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    Nursing home · Hawarden, IA

    Hillcrest Health Care Center

    2121 Avenue L, Hawarden, IA 51023

    CMS certification number: 165245 · Updated October 1, 2026

    CMS abuse-related concern

    CMS has flagged this facility for abuse-related concerns. Review its official inspection information.

    Request care assistance7125511074Directions

    At a glance

    Official CMS profile

    CMS overall rating

    1 / 5

    Certified beds

    64

    Residents / day

    46

    Ownership

    For profit - Limited Liability company

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Limited Liability company
    County
    Sioux
    Certified beds
    64
    Average residents per day
    46
    First certified
    November 16, 1994

    CMS quality ratings

    Overall
    1 / 5
    Health inspections
    1 / 5
    Staffing
    3 / 5
    Quality measures
    2 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Sioux, Iowa. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    1.00
    County peers
    4.25
    n=4
    State peers
    3.14

    Nurse hours / resident / day

    This home
    3.71
    County peers
    4.03
    n=4
    State peers
    3.86
    n=377

    Weekend nurse hours / resident / day

    This home
    3.13
    County peers
    3.54
    n=4
    State peers
    3.38
    n=377

    Nursing staff turnover (%)

    This home
    72.10
    County peers
    31.32
    n=4
    State peers
    44.00
    n=362

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 15.8% below the all-days average. How is weekend coverage maintained?
    • What changes were made after the abuse-related CMS flag, and how are residents protected today?
    • CMS reports 72.1% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    24
    Health citations
    72
    Resident measures
    17
    Ownership records
    23
    Penalties
    4
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    3.71353
    Reported RN Staffing Hours per Resident per Day
    1.05765
    Reported LPN Staffing Hours per Resident per Day
    0.51932
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.13657
    Total number of nurse staff hours per resident per day on the weekend
    3.12723
    Registered Nurse hours per resident per day on the weekend
    0.64405
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.06970
    Total nursing staff turnover
    72.1
    Registered Nurse turnover
    85.7
    Number of administrators who have left the nursing home
    Not reported
    Chain Name
    THE ENSIGN GROUP
    Number of Facilities in Chain
    347
    Chain Average Overall 5-star Rating
    3.3
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    IA
    Urban
    N
    Chain ID
    507
    Latitude
    43.0099
    Location
    2121 Avenue L,Hawarden,IA,51023
    ZIP Code
    51023
    City/Town
    Hawarden
    Longitude
    -96.48
    QM Rating
    2
    Abuse Icon
    Y
    Chain Name
    THE ENSIGN GROUP
    County/Parish
    Sioux
    Provider Name
    Hillcrest Health Care Center
    Provider Type
    Medicare and Medicaid
    Overall Rating
    1
    Ownership Type
    For profit - Limited Liability company
    Number of Fines
    3
    Processing Date
    2026-10-01
    Staffing Rating
    3
    Provider Address
    2121 Avenue L
    Telephone Number
    7125511074
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    RIVERSIDE HEALTHCARE, INC.
    Long-Stay QM Rating
    2
    High Performing Icon
    N
    Short-Stay QM Rating
    Not reported
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.13832
    Chain Average QM Rating
    4.4
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    1
    Number of Certified Beds
    64
    Provider SSA County Code
    830
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    1
    Registered Nurse turnover
    85.7
    Total Number of Penalties
    4
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    0.80718
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    72.1
    Chain Average Staffing Rating
    2.8
    Number of Facilities in Chain
    347
    Short-Stay QM Rating Footnote
    2
    CMS Certification Number (CCN)
    165245
    Administrator turnover footnote
    26
    Total Amount of Fines in Dollars
    93606.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    144
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    149.500
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    46.0
    Chain Average Overall 5-star Rating
    3.3
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    166
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    2.8
    Rating Cycle 1 Health Deficiency Score
    144
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    166
    Rating Cycle 1 Standard Survey Health Date
    2026-03-26
    Rating Cycle 2 Standard Health Survey Date
    2025-03-11
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    1.30003
    Case-Mix RN Staffing Hours per Resident per Day
    0.55827
    Reported RN Staffing Hours per Resident per Day
    1.05765
    Adjusted LPN Staffing Hours per Resident per Day
    0.63833
    Case-Mix LPN Staffing Hours per Resident per Day
    0.69567
    Reported LPN Staffing Hours per Resident per Day
    0.51932
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    27
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    23
    Rating Cycle 1 Number of Standard Health Deficiencies
    23
    Rating Cycle 2 Number of Standard Health Deficiencies
    10
    Reported Licensed Staffing Hours per Resident per Day
    1.57697
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    10
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    2.62619
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    1.89473
    Number of administrators who have left the nursing home
    Not reported
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.13657
    Adjusted Total Nurse Staffing Hours per Resident per Day
    4.56455
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.14868
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    16
    Reported Total Nurse Staffing Hours per Resident per Day
    3.71353
    Registered Nurse hours per resident per day on the weekend
    0.64405
    Date First Approved to Provide Medicare and Medicaid Services
    1994-11-16
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.06970
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    3.84388
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    2.77106
    Total number of nurse staff hours per resident per day on the weekend
    3.12723

    COMMUNITY EXPERIENCE

    Reviews of Hillcrest Health Care Center

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026