Nursing Home Alerts

Hillcrest Health Care Center

2121 Avenue L, Hawarden, IA 51023

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Hillcrest Health Care Center is a nursing home in Hawarden, Iowa. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

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CMS flags

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5.

    • Fine

      CMS changed the fine from March 26, 2026 from $104,855 to $68,156.

  2. CMS update of July 29, 2026

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 3 of 5.

  3. CMS update of May 27, 2026

    • CMS abuse icon

      CMS added its abuse icon to this home.

  4. Health inspection on May 6, 2026

    3 citations

    CMS lists this as a complaint inspection.

    Show the 3 citations
    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on May 14, 2026.

      CMS has cited this home for F0550 3 times since 2024.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on May 14, 2026.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on May 14, 2026.

    See this home on CMS Care Compare

  5. CMS update of April 29, 2026

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

  6. April 22, 2026

    Payment stopped

    CMS stopped payment for new admissions from April 22, 2026, for 22 days.

    See this home on CMS Care Compare

  7. Health inspection on March 26, 2026

    23 citations

    CMS lists this as a standard inspection and a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    58 of 387 Iowa homes (15%) got a citation at the actual harm level in 2026.

    CMS fine of $68,156 on March 26, 2026.

    Show the 23 citations
    • Citation F0600. Severity G: actual harm, isolated.

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

      CMS lists it as corrected on April 8, 2026.

    • Citation F0584. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on April 8, 2026.

      CMS has cited this home for F0584 3 times since 2024.

    • Citation F0684. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on April 8, 2026.

      CMS has cited this home for F0684 2 times since 2025.

    • Citation F0725. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on April 8, 2026.

      CMS has cited this home for F0725 3 times since 2024.

    • Citation F0804. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

      CMS lists it as corrected on April 8, 2026.

      CMS has cited this home for F0804 3 times since 2024.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on April 8, 2026.

      CMS has cited this home for F0880 4 times since 2024.

    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on April 8, 2026.

      CMS has cited this home for F0558 2 times since 2024.

    • Citation F0567. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to manage his or her financial affairs.

      CMS lists it as corrected on April 8, 2026.

    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on April 8, 2026.

    • Citation F0582. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

      CMS lists it as corrected on April 8, 2026.

      CMS has cited this home for F0582 2 times since 2025.

    • Citation F0605. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

      CMS lists it as corrected on April 8, 2026.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on April 8, 2026.

    • Citation F0628. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on April 8, 2026.

    • Citation F0644. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

      CMS lists it as corrected on April 8, 2026.

      CMS has cited this home for F0644 2 times since 2024.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on April 8, 2026.

      CMS has cited this home for F0657 2 times since 2025.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on April 8, 2026.

      CMS has cited this home for F0677 2 times since 2025.

    • Citation F0690. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on April 8, 2026.

      CMS has cited this home for F0690 2 times since 2024.

    • Citation F0693. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

      CMS lists it as corrected on April 8, 2026.

    • Citation F0744. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

      CMS lists it as corrected on April 8, 2026.

    • Citation F0760. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on April 8, 2026.

      CMS has cited this home for F0760 2 times since 2024.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on April 8, 2026.

    • Citation F0865. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have a plan that describes the process for conducting QAPI and QAA activities.

      CMS lists it as corrected on April 8, 2026.

      CMS has cited this home for F0865 2 times since 2024.

    • Citation F0868. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

      CMS lists it as corrected on April 8, 2026.

      CMS has cited this home for F0868 2 times since 2024.

    See this home on CMS Care Compare

  8. Fire safety inspection on March 26, 2026

    3 citations

    CMS lists this as a standard inspection.

    Show the 3 citations
    • Citation K0363. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on March 18, 2026.

      CMS has cited this home for K0363 3 times since 2024.

    • Citation K0372. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      CMS lists it as corrected on March 18, 2026.

      CMS has cited this home for K0372 2 times since 2025.

    • Citation K0712. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on March 18, 2026.

      CMS has cited this home for K0712 3 times since 2024.

