Occupancy rate
75%
In line with Colorado averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home
Hillcrest Care Center
Hillcrest Care Center is a non-profit long-term care community serving Northeast Colorado, Southwest Nebraska, and Northwest Kansas. It offers 24-hour skilled nursing care, physical, occupational, and speech therapy. The facility is dedicated to providing quality care in a supportive environment.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
45
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
75.3%
Residents per day (avg)
42
Occupancy rate
75.3%
Residents per day (avg)
42
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
38% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
37% of new residents, often for short stays.
Typical stay
8 - 9 months
Medicaid
25% of new residents, often for long-term daily care.
Typical stay
11 - 12 months
Finances and operations
Voluntary non-profit community
Home revenue
$6.5M
Surplus of revenue
$786.5K
Voluntary non-profit community
Home revenue
$6,466,801.00
Surplus of revenue
$786,548.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.7M
45-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy
In line with Colorado averageOccupied beds
34 / 45
Average residents
72 per day
License details
Facility type
Snf/nf Distinct Part
Status
Active
Additional licensing details
CMS Certification Number:
065316
Ownership & operating entity
Hillcrest Care Center is administrated by Bryant, Kimberly.
Owner name:
WRAY COMMUNITY LONG TERM CARE, INC.
Care Services
Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Programs & Activities
Specific Programs
Companionship, Activities, Transportation, Physical Therapy, Nursing, Family Resources
Operating Hours
Open 24 hours
Pricing & Financial Information
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Health Inspection History
Inspections
Total health inspections
4
Colorado average 4.8
Last Health inspection on Oct 2024
Total health citations
20
Colorado average 24.8
Citations per inspection
5
Colorado average 5.2
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
19 of 20 citations resulted from standard inspections; and 1 of 20 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Colorado averageColorado average: 0.4
Serious Health citations
2
2
5% better than Colorado averageColorado average: 2.1
0 critical citations
2 serious citations
18 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 03, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 03, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 03, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 03, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 03, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 03, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 03, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 03, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Colorado The information below is reported by the Colorado Department of Public Health and Environment, Health Facilities Division.
Hillcrest Care Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
WRAY
45
75.3%
-2%
4.24
+10%
5
20
2
42
Wray Community Long Term Care, Inc.
$5,0M
$3,1M
63.6%
65316
Adventhealth Avista
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
LOUISVILLE
114
-
-
-
-
0
0
0
-
-
-
-
-
-
Adventhealth Castle Rock
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
CASTLE ROCK
90
-
-
-
-
0
0
0
-
-
-
-
-
-
Adventhealth Littleton
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
LITTLETON
231
-
-
-
-
0
0
0
-
-
-
-
-
-
Adventhealth Parker
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
PARKER
179
-
-
-
-
0
0
0
-
-
-
-
-
-
Places of interest near Hillcrest Care Center
0.0 miles from city center
360 CANYON RIDGE DR, WRAY, CO 80758-8947
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
68
Employees
50
Contractors
18
Staff to resident ratio
1.79:1
6% worse than Colorado averageColorado average ratio: 1.91:1
Avg staff/day
21
Average shift
8.4 hours
0% compared with Colorado averageColorado average: 8.3 hours
Total staff hours (quarter)
16,085
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.8 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
28
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
15.2%
2,445 contractor hours this quarter
Respiratory Therapy Technician: 5
Licensed Practical Nurse: 3
Certified Nursing Assistant: 2
Speech Language Pathologist: 1
RN Director of Nursing: 1
Physical Therapy Assistant: 1
Occupational Therapy Aide: 1
Qualified Social Worker: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Mental Health Service Worker: 1
Staff by category
| Certified Nursing Assistant | 26 | 2 | 28 | 7,774 | 91 | 100% | 8.9 |
| Licensed Practical Nurse | 3 | 3 | 6 | 1,976 | 90 | 99% | 10 |
| Registered Nurse | 7 | 0 | 7 | 1,682 | 91 | 100% | 10.8 |
| Other Dietary Services Staff | 4 | 0 | 4 | 847 | 82 | 90% | 8.5 |
| RN Director of Nursing | 2 | 1 | 3 | 607 | 65 | 71% | 8.2 |
| Dietitian | 1 | 0 | 1 | 498 | 68 | 75% | 7.3 |
| Dental Services Staff | 1 | 0 | 1 | 471 | 56 | 62% | 8.4 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 447 | 45 | 49% | 8.8 |
| Nurse Practitioner | 1 | 0 | 1 | 446 | 56 | 62% | 8 |
