CCN 165245 · Sioux County, Iowa
Hillcrest Health Care Center
2121 Avenue L, Hawarden, IA 51023
Hillcrest Health Care Center is a 64-bed for-profit nursing home in Hawarden, Iowa, first certified for Medicare or Medicaid in 1994. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 53.6 residents a day, about 84% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 64
- Average residents per day
- 53.6 (83.8% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Riverside Healthcare, Inc.
- Certified since
- Nov 16, 1994
- Chain or affiliated group
- The Ensign Group (344 facilities, chain average 3.2 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Iowa median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 78 at 1, 61 at 2, 86 at 3, 69 at 4, 91 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.11 | 3.69 | 3.68 |
| RN hours per resident per day | 0.61 | 0.70 | 0.58 |
| Weekend nurse hours per resident per day | 2.56 | ||
| Nursing staff turnover | 75.0% | 41.9% | 44.9% |
| Occupancy (residents / beds) | 83.8% | 83.6% | 85.7% |
| Fines reported by CMS | 3 totaling $130,305 | ||
| Health deficiencies, latest standard survey | 27 (Mar 26, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Hillcrest Health Care Center does not meet it today: overall rating 1, health inspection rating 1, the abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Aerofund Holdings IncOrganization | Operational / Managerial Control | n/a | 07/18/2011 |
| Blu Medstaff LLCOrganization | Operational / Managerial Control | n/a | 07/18/2011 |
| Heart Medical Solutions LLCOrganization | Operational / Managerial Control | n/a | 07/18/2011 |
| Helping Hands Nursing Solution IncOrganization | Operational / Managerial Control | n/a | 07/18/2011 |
| Onshift IncOrganization | Operational / Managerial Control | n/a | 07/18/2011 |
| Kamstra, LeeIndividual | Operational / Managerial Control | n/a | 09/16/2024 |
| Wilkins, MelodeeIndividual | Operational / Managerial Control | n/a | 07/18/2011 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.