    See this home on CMS Care Compare

  9. CMS update of February 25, 2026

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

  10. CMS update of November 20, 2025

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

  11. Health inspection on October 8, 2025

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on October 13, 2025.

    See this home on CMS Care Compare

  12. CMS update of April 30, 2025

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5.

  13. CMS update of March 26, 2025

    • Fine

      CMS changed the fine from July 28, 2024 from $13,305 to $8,648.

  14. Health inspection on March 11, 2025

    10 citations

    CMS lists this as a standard inspection and a complaint inspection.

    Show the 10 citations
    • Citation F0625. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

      CMS lists it as corrected on March 28, 2025.

      CMS has cited this home for F0625 2 times since 2024.

    • Citation F0677. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on March 28, 2025.

    • Citation F0801. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

      CMS lists it as corrected on March 28, 2025.

    • Citation F0582. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

      CMS lists it as corrected on March 28, 2025.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 28, 2025.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on March 28, 2025.

      CMS has cited this home for F0656 2 times since 2024.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on March 28, 2025.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on March 28, 2025.

      CMS has cited this home for F0689 2 times since 2024.

    • Citation F0758. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

      CMS lists it as corrected on March 28, 2025.

      CMS has cited this home for F0758 2 times since 2024.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on March 28, 2025.

    See this home on CMS Care Compare

  15. Fire safety inspection on March 11, 2025

    15 citations

    CMS lists this as a standard inspection.

    Show the 15 citations
    • Citation E0004. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Develop and maintain an Emergency Preparedness Program (EP).

      CMS lists it as corrected on March 27, 2025.

    • Citation E0009. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Include a process for Emergency Preparedness collaboration.

      CMS lists it as corrected on March 27, 2025.

    • Citation E0013. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Develop Emergency Preparedness policies and procedures.

      CMS lists it as corrected on March 27, 2025.

    • Citation E0015. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Address subsistence needs for staff and patients.

      CMS lists it as corrected on March 27, 2025.

    • Citation E0026. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish roles under a Waiver declared by secretary.

      CMS lists it as corrected on March 27, 2025.

    • Citation E0030. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: List the names and contact information of those in the facility.

      CMS lists it as corrected on March 27, 2025.

    • Citation K0321. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on March 27, 2025.

    • Citation K0354. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

      CMS lists it as corrected on March 17, 2025.

    • Citation K0363. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on March 5, 2025.

    • Citation K0372. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      CMS lists it as corrected on March 4, 2025.

    • Citation K0711. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide a written emergency evacuation plan.

      CMS lists it as corrected on March 27, 2025.

    • Citation K0712. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on March 11, 2025.

    • Citation K0761. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: To conduct inspection, testing and maintenance of fire doors by qualified individuals.

      CMS lists it as corrected on March 13, 2025.

    • Citation K0914. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

      CMS lists it as corrected on March 5, 2025.

      CMS has cited this home for K0914 2 times since 2024.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on March 12, 2025.

    See this home on CMS Care Compare

  16. CMS update of February 26, 2025

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

  17. CMS update of October 30, 2024

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

  18. CMS update of July 31, 2024

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

  19. Health inspection on July 28, 2024

    11 citations

    CMS lists this as a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    57 of 387 Iowa homes (15%) got a citation at the immediate jeopardy level in 2024.

    CMS fine of $8,649 on July 28, 2024.

    Show the 11 citations
    • Citation F0805. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

      CMS lists it as corrected on August 7, 2024.

      CMS has cited this home for F0805 2 times since 2024.

    • Citation F0803. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

      CMS lists it as corrected on August 13, 2024.

      CMS has cited this home for F0803 2 times since 2024.

    • Citation F0804. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

      CMS lists it as corrected on August 13, 2024.

    • Citation F0809. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

      CMS lists it as corrected on August 13, 2024.

      CMS has cited this home for F0809 2 times since 2024.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on August 13, 2024.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on August 13, 2024.

    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on August 13, 2024.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on August 13, 2024.

    • Citation F0690. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on August 13, 2024.

    • Citation F0725. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on August 13, 2024.

    • Citation F0806. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

      CMS lists it as corrected on August 13, 2024.

