Starfile / Iowa

Hillcrest Health Care Center

2121 Avenue L, Hawarden, IA 51023 · CCN 165245

Inspection history vs Iowa & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$25,450

Number of fines

2

Number of penalties

2

Payment denials

0

Chain

Chain

THE ENSIGN GROUP

Facilities in chain

329

Chain avg overall

3.20 / 5

Inspection citations (55)2 immediate jeopardy

1. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-10-08 · Health · corrected 2025-10-13

   Potential for more than minimal harm

2. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-03-11 · Health · corrected 2025-03-28

   Potential for more than minimal harm

3. DF0584Honor 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.2025-03-11 · Health · corrected 2025-03-28

   Potential for more than minimal harm

4. EF0625Notify 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.2025-03-11 · Health · corrected 2025-03-28

   Potential for more than minimal harm

5. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-11 · Health · corrected 2025-03-28

   Potential for more than minimal harm

6. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-03-11 · Health · corrected 2025-03-28

   Potential for more than minimal harm

7. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-11 · Health · corrected 2025-03-28

   Potential for more than minimal harm

8. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-11 · Health · corrected 2025-03-28

   Potential for more than minimal harm

9. DF0758Implement 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.2025-03-11 · Health · corrected 2025-03-28

   Potential for more than minimal harm

10. EF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2025-03-11 · Health · corrected 2025-03-28

    Potential for more than minimal harm

11. DF0880Provide and implement an infection prevention and control program.2025-03-11 · Health · corrected 2025-03-28

    Potential for more than minimal harm

12. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-07-28 · Health · corrected 2024-08-13

    Potential for more than minimal harm

13. DF0558Reasonably accommodate the needs and preferences of each resident.2024-07-28 · Health · corrected 2024-08-13

    Potential for more than minimal harm

14. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-28 · Health · corrected 2024-08-13

    Potential for more than minimal harm

15. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-07-28 · Health · corrected 2024-08-13

    Potential for more than minimal harm

16. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-07-28 · Health · corrected 2024-08-13

    Potential for more than minimal harm

17. EF0803Ensure 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.2024-07-28 · Health · corrected 2024-08-13

    Potential for more than minimal harm

18. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-07-28 · Health · corrected 2024-08-13

    Potential for more than minimal harm

19. JF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-07-28 · Health · corrected 2024-08-07

    Immediate jeopardy

20. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-07-28 · Health · corrected 2024-08-13

    Potential for more than minimal harm

21. EF0809Ensure 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.2024-07-28 · Health · corrected 2024-08-13

    Potential for more than minimal harm

22. EF0880Provide and implement an infection prevention and control program.2024-07-28 · Health · corrected 2024-08-13

    Potential for more than minimal harm

23. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-01-31 · Health · corrected 2024-02-14

    Potential for more than minimal harm

24. DF0584Honor 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.2024-01-31 · Health · corrected 2024-02-14

    Potential for more than minimal harm

25. EF0585Honor 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.2024-01-31 · Health · corrected 2024-02-14

    Potential for more than minimal harm

26. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-01-31 · Health · corrected 2024-02-14

    Potential for more than minimal harm

27. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-01-31 · Health · corrected 2024-02-14

    Potential for more than minimal harm

28. DF0625Notify 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.2024-01-31 · Health · corrected 2024-02-14

    Potential for more than minimal harm

29. DF0641Ensure each resident receives an accurate assessment.2024-01-31 · Health · corrected 2024-02-14

    Potential for more than minimal harm

30. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-01-31 · Health · corrected 2024-02-14

    Potential for more than minimal harm

31. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-31 · Health · corrected 2024-02-14

    Potential for more than minimal harm

32. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-01-31 · Health · corrected 2024-02-14

    Potential for more than minimal harm

33. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-01-31 · Health · corrected 2024-02-14

    Potential for more than minimal harm

34. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-01-31 · Health · corrected 2024-02-14

    Potential for more than minimal harm

35. DF0758Implement 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.2024-01-31 · Health · corrected 2024-02-14

    Potential for more than minimal harm

36. DF0760Ensure that residents are free from significant medication errors.2024-01-31 · Health · corrected 2024-02-14

    Potential for more than minimal harm

37. EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2024-01-31 · Health · corrected 2024-02-14

    Potential for more than minimal harm

38. EF0803Ensure 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.2024-01-31 · Health · corrected 2024-02-14

    Potential for more than minimal harm

39. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-01-31 · Health · corrected 2024-02-14

    Potential for more than minimal harm

40. KF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-01-31 · Health · corrected 2024-02-08

    Immediate jeopardy

41. EF0809Ensure 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.2024-01-31 · Health · corrected 2024-02-14

    Potential for more than minimal harm

42. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-31 · Health · corrected 2024-02-14

    Potential for more than minimal harm

43. EF0865Have a plan that describes the process for conducting QAPI and QAA activities.2024-01-31 · Health · corrected 2024-02-14

    Potential for more than minimal harm

44. EF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-01-31 · Health · corrected 2024-02-14

    Potential for more than minimal harm

45. FF0880Provide and implement an infection prevention and control program.2024-01-31 · Health · corrected 2024-02-14

    Potential for more than minimal harm

46. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-01-31 · Health · corrected 2024-02-14

    Potential for more than minimal harm

47. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-17 · Health · corrected 2023-06-14

    Potential for more than minimal harm

48. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-11-10 · Health · corrected 2022-12-10

    Potential for more than minimal harm

49. EF0584Honor 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.2022-11-10 · Health · corrected 2022-12-10

    Potential for more than minimal harm

50. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-11-10 · Health · corrected 2022-12-10

    Potential for more than minimal harm

51. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-11-10 · Health · corrected 2022-12-10

    Potential for more than minimal harm

52. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-11-10 · Health · corrected 2022-12-10

    Potential for more than minimal harm

53. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-11-10 · Health · corrected 2022-12-10

    Potential for more than minimal harm

54. DF0880Provide and implement an infection prevention and control program.2022-11-10 · Health · corrected 2022-12-10

    Potential for more than minimal harm

55. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-11-10 · Health · corrected 2022-12-10

    Potential for more than minimal harm

Ownership

Other facilities in Hawarden

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.