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Skilled nursing facility · CMS certified · CCN 165502

Hillcrest Home

915 West First Street, Sumner, IA 50674 · Bremer County · one of 387 skilled nursing facilities in Iowa
Its Medicare cost report, line by line ↓
61
certified beds
3 / 5
overall CMS rating
Nonprofit
ownership type
76.4%
occupancy, Oct 2026: 47 residents a day · Iowa 81.4%
1.24
case mix, 0.88x the national average
4.43
nurse hours per resident day · Iowa 3.82
What if · this building’s own numbers
Medicare cost report, FY2025, and the state rate file

Every slider starts where this building’s FY2025 Medicare cost report left it. Drag occupancy, the Medicaid rate or the costs, and see what the change does to revenue, cost and operating income.

00.0%
00%
$000
$000
$000
0.00
From this change, a year
+$000,000
profit from patient care, before rent, loan interest and depreciation
Where that leaves the building, a year
Patient revenue
$00,000,000
Cost to run it
$00,000,000
Profit from patient care (EBITDAR)
$0,000,000 to $0,000,000

Run this building's own numbers

Free account. Drag its occupancy, Medicaid rate and costs, and see what each change is worth a year.

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How Hillcrest Home compares

Better than most of Bremer County on none of 8 lines.

Occupancy, Oct 202676.4%Behind mostLower than all 3 other buildings in Bremer County

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 83.2%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day4.43Behind mostHigher than 1 of the 3 other buildings in Bremer County

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 4.44. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating3 / 5Behind mostLevel with 1 of the 3 other buildings in Bremer County; the other 2 are ahead

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 5 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating2 / 5Behind mostLower than all 3 other buildings in Bremer County

CMS's star rating for the building's recent health inspections. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating5 / 5Mid-packHigher than 1 of the 3 other buildings in Bremer County, level with 2

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 5 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating2 / 5Behind mostLevel with 1 of the 3 other buildings in Bremer County; the other 2 are ahead

CMS's star rating for resident-care quality measures. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.60Behind mostHigher than 1 of the 3 other buildings in Bremer County

Registered nurse hours for each resident, each day. The middle of the set: 1.11. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited12Behind mostMore than all 3 other buildings in Bremer County

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 5. Source: CMS Provider Information, Oct 2026 file.

Better than most of Iowa on 2 of 8 lines.

Occupancy, Oct 202676.4%Behind mostHigher than 107 of the 383 other buildings in Iowa

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 83.5%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day4.43Better than mostHigher than 325 of the 380 other buildings in Iowa

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.69. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating3 / 5Mid-packHigher than 145 of the 384 other buildings in Iowa, level with 69

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating2 / 5Behind mostHigher than 77 of the 384 other buildings in Iowa, level with 88

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating5 / 5Better than mostHigher than 277 of the 380 other buildings in Iowa, level with 103

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating2 / 5Behind mostHigher than 16 of the 382 other buildings in Iowa, level with 74

CMS's star rating for resident-care quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.60Behind mostHigher than 129 of the 377 other buildings in Iowa, level with 4

Registered nurse hours for each resident, each day. The middle of the set: 0.69. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited12Behind mostFewer than 106 of the 386 other buildings in Iowa, the same as 14

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 8. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against Iowa
Net margin00.0%

Opens with a free account

Medicaid share of days00.0%

Opens with a free account

Medicaid rate$000

Opens with a free account

Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of Hillcrest Home
Google Street View · opens in Maps
Street View
915 West First Street, Sumner, IA
Map around Hillcrest Home
Map · Bremer County
Bremer County, Iowa
4 skilled nursing facilities; average overall rating 4.0, Iowa 3.1.
See how Bremer County compares ›
Cost report, against Iowa
Each line is what this building filed with Medicare for its latest full year, beside the middle building in Iowa. The rank counts from the top: 1st is the highest figure among Iowa's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

What this building filed with Medicare for FY2025 (the year ending 2025-12-31), against the middle Iowa building.

