Total Health inspections
6
22% above Iowa average
Iowa average:
4.9
Last Health inspection on Oct 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Hillcrest Health Care Center
Hillcrest Health Care Center is a Nursing Home in Iowa
Hillcrest Health Care Center is a Nursing Home in Iowa
Hillcrest Health Care Center
Hillcrest Health Care Center is a Nursing Home in Iowa
Hillcrest Health Care Center is a Nursing Home in Iowa
Hillcrest Health Care Center is located in Hawarden, Iowa. It offers skilled nursing and in-house therapy services, focusing on rehabilitation and long-term care. The facility provides a variety of activities to help residents stay active.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
120
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
44.3%
Residents per day (avg)
41
Occupancy rate
44.3%
Residents per day (avg)
41
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
31% of new residents, usually for short-term rehab.
Typical stay
2 - 3 months
Private pay
67% of new residents, often for short stays.
Typical stay
1 - 2 years
Medicaid
3% of new residents, often for long-term daily care.
Typical stay
13 years
Finances and operations
Proprietary home
Corporation
Home revenue
$5.5M
Operating loss
-$580.5K
Proprietary home
Corporation
Home revenue
$5,477,542.00
Operating loss
$-580,468.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.1M
About this community
Care Services
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
Amenities & Lifestyle
Programs & Activities
Specific Programs
In-house Therapy, Skilled Nursing, Stay Active
Compare Nursing Homes around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
+15%
+10%
+30%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 510017716
45
No
CITY OF AKRON
98.1%
$4,650,730.00
$2,144,112.00
46.1%
42.00
4.7098
-
4
-
+15%+10%+30%
Accura HealthCare of Carlisle
-40%
+36%
+7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 500478733
46
No
AMERICAN HEALTHCARE ASSOCIATES INC
80.5%
$4,098,046.00
$2,453,646.00
59.9%
38.90
5.8515
-
17
2
-40%+36%+7%
Accura Healthcare of Spirit Lake
-8%
-12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 513601000
85
No
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65.20
4.2922
1
21
1
-8%
0%
-12%
Accura Healthcare of Lake City, LLC
-33%
+20%
-7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 514499701
46
No
ACCURA HEALTHCARE OF THE HEARTLAND LLC
70.4%
$2,045,587.00
$969,532.00
47.4%
39.80
5.1665
4
39
4
-33%+20%-7%
Hillcrest Health Care Center
-12%
-11%
-41%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 510231333
120
No
WILKINS, MELODEE
44.3%
$5,477,031.00
$2,368,867.00
43.3%
40.90
3.8290
2
55
2
-12%-11%-41%
Akron Care Center, INC
Type of care:
SNF
AL
Community:
IA 510017716
Bed Count:
45
Pets Allowed:
No
Operator:
CITY OF AKRON
CCN:
165595
Occupancy:
98.1%
Home Revenue:
$4,650,730.00
Payroll Costs:
$2,144,112.00
Payroll %:
46.1%
Avg Residents/Day:
42.00
Overall Rating:
Adj Nurse Hours:
4.7098
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
+15%
+15%
Staffing vs State Avg:
+10%
+10%
Occupancy vs State Avg:
+30%
+30%
Accura HealthCare of Carlisle
Type of care:
SNF
AL
Community:
IA 500478733
Bed Count:
46
Pets Allowed:
No
Operator:
AMERICAN HEALTHCARE ASSOCIATES INC
CCN:
165311
Occupancy:
80.5%
Home Revenue:
$4,098,046.00
Payroll Costs:
$2,453,646.00
Payroll %:
59.9%
Avg Residents/Day:
38.90
Overall Rating:
Adj Nurse Hours:
5.8515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
17
Severe Citations:
2
RN share vs State Avg:
-40%
-40%
Staffing vs State Avg:
+36%
+36%
Occupancy vs State Avg:
+7%
+7%
Accura Healthcare of Spirit Lake
Type of care:
SNF
AL
Community:
IA 513601000
Bed Count:
85
Pets Allowed:
No
CCN:
165528
Occupancy:
66.6%
Home Revenue:
$7,053,735.00
Payroll Costs:
$3,009,392.00
Payroll %:
42.7%
Avg Residents/Day:
65.20
Overall Rating:
Adj Nurse Hours:
4.2922
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
21
Severe Citations:
1
RN share vs State Avg:
-8%
-8%
Staffing vs State Avg:
0%
Occupancy vs State Avg:
-12%
-12%
Accura Healthcare of Lake City, LLC
Type of care:
SNF
AL
Community:
IA 514499701
Bed Count:
46
Pets Allowed:
No
Operator:
ACCURA HEALTHCARE OF THE HEARTLAND LLC
CCN:
165082
Occupancy:
70.4%
Home Revenue:
$2,045,587.00
Payroll Costs:
$969,532.00
Payroll %:
47.4%
Avg Residents/Day:
39.80
Overall Rating:
Adj Nurse Hours:
5.1665
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
39
Severe Citations:
4
RN share vs State Avg:
-33%
-33%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
-7%
-7%
Hillcrest Health Care Center
Type of care:
SNF
AL
Community:
IA 510231333
Bed Count:
120
Pets Allowed:
No
Operator:
WILKINS, MELODEE
CCN:
165245
Occupancy:
44.3%
Home Revenue:
$5,477,031.00
Payroll Costs:
$2,368,867.00
Payroll %:
43.3%
Avg Residents/Day:
40.90
Overall Rating:
Adj Nurse Hours:
3.8290
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
55
Severe Citations:
2
RN share vs State Avg:
-12%
-12%
Staffing vs State Avg:
-11%
-11%
Occupancy vs State Avg:
-41%
-41%Places of interest near Hillcrest Health Care Center
Hawarden, IA 510231333
Hawarden, IA 510231333
Calculate Travel Distance to Hillcrest Health Care Center
