Hilltop Estates

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

35.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 65 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 43.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 39 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.12 therapist hours per resident per day in 2026Q1 — more than 8% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 64 beds and averages 41.2 residents a day — about 64% occupied, or roughly 23 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.11 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.73 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.69 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.38 hrs/resident/day on weekends vs 4.40 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 0.82 to 0.50 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

• Potential for harm · F2026-06-16 · tag F0803 — failed to meet residents' dietary needs — widespread
  Ensure 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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.11Based on record review, observation, and interview the facility failed to follow the menus and recipes to ensure that residents were receiving the required nutritional intake during meals. This affected all residents eating meals from the kitchen. The facility census was 39. Record review of the facility policy The Dining Experience; Staff Responsibilities copyright dated 2013 revealed the goals of the dining experience are to enhance the individual's quality of life through person centered dining: providing nourishing, palatable, and attractive meals that meet the individual's daily nutritional needs. The food service manager will perform meal rounds routinely to determine if the meals are timely, attractive, nutritious, and meet the needs of the individual. The food service manager will observe meals for preferences portion sizes, temperature, flavor, variety, and accuracy. The food service manager will report any concerns to the administrator, nursing director, registered dietician or designee, or other staff as appropriate. Food will…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-06-16 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.11(E) Based on record review, observation, and interview, the facility failed to perform handwashing when working with foods, failed to perform temperature checks of the facility's kitchen refrigerator and freezer units, and failed to maintain potentially hazardous foods at the appropriate temperature. This affected all residents in the facility. The facility census was 39. A. Record review of the facility policy Hand Hygiene dated June 2022 revealed that all staff will perform proper hand hygiene procedures to prevent the spread of infection to other personnel residents and visitors. This applies to all staff working in all locations with in the facility. Hand Hygiene is defined as a general term for cleaning your hands by handwashing with soap and water or the use of an antiseptic hand rub, also known as alcohol based hand rub. 1.) Staff will perform hand hygiene when indicated using proper technique consistent with accepted standards of practice. 6.) Additional considerations include; a.) the use of gloves does not replace hand hygiene.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-06-16 · tag F0552 — pattern
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.05 (D)(E)Based on record review and interview the facility failed to ensure that all residents and/representatives were given the risks and benefits of psychotropic medications prior to the first dose of a medication or when the psychotropic medication dosage was increased. This affected 3 of 5 sampled residents (Resident 2, 21, and 26). The facility census was 39. Record review of the facility policy dated 6/2026 revealed that it is the intent of the policy to ensure residents only receive psychotropic medications when other non-pharmacological interventions are clinically contraindicated. Additionally, these medications should only be used to treat the resident's medical symptoms and not used for discipline or staff convenience, which would deem it a chemical restraint. A chemical restraint was defined as any drug that is used for discipline or makes it more convenient for staff to care for a resident and not required to treat medical symptoms. Adequate indications for use were defined as the identified and documented clinical rationale…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-16 · tag F0637 — isolated
  Assess the resident when there is a significant change in condition
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09(c)(ii)Based on record review and interview the facility failed to complete a Significant Change Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and helps nursing home staff identify health problems) Assessment with in 14 days of a identified significant status change for 2 (Resident 6 and Resident 43) of 12 sampled residents. The facility census was 39.Findings are: Record review of a facility policy titled MDS 3.0 Completion and dated 05/2026 revealed it was the policy of the facility that residents are assessed using a comprehensive assessment process in order to identify care needs and to develop an interdisciplinary care plan. A Significant Change Assessment (SCSA) should be completed within 14 days of the identification of a status change. A significant change is defined according to the Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual (RAI Manual, a document…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-16 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-00.09 (D)Based on record review and interviews, the facility failed to accurately code the Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and helps nursing home staff identify health problems) for 2 residents (Resident 6 and Resident 43) of 12 sampled residents. The facility census was 39.Findings are:Record review of a facility policy titled MDS 3.0 Completion dated 05/2026 revealed the facility according to federal regulations conducts accurate standardized assessment of each residents functional capacity using the Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual (RAI