Line
This building
Rank in state
Iowa median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
81.2%
369
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
5.2%
370
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
54.1%
368
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$0000.0 ptsFY0000: 00.0%
00th of 000
$332
372
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$0000.0 ptsFY0000: 00.0%
00th of 000
$334
372
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$0000.0 ptsFY0000: 00.0%
00th of 000
$7
372
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
2.0%
370

See this building's own numbers

Free account. What it filed, and where it ranks.

Quality and staffing
CMS Care Compare · Oct 2026
Overall rating3 / 5 · state 3.1
Health inspection2 / 5 · state 2.8
Staffing5 / 5 · state 3.8
RN hours per resident per day0.6 · state 0.74
Overall rating, last 8 quarters
053Q3’243Q4’243Q1’253Q2’253Q3’253Q4’254Q1’265Q2’26latest
up 2 stars over the 8 quarters shown

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingIowanationrecent quarters
Needed more help with daily activities15.4%better than state16.6%13.5%2025Q2: 25.0%2025Q3: 12.5%2025Q4: 18.8%2026Q1: 25.7%2026Q2: 3.2%
25.0% → 3.2%
Q2’25 to Q2’26
Catheter inserted and left in3.7%worse than state1.4%0.7%2025Q2: 6.3%2025Q3: 5.0%2025Q4: 2.9%2026Q1: 4.2%2026Q2: 2.7%
6.3% → 2.7%
Q2’25 to Q2’26
Urinary tract infection0.6%better than state2.4%1.5%2025Q2: 2.7%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 2.4%2026Q2: 0.0%
2.7% → 0.0%
Q2’25 to Q2’26
Fall with major injury3.7%better than state3.9%3.2%2025Q2: 2.5%2025Q3: 5.1%2025Q4: 2.5%2026Q1: 4.8%2026Q2: 2.3%
2.5% → 2.3%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)1.2%better than state2.1%1.5%2025Q2: 0.0%2025Q3: 0.0%2025Q4: 4.0%2026Q1: 0.0%
0.0% → 0.0%
Q2’25 to Q1’26
Ability to walk independently worsened18.8%worse than state15.2%12.7%too few quarters to chart
Pressure ulcers14.0%worse than state4.1%4.5%2025Q2: 13.1%2025Q3: 18.7%2025Q4: 15.0%2026Q1: 12.5%2026Q2: 10.4%
13.1% → 10.4%
Q2’25 to Q2’26
Given an antipsychotic21.4%worse than state19.8%15.4%2025Q2: 10.0%2025Q3: 15.4%2025Q4: 15.4%2026Q1: 27.3%2026Q2: 25.0%
10.0% → 25.0%
Q2’25 to Q2’26

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Jul 2026
last standard survey
12
deficiencies cited · Iowa avg 9.3
$0
fines, last 3 years
Not reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in Iowa
state rate files
$303
median daily rate across the Iowa buildings in our rate book, Jul 2026 file
Iowa rates and what changed ›
Bremer County
buildingbedsoverallDenver Sunset Home315 / 5Woodland Terrace1005 / 5Hillcrest Home613 / 5Tripoli Nursing & Rehab283 / 5
All Iowa buildings in Bremer County ›
Iowa at a glance
387
buildings
25,131
licensed beds
80%
occupancy
53%
for-profit
Iowa market intelligence report ›
What changed in Iowa
Top Ten States That Lead the Nation in Nursing Home Short-Staffing Violations
Iowa nursing homes lead the nation in short-staffing violations
Live legislation, Iowa ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyTripoli Nursing & RehabTripoli · 8.3 mi283 / 5over 85%Maple Crest ManorFayette · 15.3 mi462 / 570-85%Grandview Healthcare CenterOelwein · 16.1 mi724 / 570-85%Oelwein Health Care CenterOelwein · 16.1 mi613 / 5over 85%Denver Sunset HomeDenver · 16.5 mi315 / 570-85%New Hampton Nursing & Rehab CenterNew Hampton · 17.4 mi464 / 570-85%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Hillcrest Home?
Hillcrest Home in Sumner, IA carries an overall CMS rating of 3 out of 5 stars in the Oct 2026 CMS file.
How many beds does Hillcrest Home have?
Hillcrest Home is certified for 61 beds in the Oct 2026 CMS file.
How full is Hillcrest Home?
CMS's reported average residents put Hillcrest Home's occupancy in the 70-85% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.

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