Hillcrest Health Care Center
Hawarden, IA · 64 beds · For profit - Limited Liability company
Red Flags
- ⚠ 1-star health inspection rating (lowest possible)
- ⚠ 2 citation(s) at the highest severity level — immediate risk to residents
Green Flags
No positive signals identified yet.
Quick Facts
Violation Timeline
October 7, 2025
3 deficiencyiesResident Assessment and Care Planning Deficiencies
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
March 10, 2025
17 deficiencyiesResident Rights Deficiencies
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Honor 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.
Resident Rights Deficiencies
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Notify 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.
Resident Assessment and Care Planning Deficiencies
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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service Deficiencies
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Implement 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.
Nutrition and Dietary Deficiencies
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Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Infection Control Deficiencies
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Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
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Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies
Show details
Honor 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.
Resident Rights Deficiencies
Show details
Notify 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.
Resident Assessment and Care Planning Deficiencies
Show details
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service Deficiencies
Show details
Implement 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.
Nutrition and Dietary Deficiencies
Show details
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Infection Control Deficiencies
Show details
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Show details
Provide care and assistance to perform activities of daily living for any resident who is unable.
Staffing
A nurse checks on each resident roughly every 6.4 hours on average.
Fines & Penalties
- Fine Jul 27, 2024$8,649
- Fine Jan 30, 2024$16,801
Ownership
-
GATEWAY HEALTHCARE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
Since since 07/18/2011
100% Organization -
THE ENSIGN GROUP INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 07/18/2011
100% Organization -
WILKINS, MELODEE
OPERATIONAL/MANAGERIAL CONTROL
Since since 07/18/2011
Individual -
BURNAM, SOON
CORPORATE OFFICER
Since since 07/18/2011
Individual -
FITCH, CRAIG
CORPORATE OFFICER
Since since 01/01/2019
Individual -
KOENIG, DEBRA
CORPORATE OFFICER
Since since 01/01/2020
Individual -
WILKINS, MELODEE
W-2 MANAGING EMPLOYEE
Since since 07/18/2011
Individual