Hillcrest Health Care Center
2121 Avenue L, Hawarden, IA 51023
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
CMS Abuse/Neglect Flag
This facility has been flagged by CMS for abuse or neglect concerns. Please research carefully and contact the facility for current information.
Vetting This Facility? Get Answers They Don't Volunteer
Free guide: the exact questions to ask Hillcrest Health Care Center, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
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Care Quality Indicators
Lower is better
Lower is better
Lower is better
How Hillcrest Health Care Center Compares
Hillcrest Health Care Center is a 64-bed for-profit nursing facility in Hawarden, Iowa. It holds an overall CMS rating of 1 out of 5 stars, below the Iowa average of 3.1 stars. Its lowest sub-rating is health inspections at 1 star. Its rate of long-stay antipsychotic medication use (24.6%) is above the Iowa average of 19.5% — a measure worth asking the staff about. With 64 certified beds, it maintains moderate occupancy at roughly 84% occupied.
By the numbers vs. Iowa average
- Long-stay antipsychotic medication use: 24.6% — worse than the Iowa average of 19.5% (26% higher).
- Falls with major injury: 4.1% — worse than the Iowa average of 3.8%.
- High-risk pressure ulcers: 4.6% — worse than the Iowa average of 4.2%.
CMS has flagged this facility with an abuse icon, indicating a recent citation involving abuse, neglect, or misappropriation of resident property. This is an important point to raise directly during any tour or call.
Comparisons use CMS Care Compare data (updated September 9, 2026) measured against Iowa averages across 387 facilities tracked by ElderVoice.
Questions to Ask Hillcrest Health Care Center
Use these facility-specific questions when calling admissions, touring the building, or comparing Hillcrest Health Care Center with other nursing homes in Hawarden.
What incident led to the CMS abuse icon for Hillcrest Health Care Center, and what changed afterward?
Ask for the citation date, plan of correction, staff retraining steps, and how leadership monitors for repeat issues.
How is Hillcrest Health Care Center addressing its health inspections rating?
CMS currently rates this category 1 out of 5 stars, so ask what specific improvements are underway and when the next survey update is expected.
What is Hillcrest Health Care Center doing to reduce long-stay antipsychotic medication use?
Long-stay antipsychotic medication use is 24.6% here versus 19.5% across Iowa. Lower is generally better for this CMS measure.
How can a new family connect with existing councils at Hillcrest Health Care Center?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
What would the first 30 days look like for a new resident at Hillcrest Health Care Center?
Ask who builds the care plan, how medication changes are communicated, how often families receive updates, and who to call after hours.
The Senior Community Around Hawarden
Hawarden sits in Sioux County, where adults 65 and older make up about 15.5% of the population — a share of seniors in line with Iowa as a whole (17.1% statewide). The area's median household income is higher than the state average, reflecting a higher cost of living.
- Residents 65+
- 5,423 (15.5%)
- Median age
- 33.6 years
- Median household income
- $73,260
- Median home value
- $182,500
Demographics for Sioux County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Hawarden.
Facility Details
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