The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
Hilltop Estates
Gothenburg, NE · Medicare-certified · 64 beds
In good standing
For-profit
3 of 5 overall
Hilltop Estates in Gothenburg, NE has a 3 out of 5 overall rating, with 3-star health inspection and quality ratings and a 4-star staffing rating. Reported nurse staffing is 3.90 hours per resident per day, below the federal benchmark of 4.1, with $0 in fines over the last 24 months; recent inspection citations included food safety, infection control, and behavioral health care.
Facility ratings
Health inspections
Staffing
3.902 hrs/resident/day
Quality measures
Last inspection: March 18, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.902.
Staffing detail
- Registered nurses
- 0.76
- Licensed practical nurses
- 0.49
- Nurse aides
- 2.66
- Weekend nursing
- 3.32
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 25%
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).
Long-stay residents on antipsychotic medication
16%28.6%Worsening
Residents with a fall causing major injury
2.3%8.6%Worsening
Residents with pressure ulcers (bedsores)
7.5%3.3%Improving
Residents with a urinary tract infection
0%3%Worsening
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.4%10.7%Improving
Residents whose ability to walk got worse
3.6%10.9%Worsening
Long-stay residents on antianxiety or sleep medication
19.4%21.4%Worsening
Short-stay residents newly given an antipsychotic
—2.1%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
26.4%20.5%Improving
Residents with depressive symptoms
2.6%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
95.5%96.4%Improving
What the inspectors found
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 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to ensure residents received the behavioral health care and services they needed. Cited March 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 740 — 42 CFR §483.40 — S/S: D
The nursing home failed to keep medication mistakes below the allowed level. Cited March 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: D
The home failed to give residents clear notice about what Medicare or Medicaid would cover and what costs they might have to pay themselves. Cited March 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 582 — 42 CFR §483.10 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 40.6 residents on an average day (63% of 64 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 30 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.