Hillcrest Country Estates Cottages
Hillcrest Country Estates Cottages offers independent living and nursing home care with skilled nursing in Papillion, NE. Independent living provides private living with community services and no daily care, while skilled nursing provides licensed nursing care on site around the clock. The range of care may suit a person whose needs could change over time.
The community has 186 beds. Total nurse staffing is 5 hours 54 minutes per resident per day, representing the daily hands-on nursing time allocated to each resident. Payment options are Medicare, Medicaid, and private pay. Medicare can cover short term skilled care after a hospital stay, Medicaid may help when savings do not cover a long stay, and private pay uses personal funds.
Respite care provides a short stay for a family whose usual caregiver needs to travel or recover. Adult day services and in-home care are also among the community’s named programs, extending support to daytime services and care delivered in a person’s residence.
A salon gives residents an on-site place for personal grooming, while the pool provides an option for swimming without leaving the community. Shyann Walker serves as administrator, and SNF/NF Distinct operates Hillcrest Country Estates Cottages.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Standout metric: RN, weekends is +73% above Nebraska average
1 of 6 metrics below Nebraska average
Daily care time per resident, by role
US average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
US average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
US average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
US average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
US average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
77.6% of staff hours were worked by the facility's own employees
Nebraska average: 89.6% · Contractors this quarter: Certified Nursing Assistant (62), Licensed Practical Nurse (53), Registered Nurse (7), Medication Aide/Technician (7), Physical Therapy Assistant (1), Occupational Therapy Aide (1), RN Director of Nursing (1), Nurse Practitioner (1), Clinical Nurse Specialist (1), Other Dietary Services Staff (1), Medical Director (1), Occupational Therapy Assistant (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
Community insights.
Medium-capacity home · Offers a balance of services and community atmosphere.
Based on 46 residents and 186 beds. Source: state inspection report (Jul 2018)
About This Community
Hillcrest Country Estates Cottages is legally operated by SNF/NF Distinct, and administered by Shyann Walker.
Two inspection records, one home. Nebraska inspects it under state rules; CMS inspects its nursing-home beds under federal rules.
Inspection History and the Inspection Scorecard below are the state record. CMS Health Inspection History, further down, is the federal record. Each counts its own visits and findings over its own dates, so the totals are not meant to match, and nothing is counted twice.
Inspection History
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.
Includes all inspection records for this property, which could include management/ownership changes. 78 deficiencies 27 inspections
Inspection Scorecard
This scorecard compares key inspection, deficiency, 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.
Since 2011 vs. Nebraska state average• Total deficiencies (50% above)
• Deficiencies per inspection (12% above) 0 Better No metrics in this bucket.
Deficiencies
| This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
| 78 | 52.0 | This facility has 50% more total deficiencies than a typical Nebraska nursing home (78 vs. NE avg 52).↑ 50% worse |
|
Deficiencies per inspection
| 2.9 | 2.6 | This facility has 12% more deficiencies per inspection than a typical Nebraska nursing home (2.9 vs. NE avg 2.6).↑ 12% worse |
Inspections
| This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total inspections
| 27 | 13.0 | This facility has had 108% more total inspections than the Nebraska average (27 vs. NE avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↑ 108% more |
CMS Health Inspection History
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
Citation severity
Latest inspection: Aug 18, 2026 · 3 citations, all corrected
Most cited category: Quality of Life & Care, 5 of 25 citations · 8 categories in total
Citations history
Most recent firstTop deficiency categories
Share of 25 citationsHow citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
9 of 25 citations resulted from standard inspections; 10 of 25 resulted from complaint investigations; and 6 of 25 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.
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 Oct 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Oct 2023.
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Nebraska average.
11 long-stay measures: 5 better, 4 worse, 2 near NE average
8 short-stay measures: 3 better, 1 worse, 1 near NE average, 3 compared with US only
Long-stay residents
People who live at the home · 11 measures
Daily care & independence
Safety & clinical stability
Physical & mental health
Preventive care
Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Safety & clinical stability
Physical & mental health
Preventive care
Hospital & emergency visits
Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Hillcrest Country Estates Cottages’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 117 Nebraska nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
Is it financially stable?
Breaking even on care
3.7% operating margin
+3.1 pts vs prior year
Positive margin in 5 of the last 8 reported years. Net income $0.7M after other income.
Does it invest in staff?