    See this home on CMS Care Compare

  20. CMS update of April 25, 2024

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 1 of 5.

  21. Health inspection on January 31, 2024

    24 citations

    CMS lists this as a standard inspection and a complaint inspection.

    Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    57 of 387 Iowa homes (15%) got a citation at the immediate jeopardy level in 2024.

    CMS fine of $16,801 on January 31, 2024.

    Show the 24 citations
    • Citation F0805. Severity K: immediate jeopardy, pattern.

      The rule CMS cited: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

      CMS lists it as corrected on February 8, 2024.

    • Citation F0880. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on February 14, 2024.

    • Citation F0550. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on February 14, 2024.

    • Citation F0585. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

      CMS lists it as corrected on February 14, 2024.

    • Citation F0607. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      CMS lists it as corrected on February 14, 2024.

    • Citation F0725. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on February 14, 2024.

    • Citation F0726. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

      CMS lists it as corrected on February 14, 2024.

    • Citation F0802. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

      CMS lists it as corrected on February 14, 2024.

    • Citation F0803. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

      CMS lists it as corrected on February 14, 2024.

    • Citation F0804. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

      CMS lists it as corrected on February 14, 2024.

    • Citation F0809. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

      CMS lists it as corrected on February 14, 2024.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on February 14, 2024.

    • Citation F0865. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have a plan that describes the process for conducting QAPI and QAA activities.

      CMS lists it as corrected on February 14, 2024.

    • Citation F0868. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

      CMS lists it as corrected on February 14, 2024.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on February 14, 2024.

    • Citation F0623. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

      CMS lists it as corrected on February 14, 2024.

    • Citation F0625. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

      CMS lists it as corrected on February 14, 2024.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on February 14, 2024.

    • Citation F0644. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

      CMS lists it as corrected on February 14, 2024.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on February 14, 2024.

    • Citation F0658. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on February 14, 2024.

    • Citation F0758. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

      CMS lists it as corrected on February 14, 2024.

    • Citation F0760. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on February 14, 2024.

    • Citation F0883. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement policies and procedures for flu and pneumonia vaccinations.

      CMS lists it as corrected on February 14, 2024.

    See this home on CMS Care Compare

  22. Fire safety inspection on January 31, 2024

    6 citations

    CMS lists this as a standard inspection.

    Show the 6 citations
    • Citation K0211. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Keep aisles, corridors, and exits free of obstruction in case of emergency.

      CMS lists it as corrected on January 29, 2024.

    • Citation K0363. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on February 2, 2024.

    • Citation K0712. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on February 5, 2024.

    • Citation K0355. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Properly select, install, inspect, or maintain portable fire extinguishes.

      CMS lists it as corrected on February 6, 2024.

    • Citation K0753. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have restrictions on the use of highly flammable decorations.

      CMS lists it as corrected on February 2, 2024.

    • Citation K0914. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

      CMS lists it as corrected on January 30, 2024.

    See this home on CMS Care Compare

  23. CMS update of January 31, 2024

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

CMS star ratings

Facts from CMS

Phone
(712) 551-1074
Last standard health inspection
March 26, 2026 (7 months ago)
Certified beds
64
Residents per day, on average
46
Ownership type
For profit - Limited Liability company
Legal business name
Riverside Healthcare, INC.
Chain
The Ensign Group
Takes part in
Medicare and Medicaid

More health citations than the Iowa average (72 vs 21).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Show 2 more
  • KAMSTRA, LEEOperational/managerial control · not applicable · since 09/16/2024
  • WILKINS, MELODEEOperational/managerial control · not applicable · since 07/18/2011

Questions

When was Hillcrest Health Care Center last inspected?

CMS lists March 26, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Hillcrest Health Care Center have?

CMS lists 72 health citations since January 31, 2024. CMS also calls these deficiencies.

Has Hillcrest Health Care Center been fined?

CMS lists 3 fines in the past three years, $93,606 in total.

What is the CMS star rating of Hillcrest Health Care Center?

Its CMS overall star rating is 1 of 5.

Is Hillcrest Health Care Center a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.