Nursing Home

Hillcrest Health Care Center

2121 Avenue L, Hawarden, IA 51023

Part of The Ensign Groupsee all 344 affiliated facilities

64 certified beds 54 residents per day on average

CMS Five-Star Quality Rating

1 out of 5 Stars

Overall rating

Health inspections

From the three most recent annual inspection cycles and recent complaint investigations.

Staffing

Based on nurse staffing hours relative to the care needs of this facility’s residents.

Quality measures

Based on clinical quality measures reported for residents, from assessments and Medicare claims.

Source: CMS Five-Star Quality Rating System. These are CMS's own ratings, shown exactly as published — CareRanks does not adjust or re-weight them. How CMS calculates these ratings ↗

Medicare Outcome Measures

Source: CMS Skilled Nursing Facility Quality Reporting Program. Rates are risk-standardized by CMS; the comparison category is CMS's own, shown exactly as published.

Clinical Quality Measures

Source: CMS MDS quality measures (four-quarter average).

Nurse Staffing

Nurse staffing per resident per day
3.1 hours

IA average: 3.8 hours · National: 3.9 hours

All nursing staff combined: RNs, LPNs/LVNs, and nurse aides.

Registered nurse (RN) time per resident per day
0.6 hours

IA average: 0.7 hours · National: 0.7 hours

RN hours only — the most highly trained nursing staff.

Weekend nurse staffing per resident per day
2.6 hours

IA average: 3.4 hours · National: 3.4 hours

Total nurse staffing on Saturdays and Sundays, when staffing typically dips.

Nursing staff turnover in the past year
75.0%

IA average: 44.0% · National: 45.8%

Share of this facility’s nursing staff who stopped working there over 12 months.

Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.

Penalties & Enforcement

3 fines totaling $130,305 and 1 Medicare payment denial in the recent inspection window (most recent: March 26, 2026).

Federal enforcement actions from CMS's penalty file: civil money penalties (fines) and denials of Medicare payment tied to health-inspection deficiencies.

Ownership

Ownership type
For profit - Limited Liability company
Chain
The Ensign Group
Who owns this facility — 23 entries in CMS's ownership records expand ↓
  • Burnam, Soon Individual
    Managing control (governing body) since 09/09/2024
  • Kamstra, Lee Individual
    Managing control (governing body) since 09/16/2024
  • Wilkins, Melodee Individual
    Managing control (governing body) since 07/18/2011
  • Jorgensen, David Individual
    Corporate director since 01/01/2024
  • Port, Barry Individual
    Corporate director since 07/20/2018
  • Burnam, Soon Individual
    Corporate officer since 09/09/2024
  • Keetch, Chad Individual
    Corporate officer since 03/01/2011
  • Koenig, Debra Individual
    Corporate officer since 01/01/2020
  • Sato, Ami Individual
    Corporate officer since 09/09/2024
  • Aerofund Holdings Inc Organization
    Operational/managerial control since 07/18/2011

…and 13 more entries in CMS's ownership records for this facility.

From CMS's nursing-home ownership file. Roles and percentages are as reported to CMS by the facility; one person or entity can hold several roles.

Inspections & Fire Safety — 27 health (IA avg 6.5) · 3 fire (IA avg 3.6) · ⚠ 3 serious Details

73 deficiencies cited across recent inspection cycles, including ⚠ 3 serious (actual harm or immediate jeopardy). Most recent survey: May 6, 2026.

Most recent inspection cycle: 27 health deficiencies · IA average: 6.5 · National: 9.3

24 fire-safety deficiencies cited — most often smoke (8) and miscellaneous (6).

Most recent fire-safety inspection (2026-03-26): 3 deficiencies · IA average: 3.6 · National: 4.5

Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.

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How Hillcrest Health Care Center compares nearby

Compared with the 8 other nursing homes within 25 miles — 9 facilities in all, CMS data only.

Among the 9 nursing homes within 25 miles, Hillcrest Health Care Center's overall star rating is 1★; the median among the 8 peers reporting it is 4★.

Measure This facility Nearby median Best nearby
Overall star rating reported by 8 of 8 nearby peers 1★ 4★ 5★
Health inspections reported by 8 of 8 nearby peers 1★ 4★ 5★
Staffing reported by 8 of 8 nearby peers 2★ 4.5★ 5★
Quality measures reported by 8 of 8 nearby peers 3★ 3★ 4★

The comparison group

Cohort: within 25 miles · CMS data period 2026-08 · method cohort-v1 · comparisons are never affected by claiming or payment. How nearby comparisons work

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