Hillcrest Home, INC

Nursing Home, Assisted Living, Independent Living & Skilled Nursing · Sumner, IA

CMS overall rating

915 West First Street, Sumner, Ia 506741271 View map

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Hillcrest Home, INC accepts Medicare, Medicaid, and private pay.

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Hillcrest Home, INC accepts Medicare, Medicaid, and private pay.

Overview of Hillcrest Home

Owned by Mission Interests Committee Inc., Hillcrest Home is a 61-bed nursing facility providing short-term rehabilitation and longer-term care. The facility has an occupancy rate of 70%. Residents stay an average of 160 days. Medicare, Medicaid, and private pay are accepted, giving families multiple ways to cover care costs.

Daily nurse staffing averages 4 hours and 22 minutes per resident each day. Residents are supported by registered nurses, nurse aides, and licensed practical nurses on staff. This level of hands-on support shows the facility’s commitment to daily clinical care/

In recent inspections, Hillcrest has demonstrated substantial compliance with regulatory standards. The facility has worked through earlier challenges with medication administration and grievance handling, and those areas show marked improvement in regulatory findings.

The location has a Walk Score of 38, so some nearby services are within walking distance. However, most visits and errands are more convenient with transportation. Residents and families will find that the neighborhood is a quiet, accessible part of Iowa for daily life and visits.

Facility Direct Line (563) 578-8591 admissions@hillcrestsumner.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 22m per day

vs avg

4 of 6 metrics below state avg

Standout metric Nurse Aide is +20% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	37m per day	▼ 15% State avg: 44m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	26m per day	▼ 23% State avg: 34m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	3h 3m per day	▲ 20% State avg: 2h 32m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 31m per day	▲ 5% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 33% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	28m per day	▼ 8% State avg: 30m per day · National avg: 28m per day

Capacity and availability

160 days

61-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 38 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

71%

Lower than the Iowa average: 75.4%

Occupied beds

43 / 61

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

CountyBremer

License Number90362

CMS Certification Number165502

Certification TypeFALSE

Hillcrest Home, INC is administered by Beth Diers.

Email beth.diers@hillcrestsumner.com

Fax5635788091

Pets not allowed

Since 2010 · 16 years of data 33 deficiencies 23 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2010 vs. Iowa state average

Overall vs. IA average

Latest Inspection November 13, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	IA Average	vs. IA Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	33	27	This facility has 22% more total deficiencies than a typical Iowa assisted living residence (33 vs. IA avg 27).↑ 22% worse
Deficiencies per year Average deficiencies per year since 2010.	2.1	1.7	This facility has 24% more deficiencies per year than a typical Iowa assisted living residence (2.1 vs. IA avg 1.7).↑ 24% worse
Deficiencies per inspection Average deficiencies per inspection.	1.4	1.8	This facility has 22% fewer deficiencies per inspection than a typical Iowa assisted living residence (1.4 vs. IA avg 1.8).↓ 22% better

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	IA Average	vs. IA Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	23	15	This facility has had 53% more total inspections than the Iowa average (23 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 53% more

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on November 12, 2025 found the facility in substantial compliance with no deficiencies cited after multiple complaint investigations.
The February 27, 2025 inspection identified 4 deficiencies including failure to investigate grievances, delayed pain medication, lack of fall interventions, and missing physician orders for morphine and suctioning.
The facility had recurring issues with medication administration errors and failure to follow physician orders from April to June 2024, including a medication error causing an emergency room visit.

Show Inspection Reports

Inspections since 2023

Total health inspections 6

State average N/A

Last Health inspection on May 2025

Total health citations

State average N/A

Citations per inspection

2.17

State average N/A

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

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

2 serious citations State average: N/A

9 moderate citations State average: N/A

2 minor citations State average: N/A

Citations history (last 3 years)

Care Planning minor citation May 15, 2025

Corrected

Nursing Services moderate citation Feb 27, 2025

Corrected

Quality of Care serious citation Feb 27, 2025

Corrected

Quality of Care moderate citation Feb 27, 2025

Corrected

Total staff 163

Employees 81

Contractors 82

Staff to resident ratio 3.79 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 34