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
88
Total Staff
48
Employees
40
Contractors
14,896
Total Hours (Quarter)
21
Avg Staff/Day
7.8
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 9 | 8.6 | Yes |
| Licensed Practical Nurse | 14 | 9.1 | Yes |
| Certified Nursing Assistant | 43 | 7.5 | Yes |
Staff by Category
Administration ⓘ
1 staff
7.9hs shift avg
Nursing Staff ⓘ
69 staff
8hs shift avg
Physicians & Practitioners ⓘ
7 staff
8.8hs shift avg
Therapy Services ⓘ
4 staff
7.4hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
3 staff
4.4hs shift avg
Dietary Services ⓘ
2 staff
6.6hs shift avg
Other Services ⓘ
2 staff
7.5hs shift avg
Contractor Analysis
13.9%
of total hours from contractors
2,070 contractor hours this quarter
Certified Nursing Assistant: 27
Licensed Practical Nurse: 7
Registered Nurse: 6
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 16 | 27 | 43 | 5,674 | 91 | 100% | 7.5 |
| Licensed Practical Nurse | 7 | 7 | 14 | 3,427 | 91 | 100% | 9.1 |
| Registered Nurse | 3 | 6 | 9 | 766 | 73 | 80% | 8.6 |
| Physical Therapy Assistant | 2 | 0 | 2 | 764 | 61 | 67% | 7.4 |
| Medication Aide/Technician | 3 | 0 | 3 | 732 | 72 | 79% | 7.4 |
| Nurse Practitioner | 2 | 0 | 2 | 719 | 65 | 71% | 8.8 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 530 | 49 | 54% | 8.7 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Dietitian | 1 | 0 | 1 | 483 | 70 | 77% | 6.9 |
| Dental Services Staff | 2 | 0 | 2 | 465 | 61 | 67% | 7.5 |
| Speech Language Pathologist | 1 | 0 | 1 | 376 | 56 | 62% | 6.7 |
| Administrator | 1 | 0 | 1 | 284 | 36 | 40% | 7.9 |
| Qualified Social Worker | 3 | 0 | 3 | 181 | 41 | 45% | 4.4 |
| Other Dietary Services Staff | 1 | 0 | 1 | 8 | 5 | 5% | 1.6 |
Health Inspection History
Total Health citations
55
153% above Iowa average
Iowa average:
21.7
9.17 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
42 citations
Complaint investigations
18 citations
Breakdown of citations
Critical Health citations
2
233% above Iowa average
Iowa average:
0.6
Serious Health citations
0
100% below Iowa average
Iowa average:
0.9
Moderate Health citations
53
Minor Health citations
0
Citations history (last 3 years)
Care Planning moderate citation
Oct 08, 2025
Corrected
Infection Control moderate citation
Mar 11, 2025
Corrected
Nutrition moderate citation
Mar 11, 2025
Corrected
Pharmacy moderate citation
Mar 11, 2025
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Resident Census by Payment Source
50
Total Residents
Medicare
3
(6%)
ⓘ
Medicaid
27
(54%)
ⓘ
Private Pay/Other
20
(40%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
14.9
45% worse than Iowa average
Iowa average:
10.2
Functional decline score
27.7
28% worse than Iowa average
Iowa average:
21.6
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
30.9%
64% above Iowa average.
Walking Ability Worsened
22.2%
13% above Iowa average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
30.0%
14% above Iowa average.
Safety & clinical stability
Falls with Major Injury
9.6%
167% above Iowa average.
High Risk Residents with Pressure Ulcers
3.3%
24% below Iowa average.
Urinary Tract Infection
0.0%
100% below Iowa average.
Emotional & behavioral wellbeing
Depressive Symptoms
29.0%
647% above Iowa average.
Antipsychotic Use
15.3%
19% below Iowa average.
Preventive care
Pneumococcal Vaccine
85.5%
9% below Iowa average.
Influenza Vaccine
95.9%
1% above Iowa average.
Nutrition & physical health
Lost Too Much Weight
8.3%
67% above Iowa average.Short-stay resident measures
Pneumococcal Vaccine
55.3%
35% worse than Iowa average
Antipsychotic medication increase
0.0%
100% better than Iowa average
Influenza Vaccine
43.5%
41% worse than Iowa average Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$25K
This home paid 47% less in fines than the state average.
Iowa average:
$48K
Number of Fines
2
This home received 18% more fines than the state average.
Iowa average:
1.7
Payment Denials
0
This home had 100% fewer payment denials than the state average.
Iowa average:
0.5
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Jul 28, 2024
$9K
Civil Money Penalty
Jan 31, 2024
$17K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Hillcrest Health Care Center based on CMS SNF Cost Reports.
Occupancy Rate
44.3%
↓ 4.3pp vs 2022
Net Income
-$580,468
↓ ~$356K vs 2022
Total Payroll
$3,499,981
↓ ~$270K vs 2022
Profit Margin
-10.6%
↓ 6.9pp vs 2022
Loading trend charts...
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for Iowa Seniors
Get financial aid guidance
Planning a tour? Check our touring checklist.
Thinking of living here? We can help you speak to a current resident
Looking for a job? Apply for Open Positions at Hillcrest Health Care Center
Thinking about senior living? Use our bidding system to get competitive quotes from the best homes in your area.
Touring Checklist for Senior Living
Touring a community? Use this expert-backed checklist to stay organized, ask the right questions, and find the perfect fit.
Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
0/250
Send Checklist to Your Email
We'll send you a PDF version of the touring checklist.
Feedback
