HILLCREST HEALTH CARE CENTER

📍 2121 AVENUE L, hawarden, IA 51023 📞 7125511074 🛏️ 64 beds

Overall Rating

⭐⭐
2/5

Health Inspection

⭐⭐
2/5

Staffing

⭐⭐
2/5

Quality Measures

⭐⭐⭐⭐
4/5

Inspection History Overview

80
Total Violations
9 years of data
$31,525
Total Fines
7 penalties
7
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 10 violations

Tag 0582 D Mar 11, 2025

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Mar 28, 2025
Tag 0584 D Mar 11, 2025

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.

✓ Corrected: Mar 28, 2025
Tag 0625 E Mar 11, 2025

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.

✓ Corrected: Mar 28, 2025
Tag 0656 D Mar 11, 2025

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

✓ Corrected: Mar 28, 2025
Tag 0677 E Mar 11, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Mar 28, 2025
Tag 0684 D Mar 11, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Mar 28, 2025
Tag 0689 D Mar 11, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Mar 28, 2025
Tag 0758 D Mar 11, 2025

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.

✓ Corrected: Mar 28, 2025
Tag 0801 E Mar 11, 2025

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.

✓ Corrected: Mar 28, 2025
Tag 0880 D Mar 11, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 28, 2025

2024 35 violations

Tag 0550 D Jul 28, 2024

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

✓ Corrected: Aug 13, 2024
Tag 0558 D Jul 28, 2024

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Aug 13, 2024
Tag 0689 D Jul 28, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Aug 13, 2024
Tag 0690 D Jul 28, 2024

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

✓ Corrected: Aug 13, 2024
Tag 0725 D Jul 28, 2024

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

✓ Corrected: Aug 13, 2024
Tag 0803 E Jul 28, 2024

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.

✓ Corrected: Aug 13, 2024
Tag 0804 E Jul 28, 2024

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Aug 13, 2024
Tag 0805 J Jul 28, 2024

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

✓ Corrected: Aug 7, 2024
Tag 0806 D Jul 28, 2024

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

✓ Corrected: Aug 13, 2024
Tag 0809 E Jul 28, 2024

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.

✓ Corrected: Aug 13, 2024
Tag 0880 E Jul 28, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 13, 2024
Tag 0550 E Jan 31, 2024

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

✓ Corrected: Feb 14, 2024
Tag 0584 D Jan 31, 2024

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.

✓ Corrected: Feb 14, 2024
Tag 0585 E Jan 31, 2024

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.

✓ Corrected: Feb 14, 2024
Tag 0607 E Jan 31, 2024

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Feb 14, 2024
Tag 0623 D Jan 31, 2024

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

✓ Corrected: Feb 14, 2024
Tag 0625 D Jan 31, 2024

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.

✓ Corrected: Feb 14, 2024
Tag 0641 D Jan 31, 2024

Ensure each resident receives an accurate assessment.

✓ Corrected: Feb 14, 2024
Tag 0644 D Jan 31, 2024

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Feb 14, 2024
Tag 0656 D Jan 31, 2024

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

✓ Corrected: Feb 14, 2024

2023 1 violations

Tag 0689 D Aug 17, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jun 14, 2023

2022 13 violations

Tag 0550 D Nov 10, 2022

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

✓ Corrected: Dec 10, 2022
Tag 0584 E Nov 10, 2022

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.

✓ Corrected: Dec 10, 2022
Tag 0657 D Nov 10, 2022

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

✓ Corrected: Dec 10, 2022
Tag 0690 D Nov 10, 2022

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

✓ Corrected: Dec 10, 2022
Tag 0804 D Nov 10, 2022

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Dec 10, 2022
Tag 0812 E Nov 10, 2022

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

✓ Corrected: Dec 10, 2022
Tag 0880 D Nov 10, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 10, 2022
Tag 0883 D Nov 10, 2022

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Dec 10, 2022
Tag 0580 D Sep 27, 2022

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

✓ Corrected: Oct 27, 2022
Tag 0677 D Sep 27, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Oct 27, 2022
Tag 0684 G Sep 27, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Oct 12, 2022
Tag 0689 E Sep 27, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 27, 2022
Tag 0725 E Sep 27, 2022

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

✓ Corrected: Oct 27, 2022

2021 9 violations

Tag 0623 D Jun 15, 2021

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

✓ Corrected: Jul 14, 2021
Tag 0625 D Jun 15, 2021

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.

✓ Corrected: Jul 14, 2021
Tag 0684 D Jun 15, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jul 14, 2021
Tag 0690 D Jun 15, 2021

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

✓ Corrected: Jul 14, 2021
Tag 0725 D Jun 15, 2021

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

✓ Corrected: Jul 14, 2021
Tag 0805 D Jun 15, 2021

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

✓ Corrected: Jul 14, 2021
Tag 0812 E Jun 15, 2021

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

✓ Corrected: Jul 14, 2021
Tag 0868 C Jun 15, 2021

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

✓ Corrected: Jul 14, 2021
Tag 0880 E Jun 15, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 14, 2021

2020 1 violations

Tag 0880 E Dec 16, 2020

Provide and implement an infection prevention and control program.

2019 7 violations

Tag 0584 D Mar 21, 2019

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.

✓ Corrected: Apr 12, 2019
Tag 0658 D Mar 21, 2019

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Apr 12, 2019
Tag 0700 D Mar 21, 2019

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

✓ Corrected: Apr 12, 2019
Tag 0725 D Mar 21, 2019

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

✓ Corrected: Apr 12, 2019
Tag 0732 B Mar 21, 2019

Post nurse staffing information every day.

✓ Corrected: Apr 12, 2019
Tag 0758 D Mar 21, 2019

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.

✓ Corrected: Apr 12, 2019
Tag 0880 D Mar 21, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 12, 2019

2017 1 violations

Tag 0314 G Nov 16, 2017

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

✓ Corrected: Dec 27, 2017

2016 3 violations

Tag 0329 D Oct 6, 2016

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

✓ Corrected: Oct 17, 2016
Tag 0371 F Oct 6, 2016

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Oct 17, 2016
Tag 0441 D Oct 6, 2016

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Oct 17, 2016

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 1 penalties totaling $9,750

$9,750
Fine
November 10, 2022
Average: $9,750 | Range: $9,750 - $9,750

2021 4 penalties totaling $11,375

$9,750
Fine
June 15, 2021
$0
Payment Denial
June 15, 2021
$975
Fine
April 5, 2021
$650
Fine
March 15, 2021
Average: $2,844 | Range: $0 - $9,750

2020 1 penalties totaling $3,250

$3,250
Fine
December 16, 2020
Average: $3,250 | Range: $3,250 - $3,250

2017 1 penalties totaling $7,150

$7,150
Fine
November 16, 2017
Average: $7,150 | Range: $7,150 - $7,150

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

July 28, 2024
0.00

Health

January 31, 2024
0.00

Health

August 17, 2023
0.00

Health

November 10, 2022
0.00

Health

September 27, 2022
0.00

Health

June 15, 2021
0.00

Health

March 21, 2019
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
165245
165245
7125511074
Sioux

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Individual