Hillcrest Country Estates-Cottages in Papillion, NE has a 2 out of 5 overall rating, with 2-star health inspections and stronger 4-star staffing and quality measures. It reports nurse staffing above the federal benchmark (4.77 vs. 4.1 hours per resident per day), no fines in the last 24 months, and recent inspection citations related to food handling, infection prevention, and monthly pharmacist drug review.
Last inspection: April 14, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7708.
Staffing detail
Registered nurses
0.88
Licensed practical nurses
0.61
Nurse aides
3.29
Weekend nursing
4.26
Hours per resident per day.
Total staff turnover: 69%
Registered nurse turnover: 86%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
—21.3%—
Residents with a fall causing major injury
8%0%Improving
Residents with pressure ulcers (bedsores)
3.7%7.4%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4.5%13%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
0%25%Worsening
Residents whose ability to walk got worse
—24.7%—
Long-stay residents on antianxiety or sleep medication
13.6%8.3%Improving
Short-stay residents newly given an antipsychotic
0.8%2.7%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
22.1%21.4%Improving
Residents with depressive symptoms
—1.6%—
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—92.6%—
Long-stay residents given the pneumonia vaccine
96%96.2%No change
Short-stay residents given the seasonal flu vaccine
—76.7%—
Short-stay residents given the pneumonia vaccine
86.9%99.4%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 756 — 42 CFR §483.45(c) — S/S: E
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: E
The home failed to ensure nurse aides had the skills and training needed to care for residents safely, including dementia care and abuse prevention. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 947 — 42 CFR §483.95 — S/S: E
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
For profit - Limited Liability company
Occupancy
44.4 residents on an average day (92% of 48 beds)
Resident voice
Resident council
Medicare history
Certified for 11 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.