Occupancy rate
70%
In line with Iowa averageMix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Nursing Home
Hillcrest Home, INC
Hillcrest Home, INC is a community-owned retirement home serving Sumner, Iowa since 1965. It provides nonprofit retirement living with a focus on dedicated care and strong local heritage. The facility offers independent living and skilled nursing care.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
61
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
70.5%
Residents per day (avg)
45
Occupancy rate
70.5%
Residents per day (avg)
45
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
24% of new residents, usually for short-term rehab.
Typical stay
24 days
Private pay
54% of new residents, often for short stays.
Typical stay
5 - 6 months
Medicaid
22% of new residents, often for long-term daily care.
Typical stay
9 - 10 months
Finances and operations
Voluntary non-profit community
Home revenue
$7.6M
Surplus of revenue
$222.1K
Voluntary non-profit community
Home revenue
$7,557,045.00
Surplus of revenue
$222,096.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.3M
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.
$3.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$7.2M
61-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy
In line with Iowa averageOccupied beds
43 / 61
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
County:
Bremer
Additional licensing details
License number:
90362
CMS Certification Number:
165502
Certification type:
FALSE
Ownership & operating entity
Hillcrest Home, INC is administrated by Beth Diers.
Care Services
Nursing Services
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
Contact Information
Email:
[email protected]
Fax:
5635788091
Inspection History
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
23 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date:November 13, 2025
19 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Hillcrest Home, INC
The most recent inspection on November 12, 2025 found the facility in substantial compliance with no deficiencies cited. Earlier inspections showed a mix of findings, including issues with medication administration, resident care, documentation, and staff training, but many complaint investigations were substantiated without resulting deficiencies. Main themes of deficiencies involved medication errors, pain management, grievance resolution, and failure to meet professional care standards. Several complaint investigations were substantiated, particularly related to medication and resident supervision, but enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s record shows improvement over time, with recent inspections consistently finding substantial compliance and fewer deficiencies than in prior years.
Health Inspection History
Inspections
Total health inspections
6
Iowa average 4.9
Last Health inspection on May 2025
Total health citations
13
Iowa average 21.7
Citations per inspection
2.17
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
6 of 13 citations resulted from standard inspections; and 7 of 13 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
2
2
122% worse than Iowa averageIowa average: 0.9
0 critical citations
2 serious citations
9 moderate citations
2 minor citations
Citations history (last 3 years)
Care Planning minor citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
May 15, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
May 15, 2025
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Feb 27, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Feb 27, 2025
Corrected
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 27, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 27, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 27, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 27, 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
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Akron
45
98.1%
+30%
4.71
+10%
0
4
0
42
City Of Akron
$4,7M
$2,1M
46.1%
165595
Accura HealthCare of Carlisle
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Carlisle
46
80.5%
+7%
5.85
+36%
0
17
2
39
American Healthcare Associates Inc
$4,1M
$2,5M
59.9%
165311
Hillcrest Home, INC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Sumner
61
85.7%
+14%
4.36
+2%
0
13
2
45
Mission Interests Committee Inc
$6,6M
$3,3M
50.5%
165502
Accura Healthcare of Spirit Lake
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Spirit Lake
85
66.6%
-12%
4.29
0%
1
21
1
65
-
$7,1M
$3,0M
42.7%
165528
Accura Healthcare of Lake City, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
4
40
Accura Healthcare Of The Heartland Llc
$2,0M
$1,0M
47.4%
165082
Places of interest near Hillcrest Home, INC
Sumner, IA 506741271
Sumner, IA 506741271
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
124
Employees
70
Contractors
54
Staff to resident ratio
2.88:1
44% better than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
31
Average shift
6.9 hours
7% worse than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
19,496
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
56
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
8.4%
1,631 contractor hours this quarter
Certified Nursing Assistant: 23
Physical Therapy Aide: 7
Respiratory Therapy Technician: 7
