Total health inspections
6
Iowa average 4.9
Last Health inspection on Oct 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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Nursing Home in Iowa
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Hillcrest Health Care Center
Nursing Home in Iowa
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Hillcrest Health Care Center
Hillcrest Health Care Center is located in Hawarden, Iowa. It offers skilled nursing and in-house therapy services, focusing on rehabilitation and long-term care. The facility provides a variety of activities to help residents stay active.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
120
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
44.3%
Residents per day (avg)
41
Occupancy rate
44.3%
Residents per day (avg)
41
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
31% of new residents, usually for short-term rehab.
Typical stay
2 - 3 months
Private pay
67% of new residents, often for short stays.
Typical stay
1 - 2 years
Medicaid
3% of new residents, often for long-term daily care.
Typical stay
13 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$5.5M
Operating loss
-$580.5K
Privately-owned community
Operated by a business corporation.
Home revenue
$5,477,542.00
Operating loss
$-580,468.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.1M
About this community
Care Services
Programs & Activities
Specific Programs
In-house Therapy, Skilled Nursing, Stay Active
Health Inspection History
Inspections
Total health citations
55
Iowa average 21.7
Citations per inspection
9.17
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
37 of 55 citations resulted from standard inspections; 13 of 55 resulted from complaint investigations; and 5 of 55 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
233% worse than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
2 critical citations
0 serious citations
53 moderate citations
0 minor citations
Citations history (last 3 years)
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Oct 08, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Oct 08, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 11, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 11, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 11, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 11, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Mar 11, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Mar 11, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
Akron Care Center, INC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Akron
45
98.1%
+30%
4.71
+10%
0
4
2.0
0
42
City Of Akron
$4.7M
$2.1M
46.1%
165595
Accura HealthCare of Carlisle
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Carlisle
46
80.5%
+7%
5.85
+36%
0
17
5.7
2
39
American Healthcare Associates Inc
$4.1M
$2.5M
59.9%
165311
Accura Healthcare of Spirit Lake
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Spirit Lake
85
66.6%
-12%
4.29
0%
1
21
7.0
1
65
-
$7.1M
$3.0M
42.7%
165528
Accura Healthcare of Lake City, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
3.9
4
40
Accura Healthcare Of The Heartland Llc
$2.0M
$1.0M
47.4%
165082
Hillcrest Health Care Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Hawarden
120
44.3%
-41%
3.83
-11%
2
55
9.2
2
41
Wilkins, Melodee
$5.5M
$2.4M
43.3%
165245
Places of interest near Hillcrest Health Care Center
Hawarden, IA 510231333
Hawarden, IA 510231333
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
88
Employees
48
Contractors
40
Staff to resident ratio
1.76:1
12% worse than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
21
Average shift
7.8 hours
5% better than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
14,896
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
43
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
13.9%
2,070 contractor hours this quarter
Certified Nursing Assistant: 27
Licensed Practical Nurse: 7
Registered Nurse: 6
Staff by category
| Certified Nursing Assistant | 16 | 27 | 43 | 5,674 | 91 | 100% | 7.5 |
| Licensed Practical Nurse | 7 | 7 | 14 | 3,427 | 91 | 100% | 9.1 |
| Registered Nurse | 3 | 6 | 9 | 766 | 73 | 80% | 8.6 |
| Physical Therapy Assistant | 2 | 0 | 2 | 764 | 61 | 67% | 7.4 |
| Medication Aide/Technician | 3 | 0 | 3 | 732 | 72 | 79% | 7.4 |
| Nurse Practitioner | 2 | 0 | 2 | 719 | 65 | 71% | 8.8 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 530 | 49 | 54% | 8.7 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Dietitian | 1 | 0 | 1 | 483 | 70 | 77% | 6.9 |
| Dental Services Staff | 2 | 0 | 2 | 465 | 61 | 67% | 7.5 |
| Speech Language Pathologist | 1 | 0 | 1 | 376 | 56 | 62% | 6.7 |
| Administrator | 1 | 0 | 1 | 284 | 36 | 40% | 7.9 |
| Qualified Social Worker | 3 | 0 | 3 | 181 | 41 | 45% | 4.4 |
| Other Dietary Services Staff | 1 | 0 | 1 | 8 | 5 | 5% | 1.6 |
43 Certified Nursing Assistant
% of Days
100%
14 Licensed Practical Nurse
% of Days
100%
9 Registered Nurse
% of Days
80%
2 Physical Therapy Assistant
% of Days
67%
3 Medication Aide/Technician
% of Days
79%
2 Nurse Practitioner
% of Days
71%
5 Clinical Nurse Specialist
% of Days
54%
1 Respiratory Therapy Technician
% of Days
67%
1 Dietitian
% of Days
77%
2 Dental Services Staff
% of Days
67%
1 Speech Language Pathologist
% of Days
62%
1 Administrator
% of Days
40%
3 Qualified Social Worker
% of Days
45%
1 Other Dietary Services Staff
% of Days
5%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
50 residents
Residents by payment source
Medicare
3 residents (6%)
Medicaid
27 residents (54%)
Private pay or other
20 residents (40%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.9
45% worse than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.7
28% worse than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
30.9%
Percent of long-stay residents whose need for help with daily activities has increased
30.9%
64% worse than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
22.2%
Percent of long-stay residents whose ability to move independently worsened
22.2%
13% worse than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.0%
14% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
9.6%
Percent of long-stay residents experiencing one or more falls with major injury
9.6%
167% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.3%
Percent of long-stay high risk residents with pressure ulcers
3.3%
24% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.3%
Percent of long-stay residents who lose too much weight
8.3%
67% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
29.0%
Percent of long-stay residents who have depressive symptoms
29.0%
647% worse than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
15.3%
Percent of long-stay residents who received an antipsychotic medication
15.3%
19% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
85.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
85.5%
9% worse than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.9%
In line with Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
55.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
55.3%
35% worse than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
43.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
43.5%
41% worse than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$25K
47% lower than Iowa averageIowa average: $48K
Number of fines
2
18% more fines than Iowa averageIowa average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Iowa averageIowa average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$25K
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 28, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 28, 2024
$9K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 31, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 31, 2024
$17K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Hillcrest Health Care Center based on CMS SNF Cost Reports.
Occupancy Rate
44.3%
↓ 4.3pp vs 2022
Net Income
-$580,468
↓ ~$356K vs 2022
Total Payroll
$3,499,981
↓ ~$270K vs 2022
Profit Margin
-10.6%
↓ 6.9pp vs 2022
Loading trend charts...
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