Nursing homes › Iowa › Hillcrest Health Care Center
2121 Avenue L, Hawarden, IA 51023 · (712) 551-1074 · 64 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 385 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 342 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 6 facilities on the Special Focus list, $7,057,363 in federal fines. This facility rates below its group average (3.2/5).
Total nurse staffing: 3.11 (Iowa median: 3.68). RN hours: 0.61. Weekend total: 2.56. Nursing staff turnover: 75%.
In the downloaded CMS dataset: 73 deficiency citations, including 2 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-06 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2026-05-14 |
| 2026-05-06 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2026-05-14 |
| 2026-05-06 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | 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. | G | complaint | 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. | E | complaint | corrected 2026-04-08 |
| 2026-03-26 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | 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. | E | Health | corrected 2026-04-08 |
| 2026-03-26 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2026-04-08 |
| 2026-03-26 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-04-08 |
| 2026-03-26 | Reasonably accommodate the needs and preferences of each resident. | D | complaint | corrected 2026-04-08 |
| 2026-03-26 | Honor the resident's right to manage his or her financial affairs. | D | Health | 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. | D | complaint | corrected 2026-04-08 |
| 2026-03-26 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | 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. | D | Health | corrected 2026-04-08 |
| 2026-03-26 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | 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. | D | Health | corrected 2026-04-08 |
| 2026-03-26 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | 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. | D | Health | corrected 2026-04-08 |
| 2026-03-26 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | 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. | D | Health | 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. | D | Health | corrected 2026-04-08 |
| 2026-03-26 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Health | corrected 2026-04-08 |
| 2026-03-26 | Ensure that residents are free from significant medication errors. | D | Health | 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. | D | Health | corrected 2026-04-08 |
| 2026-03-26 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Health | corrected 2026-04-08 |
| 2026-03-26 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Health | 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. | D | complaint | 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. | E | Health | corrected 2025-03-28 |
| 2025-03-11 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | 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. | E | Health | corrected 2025-03-28 |
| 2025-03-11 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2025-03-28 |
| 2025-03-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | 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. | D | complaint | 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. | D | Health | corrected 2025-03-28 |
| 2025-03-11 | Provide and implement an infection prevention and control program. | D | Health | 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. | J | complaint | 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. | E | complaint | corrected 2024-08-13 |
| 2024-07-28 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | complaint | corrected 2024-08-13 |
| Date | Type | Amount |
|---|---|---|
| 2026-03-26 | Fine | $104,855 |
| 2026-03-26 | Payment Denial | 22 days payment denial |
| 2024-07-28 | Fine | $8,649 |
| 2024-01-31 | Fine | $16,801 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| BURNAM, SOON | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 09/09/2024 |
| KAMSTRA, LEE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 09/16/2024 |
| WILKINS, MELODEE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 07/18/2011 |
| JORGENSEN, DAVID | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2024 |
| PORT, BARRY | Corporate Director | Individual | NOT APPLICABLE | since 07/20/2018 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 09/09/2024 |
| KEETCH, CHAD | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2011 |
| KOENIG, DEBRA | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2020 |
| SATO, AMI | Corporate Officer | Individual | NOT APPLICABLE | since 09/09/2024 |
| AEROFUND HOLDINGS INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/18/2011 |
| BLU MEDSTAFF LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/18/2011 |
| HEART MEDICAL SOLUTIONS LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/18/2011 |
| HELPING HANDS NURSING SOLUTION INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/18/2011 |
| ONSHIFT INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/18/2011 |
| KAMSTRA, LEE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/16/2024 |
| WILKINS, MELODEE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/18/2011 |
How to cite this page: CareRecords, “Hillcrest Health Care Center — compliance, penalty and ownership record” (CCN 165245), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/hillcrest-health-care-center-hawarden-ia/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165245. Corrections: data@carerecords.org.