Average shift 6.8 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 21,350

Nursing staff breakdown

8.3 hours

8.2 hours

7.5 hours

Contractor staffing

3,556 contractor hours this quarter

Certified Nursing Assistant: 32 Licensed Practical Nurse: 14 Registered Nurse: 14 Speech Language Pathologist: 8 Qualified Social Worker: 4 Respiratory Therapy Technician: 3 Physical Therapy Aide: 3 Physical Therapy Assistant: 2 Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	37	32	69	11,069	92	100%	7.5
Registered Nurse	10	14	24	1,967	89	97%	8.3
Medication Aide/Technician	7	0	7	1,927	91	99%	8.9
Licensed Practical Nurse	5	14	19	1,860	91	99%	8.2
Other Dietary Services Staff	6	0	6	559	84	91%	3.8
Nurse Aide in Training	7	0	7	544	85	92%	5.6
Administrator	1	0	1	488	61	66%	8
Dietitian	2	0	2	468	60	65%	7.6
Clinical Nurse Specialist	1	0	1	456	65	71%	7
Dental Services Staff	1	0	1	450	65	71%	6.9
Physical Therapy Aide	0	3	3	400	64	70%	5.2
Speech Language Pathologist	0	8	8	371	66	72%	3.3
Nurse Practitioner	1	0	1	345	51	55%	6.8
Physical Therapy Assistant	0	2	2	111	51	55%	2.1
Occupational Therapy Aide	1	0	1	100	24	26%	4.2
Respiratory Therapy Technician	0	3	3	99	43	47%	2.3
RN Director of Nursing	1	0	1	77	63	68%	1.2
Physical Therapist	1	0	1	35	7	8%	5
Qualified Social Worker	0	4	4	20	22	24%	0.9
Occupational Therapy Assistant	0	1	1	3	3	3%	1
Medical Director	0	1	1	2	2	2%	1

69 Certified Nursing Assistant

% of Days 100%

24 Registered Nurse

% of Days 97%

7 Medication Aide/Technician

% of Days 99%

19 Licensed Practical Nurse

% of Days 99%

6 Other Dietary Services Staff

% of Days 91%

7 Nurse Aide in Training

% of Days 92%

1 Administrator

% of Days 66%

2 Dietitian

% of Days 65%

1 Clinical Nurse Specialist

% of Days 71%

1 Dental Services Staff

% of Days 71%

3 Physical Therapy Aide

% of Days 70%

8 Speech Language Pathologist

% of Days 72%

1 Nurse Practitioner

% of Days 55%

2 Physical Therapy Assistant

% of Days 55%

1 Occupational Therapy Aide

% of Days 26%

3 Respiratory Therapy Technician

% of Days 47%

1 RN Director of Nursing

% of Days 68%

1 Physical Therapist

% of Days 8%

4 Qualified Social Worker

% of Days 24%

1 Occupational Therapy Assistant

% of Days 3%

1 Medical Director

% of Days 2%

View All Staffing Data

Total fines amount $0

100% lower than State average

State average: $48K

Number of fines 0

100% fewer fines than State average

State average: 1.7

Payment Denials 1

88% more payment denials than State average

State average: 0.5

Fines amount comparison

This facility $0

State average $48K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Apr 25, 2024 · 14 days

Payment Denial Apr 25, 2024

14 days

Last updated: Jan 2026

High-risk clinical events score 11.1

9% worse than State average

State average: 10.2

Functional decline score 24.0

11% worse than State average

State average: 21.6

Long-stay resident measures

Below average State avg: 3.3

Need for Help with Daily Activities Increased 18.0%

In line with State average

State average: 18.8%

Walking Ability Worsened 20.9%

6% worse than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 33.1%

26% worse than State average

State average: 26.2%

Falls with Major Injury 1.9%

48% better than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 6.4%

47% worse than State average

State average: 4.4%

Urinary Tract Infection 4.5%

81% worse than State average

State average: 2.5%

Lost Too Much Weight 8.5%

69% worse than State average

State average: 5.0%

Depressive Symptoms 4.2%

9% worse than State average

State average: 3.9%

Antipsychotic Use 5.0%

74% better than State average

State average: 19.0%

Pneumococcal Vaccine 99.4%

5% better than State average

State average: 94.4%

Influenza Vaccine 97.6%

In line with State average

State average: 95.3%

Hospitalizations per 1,000 days 1.92

30% worse than State average

State average: 1.48

ED visits per 1,000 days 3.44

65% worse than State average

State average: 2.09

Short-stay resident measures

Pneumococcal Vaccine 88.3%

In line with State average

State average: 85.1%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 1.8%

Influenza Vaccine 65.7%

10% worse than State average

State average: 73.3%

Re-hospitalized after SNF stay 14.7%

31% better than State average

State average: 21.3%

Emergency department visits 34.8%

166% worse than State average

State average: 13.1%

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

Total residents 43

Medicare

14% of residents

Medicaid

30.2% of residents

Private pay or other

55.8% of residents

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.

Financial Trends

Historical financial and operational data for Hillcrest Home, INC from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 85.7% ↑ 26.2pp vs 2022