Speech Language Pathologist: 6
Physical Therapy Assistant: 6
Qualified Social Worker: 3
Occupational Therapy Assistant: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 33 | 23 | 56 | 10,061 | 91 | 100% | 7.5 |
| Licensed Practical Nurse | 6 | 0 | 6 | 2,076 | 90 | 99% | 8.3 |
| Medication Aide/Technician | 7 | 0 | 7 | 1,535 | 88 | 97% | 8.4 |
| Registered Nurse | 8 | 0 | 8 | 1,388 | 89 | 98% | 7.5 |
| Other Dietary Services Staff | 4 | 0 | 4 | 615 | 85 | 93% | 5.4 |
| Nurse Practitioner | 1 | 0 | 1 | 497 | 64 | 70% | 7.8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 474 | 64 | 70% | 7.4 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Physical Therapy Aide | 0 | 7 | 7 | 429 | 63 | 69% | 4.3 |
| Dietitian | 1 | 0 | 1 | 377 | 52 | 57% | 7.3 |
| Dental Services Staff | 1 | 0 | 1 | 339 | 45 | 49% | 7.5 |
| Speech Language Pathologist | 0 | 6 | 6 | 281 | 60 | 66% | 3.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 220 | 28 | 31% | 7.8 |
| Qualified Social Worker | 0 | 3 | 3 | 167 | 54 | 59% | 3.1 |
| Physical Therapy Assistant | 0 | 6 | 6 | 149 | 51 | 56% | 2.9 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 124 | 38 | 42% | 3 |
| Nurse Aide in Training | 4 | 0 | 4 | 120 | 18 | 20% | 6.3 |
| Occupational Therapy Aide | 1 | 0 | 1 | 92 | 22 | 24% | 4.2 |
| Physical Therapist | 1 | 0 | 1 | 68 | 12 | 13% | 5.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 11 | 3 | 3% | 3.6 |
| Medical Director | 0 | 1 | 1 | 2 | 2 | 2% | 1 |
56 Certified Nursing Assistant
% of Days
100%
6 Licensed Practical Nurse
% of Days
99%
7 Medication Aide/Technician
% of Days
97%
8 Registered Nurse
% of Days
98%
4 Other Dietary Services Staff
% of Days
93%
1 Nurse Practitioner
% of Days
70%
1 Clinical Nurse Specialist
% of Days
70%
1 Administrator
% of Days
65%
7 Physical Therapy Aide
% of Days
69%
1 Dietitian
% of Days
57%
1 Dental Services Staff
% of Days
49%
6 Speech Language Pathologist
% of Days
66%
1 Mental Health Service Worker
% of Days
31%
3 Qualified Social Worker
% of Days
59%
6 Physical Therapy Assistant
% of Days
56%
7 Respiratory Therapy Technician
% of Days
42%
4 Nurse Aide in Training
% of Days
20%
1 Occupational Therapy Aide
% of Days
24%
1 Physical Therapist
% of Days
13%
1 Occupational Therapy Assistant
% of Days
3%
1 Medical Director
% of Days
2%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
43 residents
Residents by payment source
Medicare
6 residents (14%)
Medicaid
13 residents (30.2%)
Private pay or other
24 residents (55.8%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
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.
11.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.1
9% 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.
24.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.0
11% 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
18.0%
Percent of long-stay residents whose need for help with daily activities has increased
18.0%
In line with Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
20.9%
Percent of long-stay residents whose ability to move independently worsened
20.9%
6% 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
33.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.1%
26% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.9%
Percent of long-stay residents experiencing one or more falls with major injury
1.9%
48% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.4%
Percent of long-stay high risk residents with pressure ulcers
6.4%
47% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.5%
Percent of long-stay residents with a urinary tract infection
4.5%
81% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.5%
Percent of long-stay residents who lose too much weight
8.5%
69% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
4.2%
Percent of long-stay residents who have depressive symptoms
4.2%
9% worse than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
5.0%
Percent of long-stay residents who received an antipsychotic medication
5.0%
74% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
5% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
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
88.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.3%
In line with 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
65.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
65.7%
10% 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
$0
100% lower than Iowa averageIowa average: $48K
Number of fines
0
100% fewer 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.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
88% more payment denials than Iowa averageIowa average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$0
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Apr 25, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Apr 25, 2024
14 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Hillcrest Home, INC based on CMS SNF Cost Reports.
Occupancy Rate
85.7%
↑ 26.2pp vs 2022
Net Income
$222,096
↑ ~$585K vs 2022
Total Payroll
$4,650,756
↑ ~$674K vs 2022
Profit Margin
3.4%
↑ 9.5pp vs 2022
Loading trend charts...
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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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