Hillcrest Health Care Center
Nursing Home · Hawarden, IA
CMS certification number165245
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
2121 Avenue LHawarden, IA 51023
Sioux County
- Phone
- (712) 551-1074
- ZIP code
- 51023 – all care providers
Facility details
- Certified beds
- 64
- Residents per day
- 53.6 (84% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Riverside Healthcare, INC.
- Chain
- The Ensign Group (342 facilities, avg 3.2★)
- Medicare certified since
- November 16, 1994
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.11 (state 3.82 · U.S. 3.86)
- Registered nurses (RN)
- 0.61 (state 0.74 · U.S. 0.69)
- Licensed practical nurses
- 0.76 (state 0.56 · U.S. 0.86)
- Nurse aides
- 1.73 (state 2.51 · U.S. 2.32)
- Weekend total
- 2.56 (state 3.37 · U.S. 3.42)
- Nursing staff turnover
- 75.0 (state 44.0 · U.S. 45.8)%
- RN turnover
- 80.0 (state 42.1 · U.S. 42.9)%
Inspections
- Last standard inspection
- March 26, 2026
- Health deficiencies (last cycle)
- 27.0 (state 6.5 · U.S. 9.3)
- From complaints
- 10
- Citations on record (3 years)
- 62 health · 18 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-06 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-14 |
| 2026-05-06 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-14 |
| 2026-05-06 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-14 |
| 2026-03-26 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-04-08 |
| 2026-03-26 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-03-26 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-03-26 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-03-26 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-03-26 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-03-26 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-03-26 | Honor the resident's right to manage his or her financial affairs. F0567 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-03-26 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-03-26 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-03-26 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-03-26 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-03-26 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-03-26 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-03-26 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-03-26 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-03-26 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-03-26 | 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. F0693 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-03-26 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-03-26 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-03-26 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-03-26 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-03-26 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2025-10-08 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-13 |
| 2025-03-11 | 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. F0625 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-03-28 |
| 2025-03-11 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-03-28 |
| 2025-03-11 | 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. F0801 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-03-28 |
| 2025-03-11 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-28 |
| 2025-03-11 | 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-28 |
| 2025-03-11 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-28 |
| 2025-03-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-28 |
| 2025-03-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-28 |
| 2025-03-11 | 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-28 |
| 2025-03-11 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-28 |
| 2024-07-28 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805 · Nutrition and Dietary Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-08-07 |
| 2024-07-28 | 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. F0803 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-13 |
| 2024-07-28 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-13 |
| 2024-07-28 | 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. F0809 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-13 |
| 2024-07-28 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-13 |
| 2024-07-28 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-13 |
| 2024-07-28 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-13 |
| 2024-07-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-13 |
| 2024-07-28 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-13 |
| 2024-07-28 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-13 |
| 2024-07-28 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-13 |
| 2024-01-31 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805 · Nutrition and Dietary Deficiencies |
K Immediate jeopardy to resident health or safety |
Corrected 2024-02-08 |
| 2024-01-31 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-02-14 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
4 penalties in the last three years, including $130,305 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-03-26 | Payment Denial | 22 days payment denial |
| 2026-03-26 | Fine | $104,855 |
| 2024-07-28 | Fine | $8,649 |
| 2024-01-31 | Fine | $16,801 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Caretrust GP LLC (organization) | Administrator · NOT APPLICABLE | |
| Caretrust Reit INC (organization) | Administrator · NOT APPLICABLE | |
| CTR Partnership LP (organization) | Administrator · NOT APPLICABLE | |
| Ensign Services INC (organization) | Administrator · NOT APPLICABLE | |
| Kamstra, Lee (individual) | Administrator · NOT APPLICABLE | |
| The Ensign Group INC (organization) | Administrator · NOT APPLICABLE | |
| Wilkins, Melodee (individual) | Administrator · NOT APPLICABLE | |
| Jorgensen, David (individual) | Corporate Director · NOT APPLICABLE | |
| Port, Barry (individual) | Corporate Director · NOT APPLICABLE | |
| Burnam, Soon (individual) | Corporate Officer · NOT APPLICABLE | |
| Keetch, Chad (individual) | Corporate Officer · NOT APPLICABLE | |
| Koenig, Debra (individual) | Corporate Officer · NOT APPLICABLE | |
| Sato, Ami (individual) | Corporate Officer · NOT APPLICABLE | |
| Burnam, Soon (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Kamstra, Lee (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Wilkins, Melodee (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Aerofund Holdings INC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Blu Medstaff LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Heart Medical Solutions LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Helping Hands Nursing Solution INC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Kamstra, Lee (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Onshift INC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Wilkins, Melodee (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Hillcrest Health Care Center?
Hillcrest Health Care Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Iowa.
How many beds does Hillcrest Health Care Center have?
It has 64 certified beds and cares for about 54 residents per day.
Has Hillcrest Health Care Center been fined?
Yes. CMS lists 4 penalties totaling $130,305 in the last three years.
Who owns Hillcrest Health Care Center?
It is part of The Ensign Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Hillcrest Health Care Center?
(712) 551-1074. The facility is located at 2121 Avenue L, Hawarden, IA 51023.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.