Net Patient Income -$620.4K ↑ ~$21.1K vs 2022

Payroll Costs $3.9M ↑ ~$704.4K vs 2022

Operating Margin -10.1% ↑ 2.2pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	87.4%	89.1%	86.8%	83.6%	78.7%	74.0%	53.8%	54.5%	158.6%	66.9%	58.2%	59.5%	85.7%
Beds	71	81	81	78	78	78	110	113	103	103	103	61	61
Net Income	$63,273	$81,043	-$111,676	-$16,326	$20,190	-$330,229	-$420,219	-$308,396	-$50,693	-$263,160	-$363,177	-$362,931	$222,096
Gross Revenue	$3,915,498	$4,002,993	$3,925,122	$4,166,422	$3,926,225	$3,585,392	$3,408,264	$3,824,262	$4,527,034	$4,793,937	$4,106,153	$5,917,076	$6,626,303
Operating Expenses	$3,979,552	$3,991,945	$4,062,953	$4,240,468	$4,098,209	$4,071,614	$4,261,716	$4,337,342	$4,751,354	$5,617,023	$5,151,425	$5,831,799	$6,740,134
Net Patient Income	-$75,844	-$42,431	-$188,229	-$74,046	-$171,984	-$486,222	-$853,452	-$513,080	-$224,320	-$823,086	-$1,045,272	-$641,543	-$620,424
Net Patient Revenue	$3,903,708	$3,949,514	$3,874,724	$4,166,422	$3,926,225	$3,585,392	$3,408,264	$3,824,262	$4,527,034	$4,793,937	$4,106,153	$5,190,256	$6,119,710
Payroll Costs	$2,905,243	$3,002,418	$3,028,983	$3,118,077	$3,069,546	$3,044,502	$2,845,679	$2,615,279	$2,898,511	$3,025,883	$2,803,201	$3,198,537	$3,902,911
Operating Margin %	-1.9%	-1.1%	-4.9%	-1.8%	-4.4%	-13.6%	-25.0%	-13.4%	-5.0%	-17.2%	-25.5%	-12.4%	-10.1%
Medicare %	2.8%	2.0%	2.5%	2.4%	1.9%	1.0%	2.0%	2.9%	2.1%	1.7%	2.3%	5.7%	3.6%
Medicaid %	40.7%	38.8%	36.3%	37.6%	38.2%	27.6%	26.9%	25.6%	31.3%	28.3%	35.0%	49.8%	40.2%
Private %	56.5%	59.2%	61.2%	60.0%	59.9%	71.4%	71.1%	71.5%	66.6%	70.1%	62.8%	44.5%	56.2%
Net Patient Revenue/Day	$172	$149	$151	$175	$175	$170	$161	$170	$178	$190	$188	$392	$321
Cost/Day	$176	$151	$158	$178	$183	$193	$201	$193	$187	$223	$235	$441	$353
Avg Length of Stay	755.2 days	244.8 days	193.0 days	501.2 days	464.0 days	276.0 days	321.5 days	213.6 days	139.5 days	76.7 days	119.9 days	178.9 days	160.3 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$6.1M

Net patient income

-$620.4K

Nonprofit Nonprofit Corporation

Net patient revenue

$6.1M

Net patient income

-$620.4K

Other income

$930.7K

Payroll costs

$3.9M 63.8% of net patient revenue

Other operating costs

$2.8M

Total costs

$6.7M

TYPE OF STAY

Mix 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.

Most new residents arrive under private pay (54% of admissions), and a typical private pay stay runs around 5 - 6 months.

Coverage residents most often arrive under.

Medicare 24%

Private pay 54%

Medicaid 22%

Coverage residents most often leave under.

Medicare 24%

Private pay 52%

Medicaid 24%

0.0 miles from city center Estimated distance in miles from Sumner's city center to Hillcrest Home, INC's address, calculated via Google Maps.

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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.


Bethany Home Retirement Center	NH IL MC SNF	Dubuque (Eagle Point District)	-	66	-	69	1 Bed / 2 Bed
Friendship Village	NH AL IL MC SNF	Waterloo	-	72	-	52	2 Bed / 3 Bed
Prairie Vista Village	NH AL IL SNF	South Altoona	-	68	A	29	-
St Francis Manor	NH AL HOS SNF	Grinnell	-	78	-	82	-
Hillcrest Home, INC	NH AL IL SNF	Sumner	-	61	-	38	-

Nursing Home Explorer

Is Hillcrest Home, INC in a walkable area?

Hillcrest Home, INC has a walk score of 38. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Hillcrest Home, INC?

According to IA state health department records, Hillcrest Home, INC's license number is 90362.

What is the occupancy rate at Hillcrest Home, INC?

Hillcrest Home, INC's occupancy is 71%.

Are pets allowed at Hillcrest Home, INC?

No, Hillcrest Home, INC has a no-pet policy.

What is the best email address for Hillcrest Home, INC?

The team at Hillcrest Home, INC can be reached at beth.diers@hillcrestsumner.com.

Does Hillcrest Home, INC operate as a for-profit or non-profit?

Hillcrest Home, INC is registered as a non-profit in IA.

Who is the administrator of Hillcrest Home, INC?

Beth Diers is the administrator of Hillcrest Home, INC.

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Hillcrest Home, INC

Overview of Hillcrest Home

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Contact Information

Additional Policies & Features

Contact Hillcrest Home, INC

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

69 Certified Nursing Assistant

24 Registered Nurse

7 Medication Aide/Technician

19 Licensed Practical Nurse

6 Other Dietary Services Staff

7 Nurse Aide in Training

1 Administrator

2 Dietitian

1 Clinical Nurse Specialist

1 Dental Services Staff

3 Physical Therapy Aide

8 Speech Language Pathologist

1 Nurse Practitioner

2 Physical Therapy Assistant

1 Occupational Therapy Aide

3 Respiratory Therapy Technician

1 RN Director of Nursing

1 Physical Therapist

4 Qualified Social Worker

1 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

CCRC

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

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