Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Hillcrest Home

Sumner, IA · 61 certified beds · Last Life Safety survey May 15, 2025

CMS Certification Number 165502 · first certified November 2003

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

6
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within IA

6 citations — more than 16% of the 387 certified nursing homes in IA. Compared within IA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (April 2026 to June 2026), and past the point by which nine in ten IA facilities have been surveyed. This facility’s last Life Safety survey was May 2025. Facilities in IA are typically surveyed 11–13 months after the last one (median 12), measured over 700 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Emergency preparedness

3 of the 6 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

1 physical-environment citation on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 6 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in IA, and nationally. Surveyors differ markedly between states, so the IA figure is the meaningful one.

This facility6IA median12National median11
Citations on file over three years, compared
MeasureCitations
This facility6
Median facility in IA12
Median facility nationally11

Survey history

Citations at each Life Safety survey
02023-0232024-0632025-05
Citations at each Life Safety survey
Survey dateCitations
February 23, 20230
June 20, 20243
May 15, 20253

Most-cited tags

Most-cited tags at this facility
E-00392K-03241K-07121E-00311K-03531
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
E-0039Conduct testing and exercise requirements.22025-05-15
K-0324Provide properly protected cooking facilities.12025-05-15
K-0712Have simulated fire drills held at unexpected times.12025-05-15
E-0031Provide emergency officials' contact information.12024-06-20
K-0353Inspect, test, and maintain automatic sprinkler systems.12024-06-20

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 3
  • Smoke Deficiencies 2
  • Miscellaneous Deficiencies 1
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies3
Smoke Deficiencies2
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 15, 2025 — 3 citations

Citations issued on May 15, 2025
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (June 3, 2025)
K-0324Provide properly protected cooking facilities.Waiver has been granted (June 18, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (May 14, 2025)

June 20, 2024 — 3 citations

Citations issued on June 20, 2024
TagWhat the surveyor checksStatus
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (July 8, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (June 27, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 26, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.