Hillcrest Health Care Center

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 14, 2026

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 14, 2026

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 14, 2026

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Apr 8, 2026

• Install corridor and hallway doors that block smoke.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 18, 2026

• Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 18, 2026

• Have simulated fire drills held at unexpected times.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 18, 2026

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 8, 2026

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 8, 2026

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Apr 8, 2026

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 8, 2026

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 8, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 8, 2026

• Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 8, 2026

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 8, 2026

• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 8, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 8, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 8, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 8, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 8, 2026

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 8, 2026

• Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 8, 2026

• Ensure that residents are free from significant medication errors.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 8, 2026

• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 8, 2026

• Have a plan that describes the process for conducting QAPI and QAA activities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 8, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 8, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 8, 2026

• Reasonably accommodate the needs and preferences of each resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 8, 2026

• Honor the resident's right to manage his or her financial affairs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 8, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 13, 2025

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 27, 2025

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 12, 2025

• Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 5, 2025

• To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 13, 2025

• Have simulated fire drills held at unexpected times.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 11, 2025

• Provide a written emergency evacuation plan.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 27, 2025

• Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 4, 2025

• Install corridor and hallway doors that block smoke.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 5, 2025

• Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 17, 2025

• List the names and contact information of those in the facility.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 27, 2025

• Establish roles under a Waiver declared by secretary.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 27, 2025

• Address subsistence needs for staff and patients.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 27, 2025

• Develop Emergency Preparedness policies and procedures.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 27, 2025

• Include a process for Emergency Preparedness collaboration.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 27, 2025

• Develop and maintain an Emergency Preparedness Program (EP).

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 27, 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 28, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Mar 28, 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 28, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 28, 2025

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 28, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 28, 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 28, 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 28, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 28, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 28, 2025

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

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Aug 7, 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Aug 13, 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Aug 13, 2024

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Aug 13, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Aug 13, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 13, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 13, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 13, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 13, 2024

• Reasonably accommodate the needs and preferences of each resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 13, 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 13, 2024

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

  Severity K of L: immediate jeopardy, patternCorrected Feb 8, 2024

• Keep aisles, corridors, and exits free of obstruction in case of emergency.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 29, 2024

• Install corridor and hallway doors that block smoke.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 2, 2024

• Have simulated fire drills held at unexpected times.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 5, 2024

• Provide and implement an infection prevention and control program.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 14, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 14, 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 14, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 14, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 14, 2024

• Have a plan that describes the process for conducting QAPI and QAA activities.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 14, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 14, 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 14, 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 14, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 14, 2024

• Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 14, 2024

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 14, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 14, 2024

• Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 30, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 14, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 14, 2024

• Ensure that residents are free from significant medication errors.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 14, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 14, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 14, 2024

• Ensure each resident receives an accurate assessment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 14, 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 14, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 14, 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 14, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 14, 2024

• Properly select, install, inspect, or maintain portable fire extinguishes.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 6, 2024

• Have restrictions on the use of highly flammable decorations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 2, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 14, 2023

Hillcrest Health Care Center offers Skilled Nursing / Long Term Care.

Hillcrest Health Care Center is located at 2121 Avenue L in Hawarden, Iowa.

Most reviewers describe Hillcrest Health Care Center as a caring, family-like place where staff treat residents with respect, particularly praising the rehabilitation department. However, one detailed negative review raises serious concerns about staffing, response times, and food service, and another reviewer notes the facility has had recent management turnover.

Hillcrest Health Care Center had 7 government inspection visits in the last three years, with 97 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with Hillcrest Health Care Center and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.