Elder Care Record

Nebraska › Sarpy County › Papillion

Hillcrest Country Estates-Cottages

6082 Grand Lodge Avenue, Papillion, NE 68133

CCN 285293 · For-profit, limited liability company · 48 certified beds

Continuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Hillcrest Country Estates-Cottages is a For-profit, limited liability company nursing home in Papillion, Nebraska, certified for 48 beds and caring for about 44 residents a day.

CMS gives it 2 of 5 stars overall, below the Nebraska median of 3; the health inspection rating is 2, staffing 4 and quality measures 4.

Inspectors recorded 22 health deficiencies across the three most recent survey cycles (7, 6, 9 by cycle, most recent first), none at the actual-harm level. That is 45.8 per 100 beds, more than the state median of 23.7.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 4.8 hours per resident per day (0.9 RN), close to the Nebraska median of 3.9; nursing staff turnover is 68.7%.

22health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
4.8nurse hours per resident per daystate median 3.9
93%occupancy (residents ÷ beds)44 residents a day

Compared with county, state and nation

MeasureThis facilitySarpy Co. medianNebraska medianUS average
Overall star rating2233.0
Health citations, 3 cycles22221528.7
Citations per 100 beds45.829.823.726.8
Total nurse hours per resident day4.84.23.93.9
RN hours per resident day0.90.60.60.7
Nursing staff turnover68.7%62.2%47.1%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (5 in the county, 180 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)7
Cycle 26
Cycle 39

Dark bar: this facility. Grey bar: Nebraska average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 Apr 2025, 29 Feb 2024.

Severity mix: D ×14 E ×6 F ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
14 Apr 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey15 May 2025
14 Apr 2025F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard survey15 May 2025
14 Apr 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey15 May 2025
14 Apr 2025F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EComplaint investigation15 May 2025
14 Apr 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey15 May 2025
14 Apr 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation15 May 2025
14 Apr 2025F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey15 May 2025
14 Apr 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation15 May 2025
14 Apr 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation15 May 2025
24 Apr 2024F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation30 May 2024
24 Apr 2024F0760Ensure that residents are free from significant medication errors.DComplaint investigation30 May 2024
24 Apr 2024F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DComplaint investigation30 May 2024
24 Apr 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation30 May 2024
29 Feb 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation10 Apr 2024
29 Feb 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation10 Apr 2024
29 Feb 2024F0880Provide and implement an infection prevention and control program.EComplaint investigation10 Apr 2024
29 Feb 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation10 Apr 2024
13 Nov 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation6 Dec 2023
21 Mar 2023F0880Provide and implement an infection prevention and control program.FStandard survey3 May 2023
21 Mar 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey3 May 2023
21 Mar 2023F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard survey3 May 2023
21 Mar 2023F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DStandard survey3 May 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing4.77 h
Nurse aides3.29 h
LPN0.61 h
RN0.88 h
Weekend total4.26 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Nebraska average. Turnover: nursing staff 68.7%, RNs 85.7%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityNebraska medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay16.9%18.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.7%0.9%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%2.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.1%4.2%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.5%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay24.7%17.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.9%3.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay21.3%19.2%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Hce-Cottages Llc.

OrganisationRole in the CMS recordInterestSince
Hillcrest Health Systems IncOperational/managerial controlNOT APPLICABLE04/01/2018
Hillcrest Health Systems IncAdp of the snfNOT APPLICABLE01/26/2026

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Sarpy County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Brookestone of PapillionPapillion11055576.4—19 Nov 2024
Adept Nursing & Rehab of GretnaGretna632222438.1—5 Mar 2026
Hillcrest Health & RehabBellevue1512241811.9$33K4 Jun 2026
Hillcrest Shadow Lake LLCPapillion1141213429.8—7 May 2026

All 5 facilities in Sarpy County

Questions and answers

How many deficiencies has Hillcrest Country Estates-Cottages been cited for?

22 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Nebraska median is 15 per facility.

Has Hillcrest Country Estates-Cottages been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Hillcrest Country Estates-Cottages compare?

Reported total nurse staffing is 4.8 hours per resident per day against a Nebraska median of 3.9 and a national average of 3.9.

Who operates Hillcrest Country Estates-Cottages?

Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Hillcrest Health Systems Inc. Individual owners and managers are not listed on this site.

When was Hillcrest Country Estates-Cottages last inspected?

The most recent survey or investigation in the CMS record is dated 14 Apr 2025; the most recent standard health survey was 14 Apr 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.