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2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Hillcrest Country Estates Cottages is a charming community located in Papillion, Nebraska. It proudly stands as the first and only freestanding nursing households in Omaha, offering 24-hour skilled nursing care services. Setting itself apart from traditional nursing homes, this exceptional establishment ensures its elders can relish a customized schedule, adding a touch of familiarity to their lives. The home has beautifully designed houses that exude an inviting atmosphere, shunning any institutional feel.
A registered dietitian is on hand to cater to residents’ nutritional needs, and meals are served family-style, fostering a warm dining experience that meets nursing home quality measures. Beyond that, an array of amenities awaits, from a well-stocked library and a convenient laundry room to a whirlpool bath suite and a hair salon. Residents can bask in the comfort of large living spaces, take leisurely strolls along walking paths, and unwind on comfortable patios, all thoughtfully designed to enhance their quality of life and ensure exceptional nursing home care.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 8th out of 117 homes in Nebraska for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 46m per day | ▲ 8% State avg: 43m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 41m per day | ▼ 4% State avg: 43m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 24m per day | ▲ 23% State avg: 2h 46m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 31m per day | ▲ 25% State avg: 3h 37m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 11m per day | ▲ 271% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 45m per day | ▲ 56% State avg: 29m per day · National avg: 29m per day |
Lower than the Nebraska average: 70.3%Hillcrest Country Estates Cottages is legally operated by SNF/NF Distinct, and administrated by Shyann Walker.
Key information about the people who lead and staff this community.
In Nebraska, the Department of Health and Human Services, Division of Public Health conducts regular inspections to ensure nursing and assisted living facilities meet state and federal standards.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Nebraska state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 78 | 52 | This facility has 50% more total deficiencies than a typical Nebraska nursing home (78 vs. NE avg 52).↑ 50% worse |
|
Deficiencies per year
Average deficiencies per year since 2011.
| 5.2 | 3.5 | This facility has 49% more deficiencies per year than a typical Nebraska nursing home (5.2 vs. NE avg 3.5).↑ 49% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Nebraska average 4.3
Last Health inspection on Apr 2025
Nebraska average 18.2
Nebraska average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
5 of 22 citations resulted from standard inspections; 7 of 22 resulted from complaint investigations; and 10 of 22 came from combined inspections (standard and complaint).
100% better than Nebraska averageNebraska average: 0.2
100% better than Nebraska averageNebraska average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
166% more staff per resident than Nebraska average
22% worse than Nebraska average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
16 total: 13 full-time employees and 3 contractors.
16
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.1 hoursAssists with medical care and medications.
34 total: 14 full-time employees and 20 contractors.
34
Average shift length. Calculated as total hours divided by days worked and average staff per day.
4.3 hoursHelps with daily care and mobility.
139 total: 83 full-time employees and 56 contractors.
139
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
7,604 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 83 | 56 | 139 | 13,485 | 92 | 100% | 6.7 |
| Registered Nurse | 13 | 3 | 16 | 3,082 | 92 | 100% | 6.1 |
| Licensed Practical Nurse | 14 | 20 | 34 | 1,961 | 92 | 100% | 4.3 |
| Physical Therapy Assistant | 0 | 14 | 14 | 1,031 | 77 | 84% | 6.9 |
| RN Director of Nursing | 3 | 0 | 3 | 937 | 66 | 72% | 7.5 |
| Medication Aide/Technician | 4 | 17 | 21 | 831 | 84 | 91% | 5.9 |
| Respiratory Therapy Technician | 0 | 8 | 8 | 782 | 65 | 71% | 6.4 |
| Dental Services Staff | 2 | 0 | 2 | 573 | 64 | 70% | 5 |
| Speech Language Pathologist | 0 | 4 | 4 | 460 | 61 | 66% | 7.2 |
| Physical Therapy Aide | 0 | 1 | 1 | 381 | 54 | 59% | 7.1 |
| Administrator | 2 | 1 | 3 | 335 | 64 | 70% | 2.7 |
| Qualified Social Worker | 0 | 2 | 2 | 331 | 67 | 73% | 4.9 |
| Nurse Practitioner | 0 | 2 | 2 | 169 | 64 | 70% | 2.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 76 | 60 | 65% | 1.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 45 | 8 | 9% | 5.6 |
| Medical Director | 0 | 1 | 1 | 5 | 7 | 8% | 0.8 |
| Other Dietary Services Staff | 0 | 1 | 1 | 5 | 3 | 3% | 1.6 |
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)
60% lower than Nebraska averageNebraska average: $33K
31% fewer fines than Nebraska averageNebraska average: 1.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Nebraska averageNebraska average: 0.7
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.0
In line with Nebraska averageNebraska average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.3
In line with Nebraska averageNebraska average: 23.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
15.2%
27% better than Nebraska averageNebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
25.5%
15% worse than Nebraska averageNebraska average: 22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.3%
20% worse than Nebraska averageNebraska average: 26.9%
Percent of long-stay residents experiencing one or more falls with major injury
5.9%
32% worse than Nebraska averageNebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
2.0%
54% better than Nebraska averageNebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Nebraska averageNebraska average: 3.1%
Percent of long-stay residents who lose too much weight
6.3%
15% worse than Nebraska averageNebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Nebraska averageNebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
16.8%
15% better than Nebraska averageNebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
86.1%
8% worse than Nebraska averageNebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.6%
In line with Nebraska averageNebraska average: 96.1%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
76.3%
5% worse than Nebraska averageNebraska average: 80.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
83% better than Nebraska averageNebraska average: 2.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
76.7%
In line with Nebraska averageNebraska average: 75.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.8%
In line with Nebraska averageNebraska average: 20.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.5%
27% better than Nebraska averageNebraska average: 11.6%
Percentage of SNF residents who experience falls with major injury during their stay.
1.6%
104% worse than Nebraska averageNebraska average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
69.3%
29% better than Nebraska averageNebraska average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
66.5%
32% better than Nebraska averageNebraska average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
63% of new residents, usually for short-term rehab.
35% of new residents, often for short stays.
2% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
47Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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.
Historical financial and operational data for Hillcrest Country Estates Cottages from 2015–2023, based on CMS SNF Cost Reports.
Based on the 2023 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #8 / 120Payroll — State benchmarkedThis home is ranked 8th out of 120 homes in Nebraska. Shows total annual staff payroll benchmarked to the Nebraska average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (63% of admissions), and a typical Medicare stay runs around 22 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
5.5 miles from city center
Estimated distance in miles from Papillion's city center to Hillcrest Country Estates Cottages's address, calculated via Google Maps.
— 1.52 miles to nearest hospital (Liu's Oriental Medical Center)
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Hillcrest Country Estates Cottages is located in Papillion, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
Hillcrest Country Estates Cottages is in the Papillion Second II Precinct neighborhood of Papillion.
The legal owner and operator of Hillcrest Country Estates Cottages is SNF/NF Distinct.
Hillcrest Country Estates Cottages has a walk score of 6. Car-dependent. Most errands require a car, with limited nearby walkable options.
Hillcrest Country Estates Cottages's occupancy is 25%.
Shyann Walker is the administrator of Hillcrest Country Estates Cottages.
Hillcrest Country Estates Cottages has 186 beds.
Yes — there is 1 photo of Hillcrest Country Estates Cottages in the photo gallery on this page.
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