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C
Below Standard

Hillcrest Health Care Center

2121 Avenue L · Hawarden, IA 51023

7125511074 · For profit - Limited Liability company

64 beds41.3 residents123 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Hillcrest Health Care Center receives an overall staffing grade of C (Below Standard). With 3.1547 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5578 HPRD, below the recommended 0.75. It is 0.74 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 20.47% compared to weekdays. The facility relies heavily on temporary agency staff (22.22% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1547 HPRD — needs 0.33 more hours per resident per day.
⚠️RN staffing (0.5578 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️22.22% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.1547hrs/resident/day▼ 0.74
CMS benchmark: 3.48
RN HPRD
0.5578hrs/resident/day▼ 0.13
Recommended: 0.75
Weekend Drop-off
20.47%
3.3483 weekday → 2.6631 weekend
⚠ Significant weekend reduction
Agency Staff
22.22%
34.24% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.7075hrs/resident/day
Direct care aides
LPN HPRD
0.7454hrs/resident/day
Licensed practical nurses
Consistency
0.4028std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Sioux County Average-0.80 HPRD
3.96
03.15 HPRD
vs. Iowa State Average-0.66 HPRD
3.82
03.15 HPRD
vs. National Average-0.74 HPRD
3.90
03.15 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Hillcrest Health Care Center ★
Hawarden · This facility
—
C
3.15470.5578★☆☆☆☆
Crown Pointe Estates Care Center
Sioux Center
16.3 mi
A
4.82480.829★★★☆☆
Fellowship Village
Inwood
20.7 mi
A
4.9941.1419★★★★★
Pleasant Acres Care Center
HULL
20.8 mi
C
3.47981.0178★★★☆☆
Good Samaritan Society - Lemars
Le Mars
22.1 mi
C
3.21180.6704★★★☆☆
Accura Healthcare of Le Mars
Le Mars
22.7 mi
A
4.79330.8927★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
55
Total Deficiencies
$25,450
Fines Assessed
Oct 8, 2025Health
1 deficiency cited
▼
Mar 11, 2025Health
10 deficiencies cited
▼
Jul 28, 2024Health
11 deficiencies cited· Includes actual harm
▼
Jan 31, 2024Health
24 deficiencies cited· Includes actual harm
▼
Aug 17, 2023Health
1 deficiency cited
▼
Nov 10, 2022Health
8 deficiencies cited
▼

Penalty History

Jul 28, 2024Fine
$8,649
Jan 31, 2024Fine
$16,801
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.