With a score of 18/100, Hillcrest Health Care Center ranks in the bottom tier of Iowa nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing levels are a potential concern at Hillcrest Health Care Center, with 3.15 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 55 deficiencies at Hillcrest Health Care Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.15 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.56 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.75 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 1.85 | 2.4 | Below Average |
| Weekend Total Nursing | 2.66 | 3.8 | Below Average |
| Weekend RN Hours | 0.38 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0657 Severity DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Oct 7, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0625 Severity ENotify 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 hospiMar 10, 2025 · Resident Rights Deficiencies
- Tag 0801 Severity EEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a quMar 10, 2025 · Nutrition and Dietary Deficiencies
- Tag 0677 Severity EProvide care and assistance to perform activities of daily living for any resident who is unable.Mar 10, 2025 · Quality of Life and Care Deficiencies
- Tag 0582 Severity DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Mar 10, 2025 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.0% | 4.5% | Better |
| Falls with major injury | 8.3% | 3.0% | Worse |
| On antipsychotic medication | 17.9% | 14.5% | Worse |
| Urinary tract infections | 1.2% | 2.5% | Better |
| ADL decline (daily activities) | 26.8% | 14.0% | Worse |
| Excessive weight loss | 6.8% | 7.5% | Average |
| New/worsened incontinence | 31.6% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $25,450
How This Grade Was Calculated
This facility's grade of F is based on a score of 18 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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