| Administrator | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Speech Language Pathologist | 0 | 1 | 1 | 431 | 63 | 69% | 6.8 |
| Medication Aide/Technician | 1 | 0 | 1 | 175 | 23 | 25% | 7.6 |
| Physical Therapy Assistant | 0 | 1 | 1 | 120 | 49 | 54% | 2.5 |
| Occupational Therapy Aide | 1 | 1 | 2 | 95 | 25 | 27% | 3.8 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 48 | 21 | 23% | 1.9 |
| Mental Health Service Worker | 0 | 1 | 1 | 12 | 2 | 2% | 6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 8 | 3 | 3% | 2.5 |
| Medical Director | 0 | 1 | 1 | 6 | 3 | 3% | 2 |
| Qualified Social Worker | 0 | 1 | 1 | 3 | 3 | 3% | 0.8 |
28 Certified Nursing Assistant
% of Days
100%
6 Licensed Practical Nurse
% of Days
99%
7 Registered Nurse
% of Days
100%
4 Other Dietary Services Staff
% of Days
90%
3 RN Director of Nursing
% of Days
71%
1 Dietitian
% of Days
75%
1 Dental Services Staff
% of Days
62%
2 Clinical Nurse Specialist
% of Days
49%
1 Nurse Practitioner
% of Days
62%
1 Administrator
% of Days
60%
1 Speech Language Pathologist
% of Days
69%
1 Medication Aide/Technician
% of Days
25%
1 Physical Therapy Assistant
% of Days
54%
2 Occupational Therapy Aide
% of Days
27%
5 Respiratory Therapy Technician
% of Days
23%
1 Mental Health Service Worker
% of Days
2%
1 Occupational Therapy Assistant
% of Days
3%
1 Medical Director
% of Days
3%
1 Qualified Social Worker
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
38 residents
Residents by payment source
Medicare
2 residents (5.3%)
Medicaid
20 residents (52.6%)
Private pay or other
16 residents (42.1%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.9
21% worse than Colorado averageColorado average: 9.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.9
21% better than Colorado averageColorado average: 18.8
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
16.3%
Percent of long-stay residents whose need for help with daily activities has increased
16.3%
In line with Colorado averageColorado average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
14.1%
Percent of long-stay residents whose ability to move independently worsened
14.1%
17% better than Colorado averageColorado average: 17.0%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.3%
38% better than Colorado averageColorado average: 23.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.0%
Percent of long-stay residents experiencing one or more falls with major injury
5.0%
50% worse than Colorado averageColorado average: 3.3%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
12.1%
Percent of long-stay high risk residents with pressure ulcers
12.1%
212% worse than Colorado averageColorado average: 3.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Colorado averageColorado average: 1.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.0%
Percent of long-stay residents who lose too much weight
7.0%
34% worse than Colorado averageColorado average: 5.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.4%
Percent of long-stay residents who have depressive symptoms
1.4%
80% better than Colorado averageColorado average: 7.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
11.4%
Percent of long-stay residents who received an antipsychotic medication
11.4%
39% better than Colorado averageColorado average: 18.8%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.6%
In line with Colorado averageColorado average: 93.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
61.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
61.5%
35% worse than Colorado averageColorado average: 94.7%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
65.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
65.2%
15% worse than Colorado averageColorado average: 76.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
4.1%
Percent of short-stay residents who newly received an antipsychotic medication
4.1%
190% worse than Colorado averageColorado average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
33.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
33.3%
56% worse than Colorado averageColorado average: 75.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$49K
25% higher than Colorado averageColorado average: $40K
Number of fines
5
125% more fines than Colorado averageColorado average: 2.2
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Colorado averageColorado average: 0.3
Fines amount comparison
Fines amount comparison
This facility
$49K
Colorado average
$40K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 5, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 5, 2023
$5K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 21, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 21, 2023
$5K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 14, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 14, 2023
$5K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 24, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 24, 2023
$12K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Hillcrest Care Center based on CMS SNF Cost Reports.
Occupancy Rate
75.3%
↑ 13.5pp vs 2022
Net Income
$786,548
↑ ~$1.4M vs 2022
Total Payroll
$4,048,579
↑ ~$59K vs 2022
Profit Margin
15.9%
↑ 33.1pp vs 2022
Loading trend charts...
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