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Data / Nursing homes / Iowa / Hillcrest Health Care Center

Hillcrest Health Care Center, Hawarden, IA: 1 star rating, fined $93,606 across 3 fines and had 1 payment denial

Hillcrest Health Care Center in Hawarden, IA is run by Riverside Healthcare, Inc., with no owner listed in the CMS ownership file, is rated 1 of 5 stars by Medicare, and was fined $93,606 across 3 fines and had 1 payment denial in the three years to October 1, 2026. CMS lists 72 health citations from inspections in that time, the latest survey on May 6, 2026, and 3 of them found actual harm or immediate jeopardy.

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Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Iowa
Address
2121 Avenue L, Hawarden, IA 51023
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measure rating
2 of 5
Certified beds
64
Residents per day
46 on average
Ownership type
For profit, limited liability company
Legal business name
Riverside Healthcare, Inc.
Chain
The Ensign Group, 347 facilities
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$93,606 across 3 fines, three years to October 1, 2026
Payment denials
1
Health citations
72, of which 3 with actual harm or immediate jeopardy
Latest survey
May 6, 2026
CMS Certification Number
165245
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
March 26, 2026Fine$68,156Not listeddata.cms.gov
March 26, 2026Payment denialNot listedApril 22, 202622data.cms.gov
July 28, 2024Fine$8,649Not listeddata.cms.gov
January 31, 2024Fine$16,801Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
May 6, 2026F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 14, 2026data.cms.gov
May 6, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 14, 2026data.cms.gov
May 6, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 14, 2026data.cms.gov
March 26, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedApril 8, 2026data.cms.gov
March 26, 2026F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 8, 2026data.cms.gov
March 26, 2026F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyD: isolated, no actual harm, potential for more than minimal harmCorrectedApril 8, 2026data.cms.gov
March 26, 2026F865Have a plan that describes the process for conducting QAPI and QAA activities.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 8, 2026data.cms.gov
March 26, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 8, 2026data.cms.gov
March 26, 2026F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 8, 2026data.cms.gov
March 26, 2026F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 8, 2026data.cms.gov
March 26, 2026F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 8, 2026data.cms.gov
March 26, 2026F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 8, 2026data.cms.gov
March 26, 2026F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 8, 2026data.cms.gov
March 26, 2026F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 8, 2026data.cms.gov
March 26, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 8, 2026data.cms.gov
March 26, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 8, 2026data.cms.gov
March 26, 2026F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 8, 2026data.cms.gov
March 26, 2026F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 8, 2026data.cms.gov
March 26, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 8, 2026data.cms.gov
March 26, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 8, 2026data.cms.gov
March 26, 2026F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 8, 2026data.cms.gov
March 26, 2026F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 8, 2026data.cms.gov
March 26, 2026F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 8, 2026data.cms.gov
March 26, 2026F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 8, 2026data.cms.gov
March 26, 2026F567Honor the resident's right to manage his or her financial affairs.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 8, 2026data.cms.gov
March 26, 2026F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 8, 2026data.cms.gov
October 8, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 13, 2025data.cms.gov
March 11, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 28, 2025data.cms.gov
March 11, 2025F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 28, 2025data.cms.gov
March 11, 2025F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 28, 2025data.cms.gov
March 11, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 28, 2025data.cms.gov
March 11, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 28, 2025data.cms.gov
March 11, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 28, 2025data.cms.gov
March 11, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 28, 2025data.cms.gov
March 11, 2025F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 28, 2025data.cms.gov
March 11, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 28, 2025data.cms.gov
March 11, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 28, 2025data.cms.gov
July 28, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.J: isolated, immediate jeopardyCorrectedAugust 7, 2024data.cms.gov
July 28, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 13, 2024data.cms.gov
July 28, 2024F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 13, 2024data.cms.gov
July 28, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 13, 2024data.cms.gov
July 28, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 13, 2024data.cms.gov
July 28, 2024F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 13, 2024data.cms.gov
July 28, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 13, 2024data.cms.gov
July 28, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 13, 2024data.cms.gov
July 28, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 13, 2024data.cms.gov
July 28, 2024F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 13, 2024data.cms.gov
July 28, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 13, 2024data.cms.gov
January 31, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.K: pattern, immediate jeopardyCorrectedFebruary 8, 2024data.cms.gov
January 31, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov
January 31, 2024F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov
January 31, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyE: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov
January 31, 2024F865Have a plan that describes the process for conducting QAPI and QAA activities.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov
January 31, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov
January 31, 2024F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov
January 31, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov
January 31, 2024F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov
January 31, 2024F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov
January 31, 2024F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov
January 31, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov
January 31, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov
January 31, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov
January 31, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov
January 31, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov
January 31, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov
January 31, 2024F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov
January 31, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov
January 31, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov
January 31, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov
January 31, 2024F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov
January 31, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov
January 31, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 13 individual or personal trusts (5 managers, 6 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Aerofund Holdings IncOperational or managerial controlNot listedJuly 18, 2011data.cms.gov
Blu Medstaff LLCOperational or managerial controlNot listedJuly 18, 2011data.cms.gov
Heart Medical Solutions LLCOperational or managerial controlNot listedJuly 18, 2011data.cms.gov
Helping Hands Nursing Solution IncOperational or managerial controlNot listedJuly 18, 2011data.cms.gov
Onshift IncOperational or managerial controlNot listedJuly 18, 2011data.cms.gov
Caretrust GP LLCAdditional disclosable partyNot listedJuly 18, 2011data.cms.gov
Caretrust REIT IncAdditional disclosable partyNot listedJuly 18, 2011data.cms.gov
CTR Partnership LPAdditional disclosable partyNot listedJuly 18, 2011data.cms.gov
Ensign Services IncAdditional disclosable partyNot listedJune 1, 2011data.cms.gov
The Ensign Group IncAdditional disclosable partyNot listedJuly 29, 2002data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.