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Hillcrest Health Care Center

2121 Avenue L, Hawarden, Iowa 51023

Overview

Hillcrest Health Care Center has a Medicare overall rating of 1 out of 5, below the Iowa average of 3.1. It is the only Medicare-rated nursing home in Hawarden. It scores best on staffing (3 of 5) and lowest on health inspections (1 of 5).

Residents receive about 3.7 hours of nursing care per day, fewer than at 51% of nursing homes in Iowa (the state average is 3.9 hours). Of that, 1.1 hours come from registered nurses.

Its most recent standard inspection, on March 26, 2026, found 27 health deficiencies, more than the Iowa average of 6.5. 10 of them came from complaint investigations. Medicare records 3 fines totaling $93,606 in the past three years.

Hillcrest Health Care Center is a for-profit facility with 64 certified beds, caring for about 46 residents on an average day. It accepts both Medicare and Medicaid and has participated since 1994.

Medicare ratings

Overall
Health inspections
Quality of care
Staffing

Source: Medicare Care Compare, data as of October 1, 2026.

How it compares nearby

Ranked by Medicare overall rating, then quality, inspection and staffing ratings.

Within 100 miles124th of 133 facilities

Top 94%

In Iowa359th of 385 facilities

Top 94%

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Inspections and penalties

Most recent standard inspection
March 26, 2026
Health deficiencies cited
27
Complaint-related deficiencies
10
Fines in the last 3 years
3 totaling $93,606
Payment denials
1
Total penalties
4

Staffing

Average hours of care each resident receives per day.

  • All nursing staff3.71 hrs
  • Registered nurses (RN)1.06 hrs
  • Licensed practical nurses (LPN)0.52 hrs
  • Nurse aides2.14 hrs
  • Physical therapists0.07 hrs

Facility details

Ownership
For profit - Limited Liability company
Certified beds
64
Average residents per day
46
Participates in
Medicare and Medicaid
Medicare/Medicaid since
November 16, 1994
Inside a hospital
No
Continuing care retirement community
No
Changed ownership in last 12 months
No
Resident or family council
Resident
Sprinklers in all required areas
Yes