Nursing homeFAID #4178
Hillcrest Health Care Center and Mica Hill Estates Assisted Living
★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
64
State license
1810
CMS facility ID
165245
Care type
Nursing home
Facility name
Hillcrest Health Care Center and Mica Hill Estates Assisted Living
Legal entity
Hillcrest Health Care Center
Street address
2121 AVENUE L
City / state / ZIP
Hawarden, IA 51023
Phone
(712) 551-1074
Website
State license #
1810
About this facility — Hillcrest Health Care Center and Mica Hill Estates Assisted Living
Hillcrest Health Care Center and Mica Hill Estates Assisted Living is a Medicare/Medicaid-certified skilled nursing facility in Hawarden, Iowa. It is licensed for 64 beds — close to the median for skilled nursing facilities in Iowa (57 beds).
It is one of 1 senior care facility in Hawarden and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Hillcrest Health Care Center and Mica Hill Estates Assisted Living 97 times across 13 inspections in the last three years, including 13 food-safety citations, and CMS has imposed $130,305 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Operator / owner
Soon Burnam
Parent company
The Ensign Group
Ownership type
For profit - Limited Liability company
Registered owners & officers
Aerofund Holdings Inc
Operational control — since 2011
Blu Medstaff Llc
Operational control — since 2011
Burnam, Soon
Governing body · Officer — since 2024
Caretrust Gp Llc
Additional disclosable party — since 2011
Caretrust Reit Inc
Additional disclosable party — since 2011
Ctr Partnership Lp
Additional disclosable party — since 2011
Ensign Services Inc
Additional disclosable party — since 2011
Heart Medical Solutions Llc
Operational control — since 2011
Helping Hands Nursing Solution Inc
Operational control — since 2011
Jorgensen, David
Director — since 2024
Kamstra, Lee
Governing body · Operational control · Additional disclosable party — since 2024
Keetch, Chad
Officer — since 2011
Koenig, Debra
Officer — since 2020
Onshift Inc
Operational control — since 2011
Port, Barry
Director — since 2018
Sato, Ami
Officer — since 2024
The Ensign Group Inc
Additional disclosable party — since 2002
Wilkins, Melodee
Governing body · Operational control · Additional disclosable party — since 2011
Regulatory standing
Federal court records
11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1994-11-16
CMS overall rating
1 of 5 stars
Health deficiencies
27 at the last standard inspection
Federal fines
$130,305 total
Last standard inspection
2026-03-26
Nurse staffing
3.1 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$282 per day (≈ $8,570/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
29% Medicaid · 5% Medicare · 67% private/other
Occupancy
44% (fiscal year 2023)
Vs. state median
18% below the IA median of $342/day — full state cost breakdown
Services & coverage
Licensed beds
64
Licensed as
Assisted Living Program
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 13 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-06Health inspectionComplaint-triggered3 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-05-14
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-05-14
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-05-14
2026-03-26Health inspectionComplaint-triggered23 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-04-08
F-0567
D · No harm found
Honor the resident's right to manage his or her financial affairs.
Corrected 2026-04-08
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-04-08
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2026-04-08
F-0584
E · No harm foundFrom a complaint
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.
Corrected 2026-04-08
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-04-08
F-0605
D · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-04-08
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-04-08
F-0628
D · No harm found
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-04-08
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2026-04-08
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-04-08
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-04-08
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-04-08
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-04-08
F-0693
D · No harm found
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2026-04-08
F-0725
E · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2026-04-08
F-0744
D · No harm found
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2026-04-08
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2026-04-08
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2026-04-08
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-04-08
F-0865
D · No harm found
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2026-04-08
F-0868
D · No harm found
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2026-04-08
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-04-08
8 earlier / fire-safety inspections (71 citations)
2025-10-08Health inspectionComplaint-triggered1 citation
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-10-13
2025-03-11Health inspectionComplaint-triggered10 citations
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-03-28
F-0584
D · No harm found
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.
Corrected 2025-03-28
F-0625
E · No harm found
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.
Corrected 2025-03-28
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-03-28
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-03-28
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-28
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-28
F-0758
D · No harm found
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.
Corrected 2025-03-28
F-0801
E · No harm foundFood safety
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.
Corrected 2025-03-28
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-03-28
2024-07-28Health inspectionComplaint-triggered11 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-08-13
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-08-13
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-13
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-08-13
F-0725
D · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-08-13
F-0803
E · No harm foundFood safetyFrom a complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-08-13
F-0804
E · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-08-13
F-0805
J · Immediate jeopardyFood safetyFrom a complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-08-07
F-0806
D · No harm foundFood safetyFrom a complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-08-13
F-0809
E · No harm foundFood safetyFrom a complaint
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2024-08-13
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-08-13
2024-01-31Health inspectionComplaint-triggered24 citations
F-0550
E · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-02-14
F-0584
D · No harm found
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.
Corrected 2024-02-14
F-0585
E · No harm found
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-02-14
F-0607
E · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-02-14
F-0623
D · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-02-14
F-0625
D · No harm found
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.
Corrected 2024-02-14
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-02-14
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-02-14
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-14
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-02-14
F-0725
E · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-02-14
F-0726
E · No harm found
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-02-14
F-0758
D · No harm foundFrom a complaint
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.
Corrected 2024-02-14
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2024-02-14
F-0802
E · No harm foundFood safety
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2024-02-14
F-0803
E · No harm foundFood safety
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-02-14
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-02-14
F-0805
K · Immediate jeopardyFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-02-08
F-0809
E · No harm foundFood safety
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2024-02-14
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-14
F-0865
E · No harm found
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2024-02-14
F-0868
E · No harm found
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-02-14
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-02-14
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-02-14
2023-08-17Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-06-14
2026-03-26Fire-safety inspection3 citations
K-0363
F · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2026-03-18
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-03-18
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2026-03-18
2025-03-11Fire-safety inspection15 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-03-27
E-0009
F · No harm found
Include a process for Emergency Preparedness collaboration.
Corrected 2025-03-27
E-0013
F · No harm found
Develop Emergency Preparedness policies and procedures.
Corrected 2025-03-27
E-0015
F · No harm found
Address subsistence needs for staff and patients.
Corrected 2025-03-27
E-0026
F · No harm found
Establish roles under a Waiver declared by secretary.
Corrected 2025-03-27
E-0030
F · No harm found
List the names and contact information of those in the facility.
Corrected 2025-03-27
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-03-27
K-0354
F · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2025-03-17
K-0363
F · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-03-05
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-03-04
K-0711
F · No harm found
Provide a written emergency evacuation plan.
Corrected 2025-03-27
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-03-11
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-03-13
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-03-05
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-12
2024-01-31Fire-safety inspection6 citations
K-0211
F · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-01-29
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-02-06
K-0363
F · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-02-02
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-02-05
K-0753
D · No harm found
Have restrictions on the use of highly flammable decorations.
Corrected 2024-02-02
K-0914
D · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-01-30
Federal penalties
2026-03-26Fine$104,855
2024-07-28Fine$8,649
2024-01-31Fine$16,801
2026-03-26Medicare payment denial — 22 days
Total fines$130,305
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165245.
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 97 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Federal NPI Registry (NPPES)
NPI 1174817712
Monthly federal file
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered