Nursing HomeMedicaid Top Rated

Hillcrest Home

Strong Medicare quality ratings; families often praise clean, well-maintained facility. Still worth an in-person visit.

915 West First Street, Sumner, IA 50674|61 beds|Licensed & Active

5/5

Medicare

Inspection

Quality

Staffing

Google rating

4.4/5

based on 35 Google reviews

(563) 578-8591 Directions Website

Street View

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What this means for your family

While Hillcrest Home is often praised for its clean environment and supportive social work, the recent, severe reports regarding nursing professionalism and clinical care are deeply concerning. We strongly recommend that you conduct an unannounced visit during a weekend or evening shift to personally observe staffing levels and speak directly with nursing management about their clinical protocols.

Google Reviews

35 reviews on Google

“Hillcrest Home receives high praise for its clean environment, warm atmosphere, and dedicated staff members like the social worker. However, recent reviews highlight severe concerns regarding nursing professionalism, understaffing, and quality of care during end-of-life situations. Families should weigh the positive facility aesthetics against the serious allegations of inadequate clinical support.”

Quality Themes

Tap a score for details

Strengths

Clean, well-maintained facility
Warm, home-like environment
Supportive social work staff
Caring CNA team

Concerns

Chronic understaffing (mentioned by 2 reviewers)
Poor nursing professionalism and clinical competence (mentioned by 2 reviewers)
Poor quality of food (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 40 analyzed

How They Respond to Reviews

90%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

1Given that Hillcrest Home has a capacity of 61 residents, how do you ensure that each resident receives consistent, personalized attention from the nursing team throughout the day?
2I noticed some feedback regarding the dining experience; could you walk me through how you manage meal planning and if there are options for residents with specific dietary preferences or needs?
3With medication management being a critical part of daily care, could you explain the protocols your nursing staff follows to ensure accuracy and safety for each resident?
4How do you currently approach staffing levels during peak hours to ensure that the CNA team has the support they need to maintain the warm, home-like environment mentioned by so many families?
5Could you share how your clinical team handles medical emergencies or changes in a resident's condition, particularly during evening or weekend shifts?
6What does a typical social calendar look like for residents, and how do you encourage participation to keep everyone engaged and active within the community?

Personalized based on this facility's data

Key Review Excerpts

“Completely under staffed and food is terrible. I learned this, not just from my parents, but first hand. I stayed with both my parents when they were dying. It's not acceptable. I will say their social worker, Dawn, is a God send.”

Memory care family member · 2021★★☆☆☆

“They have some of the worst nurses. One refused to come out and do her job. The other insulted me and told me I wasn’t cleaning him up good enough when. His catheter came out… sorry but I’m not a licensed nurse.”

Long-term resident's family · 2026★☆☆☆☆

“The CNA's are wonderful. Great care, great staff.”

Long-term resident's family · 2018★★★★★

Source: 35 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.62hrs

83%

Registered nurses for medical care

Total Nursing

4.11hrs

All nurses + aides combined

Staff Turnover

37%

Lower is better (< 30% = good)

RN Turnover

13%

Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

2/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility31.6%

Worse than Avg

Here

31.6%

19.4%

25.9%

😔

Residents with depression symptoms

↓ Lower is better

This Facility2.1%

Better than Avg

Here

2.1%

12.1%

4.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🩹

Residents with pressure sores (bedsores)

↓ Lower is better

This Facility12.5%

Worse than Avg

Here

12.5%

4.9%

4.3%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility11.3%

Better than Avg

Here

11.3%

15.5%

19.4%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.4%

93.9%

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility24.3%

Worse than Avg

Here

24.3%

19.5%

20.7%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility65.7%

Worse than Avg

Here

65.7%

79.8%

73.3%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility88.1%

Better than Avg

Here

88.1%

81.8%

84.1%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility1.3%

Better than Avg

Here

1.3%

1.6%

2.0%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

1deficiencies

1penalties

Well below state avg (6.2)

7 complaint-triggered

Families have filed complaints triggering 7 of 19 deficiencies, indicating ongoing concerns about care quality. The facility shows recurring problems with resident assessment and care planning, safety hazards, and resident rights protections. While all issues have correction dates, the pattern of repeated deficiencies in core care areas and multiple family complaints suggests persistent quality challenges that warrant careful evaluation during any visit.

May 15, 2025Routine4 findings

0324Potential for harm · Widespread

Smoke Deficiencies

Provide properly protected cooking facilities.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0640Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Feb 27, 2025Complaint4 findings

0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0710Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

Jun 20, 2024Routine6 findings

0031Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide emergency officials' contact information.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0943Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

0868Minimal · PatternCorrected

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

May 30, 2024Complaint2 findings

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Apr 25, 2024Complaint1 finding

0658Actual harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Feb 23, 2023Routine2 findings

0640Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Federal Penalties

Payment Denial

Apr 25, 2024

14-day denial

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total

6deficiencies

Apr 13, 2026ComplaintNo deficiencies

Clean