HiLLCrest Health Care Services
Nursing Home Facility
2121 Avenue L, Hawarden, IA 51023
HiLLCrest Health Care Services is a senior care community located in Hawarden, IA. It provides assisted living, nursing home care, and senior living for older adults in the Hawarden area. To learn more or schedule a tour, call (712) 551-1074.
Operated by The Ensign Group, which runs 419 communities in our directory.
HiLLCrest Health Care Services is licensed for 64 beds, about typical for the area, where senior care communities in Sioux County average about 59 beds.
Federal reporting puts occupancy at about 84% of its licensed beds.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Sioux County average about 3.2 stars. Its most recent standard health inspection was in March 2026 and recorded 27 deficiencies.
Residents receive about 3.1 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Communities in Sioux County average about 3.8 hours. Nursing staff turnover over the past year was about 75%, which is high and can affect continuity of care.
The community is located in Sioux County, IA.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 73 problems at HiLLCrest Health Care Services. 3 findings involved harm to a resident, including 2 that put residents in immediate danger. 27 came from investigating complaints by residents or families.
In the last three years Medicare fined this home 3 times, a total of $130,305. Medicare also stopped paying for new admissions once in that period.
Findings from the most recent inspection cycle
-
Caused harm to a resident, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
-
Could cause more than minimal harm, a pattern
Resident Rights
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.
-
Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Could cause more than minimal harm, a pattern
Nursing and Physician Services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
-
Could cause more than minimal harm, a pattern
Nutrition and Dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Show 19 more
-
Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
-
Could cause more than minimal harm, one or a few residents
Resident Rights
Reasonably accommodate the needs and preferences of each resident.
-
Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to manage his or her financial affairs.
-
Could cause more than minimal harm, one or a few residents
Resident Rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
Could cause more than minimal harm, one or a few residents
Resident Rights
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
-
Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
-
Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Could cause more than minimal harm, one or a few residents
Resident Rights
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
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.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
-
Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure that residents are free from significant medication errors.
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
-
Could cause more than minimal harm, one or a few residents
Administration
Have a plan that describes the process for conducting QAPI and QAA activities.
-
Could cause more than minimal harm, one or a few residents
Administration
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
HiLLCrest Health Care Services offers assisted living, nursing home care, and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 64
- Occupancy 84%
- Nursing hours per resident/day 3.1
- Annual staff turnover 75%
- Last health inspection March 2026
Resident & family reviews
No one has shared a review of HiLLCrest Health Care Services yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.