Hiawatha Care Center
405 North 15th Avenue · Hiawatha, IA · 52233 · 3193788583
109 certified beds For profit - Corporation Part of a CCRC
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.13 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.64 | 0.55–0.75 |
| Weekend hours / resident-day | 3.83 | ≈ weekday level |
| Nursing turnover / year | 33% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (10 in the current record)
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Potential for harm · E April 2, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 2, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 2, 2026
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected May 2, 2026 · Nutrition and Dietary
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Potential for harm · D April 2, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 3, 2026 · Quality of Life and Care
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Actual harm · G October 29, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 3, 2025 · Quality of Life and Care
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Potential for harm · E March 13, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 12, 2025 · Nutrition and Dietary
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Potential for harm · E March 13, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 12, 2025 · Nutrition and Dietary
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Potential for harm · D March 13, 2025
Provide and implement an infection prevention and control program.
Corrected April 12, 2025 · Infection Control
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Potential for harm · D January 8, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 8, 2025 · Resident Rights
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Potential for harm · D May 9, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected June 8, 2024 · Resident Rights
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Potential for harm · E May 9, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 8, 2024 · Nutrition and Dietary
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165537 · certified since April 1, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.