Manual, a document published by the Centers for Medicare & Medicaid Services (CMS) to facilitate accurate and effective resident assessment practices in long-term care facilities). It the policy of the facility to follow the guidelines of the RAI Manual for the coding of each assessment.A.Record review of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-16 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.09Based on record review, observation, and interview the facility failed to complete glucometer control testing per manufacturer recommendations for 2 residents (Resident 4 and Resident 6), Failed to provide cares of a PICC (peripherally inserted central catheter) line (a long, thin, flexible tube inserted into a vein in the upper arm and threaded to a large vein near the heart) per professional standards of practice for 1 resident (Resident 6), failed to follow provider orders for performing flushing of a PICC line for 1 resident (Resident 6), failed to ensure orders for the administration of an intravenous medication contained components directing reconstitution and duration of administration of administering an intravenous medication for 1 resident (Resident 6). The facility census was 39.Findings are: A.Record review of a document titled Assure Platinum Blood Glucose Monitoring System and dated 10/2024 revealed a control solution test should be performed when opening a new bottle of test strip to confirm the meter and test strips are…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-16 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.12(D)(vii)Based on observation, record review, and interview the facility failed to dispose and or destroy a medication in a manner in compliance with applicable state and federal requirements for 1 resident (Resident 21) of 3 residents. The facility census was 39.Findings are: In an observation completed on 06/11/2026 at 7:50 AM of medication administration by Licensed Practical Nurse E (LPN-E) to Resident 21, LPN-E emptied a packet labeled Questran Powder 4gm into a clear plastic cup containing approximately 4 ounces of water. The LPN stirred the powder into the water. The LPN took the cup with the powder dissolved into the water and a clear plastic cup containing the resident's pills into the resident's room. Resident 21 told the LPN that they did not wish to take the powder dissolved into the water medication until after breakfast or about 9:00 AM. The resident stated that they did not like to take that medication until after their meal and other medications. The LPN told the resident that was ok and took the cup with the dissolved…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-16 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.18Based on observation, record review, and interviews, the facility failed to dispose of items of regulated waste (items potentially or contaminated with blood or other potentially infectious material) in a manner consistent with manufacturer and facility policy for 2 residents (Resident 21 and Resident 6) of 2 sampled residents. The facility census was 39.Findings are:A.In an observation completed on 06/11/2026 at 7:50 AM of obtaining a blood glucose level by finger stick by Licensed Practical Nurse E (LPN-E) to Resident 21, LPN-E used a retractable lancet to poke Resident 21's finger. The LPN squeezed the resident's finger until a visible drop of blood was present. The LPN used a cotton ball to wipe away the visible drop of blood and squeezed the resident's finger until another visible drop of blood was present. The LPN touched the end of an Assure Platinum blood glucose test strip to the visible drop of blood. After a reading of the resident's blood sugar was obtained the LPN removed the test strip with the blood on it from the testing…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-03-18 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.11(E) Based on observations and interviews, the facility failed to ensure the walk-through refrigerator maintained safe temperatures and failed to ensure the dishwashing machine reached the required temperatures during cycles to prevent the potential for foodborne illness. This had the potential to affect all facility residents eating out of the kitchen. The facility census was 44. Findings Are: A. A record review of the Nebraska Food Code, dated 2017, revealed ready to eat foods should be held at a temperature of 41 degrees Fahrenheit (F) or below. On 03/12/2025 at 8:44 AM an initial observation of the kitchen revealed a walk-through refrigerator with a temperature log labeled March with annotations of greater than 41 degrees F on the following dates: -On March 5th: 42, -On March 9th: 42, -On March 11th: 45. An observation on 03/12/2025 at 8:45 AM the reading outside of the walk-through temperature gauge revealed 44 degrees Fahrenheit. An interview on 03/12/2025 at 8:45 AM with the Dietary Manager-I (DM-I) revealed that the temperature…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-03-18 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.18(B) Licensure Reference Number 175 NAC 12-006.04(A)(ii) Based on observation, record review, and interview the facility failed to ensure an insulin pen tip was cleansed prior to use for 1 (Resident 20) of 1 sampled resident, ensure the glucometer was disinfected after use for 1 (Resident 20) of 1 sampled resident, and failed to ensure an employee health screening was completed and reviewed for 2 of 5 sampled staff. The facility census was 44. Findings are: A. A record review of a facility policy titled Insulin Pen dated 01/2020 revealed to remove the cap from the insulin pen and wipe the rubber seal with an alcohol pad, then screw on the needle cap to the insulin pen. In an observation completed on 03/17/2025 at 11:50 AM, Medication Aide (MA)-D was preparing an insulin pen to administer insulin to Resident 20. MA-D removed the cap from the insulin pen with gloved hands. MA-D then screwed on the needle cap to the insulin pen. The MA did not cleanse the tip of the insulin pen with an alcohol wipe prior to screwing on the needle cap. The MA…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 26 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted.

6 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NE