Hillcrest Health Care Center: Staffing, Turnover, and Inspection Record
Hillcrest Health Care Center is a 64-bed for-profit nursing home in Hawarden, Iowa, part of The Ensign Group. In the CMS August 2026 release it reported 1.73 nurse aide hours per resident per day, 31% below the Iowa average of 2.51, and 75.0% nursing staff turnover (Iowa average 44.0%).
Hillcrest Health Care Center
2121 Avenue LHawarden, IA 51023
Sioux County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Hillcrest Health Care Center, nurse aides logged 1.73 hours per resident per day, 31% below the Iowa average. With about 54 residents a day, that works out to roughly 93 aide hours a day, or about 12 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 18% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.73 | 2.51 | 2.32 |
| Licensed practical nurses | 0.76 | 0.56 | 0.86 |
| Registered nurses | 0.61 | 0.74 | 0.69 |
| All nursing staff | 3.11 | 3.82 | 3.86 |
| All nursing staff, weekends | 2.56 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
75.0% of nursing staff at Hillcrest Health Care Center left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 80.0%.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 26, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 27 health deficiencies (Iowa average 6.5). CMS lists 3 fines totaling $130,305 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Mar 26, 2026 | Fine | $104,855 |
| Mar 26, 2026 | Payment Denial | 22 days from Apr 22, 2026 |
| Jul 28, 2024 | Fine | $8,649 |
| Jan 31, 2024 | Fine | $16,801 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Hillcrest Health Care Center holds 1 of 5 overall; the Iowa average is 3.1.
About Hillcrest Health Care Center
- Ownership: For profit - Limited Liability company
- Chain: The Ensign Group, 342 homes
- Legal name: Riverside Healthcare, Inc.
- Medicare and Medicaid certified since: Nov 16, 1994
- Councils: resident council
- Area: rural
Nursing homes near Hillcrest Health Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Alcester Care And Rehab Center, Inc Alcester | 7.4 | 44 | 1.73 | 2.74 | 43.3% | 5 | None |
| Akron Care Center, INC Akron | 13.9 | 45 | 2.52 | 3.80 | 40.4% | 4 | None |
| Bethesda Of Beresford Beresford | 16.1 | 39 | 2.36 | 3.69 | 50.0% | 2 | $16,088 |
| Crown Pointe Estates Care Center Sioux Center | 16.3 | 99 | 3.62 | 4.88 | 27.8% | 4 | None |
| Hegg Memorial Health Center Rock Valley | 16.6 | 60 | 2.92 | 4.02 | 21.1% | 5 | None |
| Fellowship Village Inwood | 20.7 | 40 | 3.96 | 5.44 | — | 4 | None |
| Pleasant Acres Care Center Hull | 20.9 | 46 | 1.28 | 3.02 | 31.0% | 3 | None |
| Good Samaritan Society Canton Canton | 21.4 | 56 | 2.23 | 3.28 | 54.2% | 2 | $19,615 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.