Total health inspections
6
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.
Nursing Home
Hillcrest Health Care Center
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.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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
Privately-owned community
Operated by a business corporation.
Home revenue
$5.5M
Operating loss
-$580.5K
Privately-owned community
Operated by a business 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
Programs & Activities
Specific Programs
In-house Therapy, Skilled Nursing, Stay Active
Health Inspection History
Inspections
Total health citations
55
Citations per inspection
9.17
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
37 of 55 citations resulted from standard inspections; 13 of 55 resulted from complaint investigations; and 5 of 55 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
233% worse than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
2 critical citations
0 serious citations
53 moderate citations
0 minor citations
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
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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
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
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
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65
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
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
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
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
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
CCN:
165528
Occupancy:
66.6%
Home Revenue:
$7,053,735.00
Payroll Costs:
$3,009,392.00
Payroll %:
42.7%
Avg Residents/Day:
65
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
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
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
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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 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
50 residents
Residents by payment source
Medicare
3 residents (6%)
Medicaid
27 residents (54%)
Private pay or other
20 residents (40%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.9
45% worse than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.7
28% worse than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
30.9%
Percent of long-stay residents whose need for help with daily activities has increased
30.9%
64% worse than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
22.2%
Percent of long-stay residents whose ability to move independently worsened
22.2%
13% worse than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.0%
14% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
9.6%
Percent of long-stay residents experiencing one or more falls with major injury
9.6%
167% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.3%
Percent of long-stay high risk residents with pressure ulcers
3.3%
24% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.3%
Percent of long-stay residents who lose too much weight
8.3%
67% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
29.0%
Percent of long-stay residents who have depressive symptoms
29.0%
647% worse than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
15.3%
Percent of long-stay residents who received an antipsychotic medication
15.3%
19% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
85.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
85.5%
9% worse than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.9%
In line with Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
55.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
55.3%
35% worse than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
43.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
43.5%
41% worse than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
47% lower than Iowa averageIowa average: $48K
Number of fines
2
18% more fines than Iowa averageIowa average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Iowa averageIowa average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$25K
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 28, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 28, 2024
$9K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 31, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
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
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