?
Yes, CMS records show 3 fines totaling $130,305.00 and 1 payment denial.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
CMS displays its abuse icon for this facility; no Special Focus status is listed in the data provided.
How large is this facility and how many residents live there?
It is a 64-bed facility with an average daily occupancy of 53.6 residents.
Who owns this facility — and is it part of a chain?
It is owned by a for-profit limited liability company and is part of The Ensign Group, a chain of 342 facilities with an average rating of 3.2 stars.
How long has this facility been Medicare/Medicaid certified?
It has been certified since November 16, 1994.
What do the four different CMS star ratings mean?
CMS rates facilities on overall, health inspection, staffing, and quality measures; Hillcrest scores 1, 1, 2, and 3 stars respectively in those categories.
Does this facility offer short-term rehabilitation as well as long-term care?
The data provided does not specify service types; contact the facility at 7125511074 and verify on Medicare Care Compare.
What should I look for when touring this facility?
The data provided does not cover tour details; contact the facility at 7125511074 to arrange a visit.
How do I verify this facility's current record on Medicare Care Compare?
You can check current ratings and inspection details at https://www.medicare.gov/care-compare/details/nursing-home/165245?state=IA.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.