Hillcrest Country Estates-Cottages faces challenges in its CMS ratings, earning a D grade with a score of 48/100. The facility ranks in the 40th percentile among Nebraska nursing homes, suggesting significant room for improvement.
Staffing levels at Hillcrest Country Estates-Cottages exceed national averages, with 5.23 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.74 hours per resident per day also exceeds the national average of 0.7 hours.
Recent inspections identified 22 deficiencies at Hillcrest Country Estates-Cottages. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 5.23 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.74 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.77 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 3.72 | 2.4 | Above Average |
| Weekend Total Nursing | 4.71 | 3.8 | Above Average |
| Weekend RN Hours | 0.74 | 0.7 | Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0756 Severity EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in develoApr 13, 2025 · Pharmacy Service Deficiencies
- Tag 0803 Severity EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the neeApr 13, 2025 · Nutrition and Dietary Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Apr 13, 2025 · Nutrition and Dietary Deficiencies
- Tag 0947 Severity EEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Apr 13, 2025 · Nursing and Physician Services Deficiencies
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Apr 13, 2025 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.1% | 4.5% | Better |
| Falls with major injury | 5.2% | 3.0% | Worse |
| On antipsychotic medication | 19.6% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 13.0% | 14.0% | Average |
| Excessive weight loss | 9.1% | 7.5% | Worse |
| New/worsened incontinence | 34.2% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $13,000
How This Grade Was Calculated
This facility's grade of D is based on a score of 48 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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