Spends less on payroll than most Nebraska homes
39.5% payroll share of revenue
NE average 61.2%Rank #110 / 117Payroll % of net patient revenue — State benchmarked This nursing home is ranked 110th out of 117 nursing homes we track in Nebraska for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Nebraska average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.2M while revenue rose $1.2M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Nebraska homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | NE median | Compared with NE homesRank in NE | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $18.6M | +$1.2M | Trend 20162024 | NE median $6.3M | Rank in NE Rank #7 / 117Net patient revenue — State benchmarked This nursing home is ranked 7th out of 117 nursing homes we track in Nebraska for net patient revenue. Shows this facility's net patient revenue compared to the Nebraska average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 95% of homes | Top 5% in NE Higher net patient revenue than 95% of NE homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $17.9M | +$0.6M | Trend 20162024 | NE median $6.7M | Rank in NE Rank #9 / 117Operating expenses — State benchmarked This nursing home is ranked 9th out of 117 nursing homes we track in Nebraska for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Nebraska homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 93% of homes | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $0.7M | +$0.6M | Trend 20162024 | NE median −$0.1M | Rank in NE Rank #11 / 117Net patient income — State benchmarked This nursing home is ranked 11th out of 117 nursing homes we track in Nebraska for net patient income. Shows net patient revenue minus operating expenses, compared with other Nebraska homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 91% of homes | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 3.7% | +3.1 pts | Trend 20162024 | NE median −2.5% | Rank in NE Rank #25 / 117Operating margin — State benchmarked This nursing home is ranked 25th out of 117 nursing homes we track in Nebraska for operating margin. Shows net patient income as a share of net patient revenue, compared with other Nebraska homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 79% of homes | Thin margin A margin from 0% to 5% of revenue leaves little room for unexpected costs. |
| Other income Money not from resident care: investments, grants, services. | $0.1M | — | Trend — | NE median $0.1M | Rank in NE Rank #72 / 114Other income — State benchmarked This nursing home is ranked 72nd out of 114 nursing homes we track in Nebraska for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Nebraska homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 37% of homes | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $0.7M | +$0.5M | Trend — | NE median −$0.0M | Rank in NE Rank #16 / 117Net income — State benchmarked This nursing home is ranked 16th out of 117 nursing homes we track in Nebraska for net income. Shows the bottom line after other income, compared with other Nebraska homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 87% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most Nebraska homes
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | NE median | Compared with NE homesRank in NE | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $7.3M | +$0.2M | Trend 20162024 | NE median $3.7M | Rank in NE Rank #14 / 117Payroll costs — State benchmarked This nursing home is ranked 14th out of 117 nursing homes we track in Nebraska for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Nebraska average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 89% of homes | Above NE median Higher payroll than 89% of NE homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 39.5% | −2.0 pts | Trend 20162024 | NE median 61.9% | Rank in NE Rank #110 / 117Payroll % of net patient revenue — State benchmarked This nursing home is ranked 110th out of 117 nursing homes we track in Nebraska for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Nebraska average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 6% of homes | 21.7 pts under NE average The NE average is 61.2% of revenue. Within 3 points of it reads as near the average. |
Charts, 2016–2024 2 charts · NE benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Nebraska payroll average.
% of net patient revenue
Payroll share Operating margin NE payroll average No report
Year-by-year data, 2016–2024 every reported year · latest first, scroll sideways
| Metric | 2016 | 2017 | 2018no report | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $13.5M | $13.7M | $14.2M | $12.4M | $13.9M | $15.4M | $17.3M | $18.6M | |
| Operating expenses | $12.7M | $13.3M | $14.0M | $13.5M | $14.7M | $16.0M | $17.3M | $17.9M | |
| Net patient income | $0.8M | $0.4M | $0.2M | −$1.1M | −$0.8M | −$0.6M | $0.1M | $0.7M | |
| Operating margin | 5.9% | 2.7% | 1.4% | −8.7% | −6.0% | −3.7% | 0.5% | 3.7% | |
| Net income | −$0.4M | $0.6M | −$0.2M | −$1.0M | $0.4M | −$0.5M | $0.2M | $0.7M | |
| Payroll costs | $5.9M | $6.2M | $6.6M | $6.6M | $6.1M | $5.8M | $7.2M | $7.3M | |
| Payroll share of revenue | 44.0% | 45.5% | 46.6% | 53.4% | 43.9% | 37.8% | 41.5% | 39.5% | |
| Beds | 126 | 126 | 186 | 186 | 186 | 186 | 186 | 186 | |
| Gross revenue | $18.5M | $18.4M | $16.4M | $13.3M | $15.1M | $16.2M | $18.0M | $19.0M | |
| Salaries | $5.0M | $5.2M | $5.7M | $5.6M | $5.1M | $5.0M | $6.3M | $6.4M | |
| Wage-related costs | $0.9M | $1.0M | $1.0M | $1.0M | $0.9M | $0.8M | $0.9M | $0.9M | |
| Contract labor | $0.8M | $0.8M | $1.4M | $0.7M | $2.2M | $4.3M | $3.4M | $3.1M | |
| Other operating costs | $6.8M | $7.1M | $7.4M | $6.9M | $8.6M | $10.2M | $10.1M | $10.6M | |
| Net patient revenue per day | $312 | $323 | $342 | $357 | $378 | $391 | $371 | $430 | |
| Cost per day | $294 | $314 | $337 | $388 | $400 | $405 | $369 | $414 | |
| Average length of stay | 19.9 days | 20.4 days | 22.4 days | 23.8 days | 24.8 days | 21.3 days | 22.5 days | 23.3 days |
Showing 2024–2022 · scroll sideways for 6 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Places of interest near Hillcrest Country Estates Cottages
2.1 miles from city center
Estimated distance in miles from Papillion's city center to Hillcrest Country Estates Cottages's address, calculated via Google Maps.
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Financial Assistance for
Nursing Home in Nebraska
Hillcrest Country Estates Cottages is located in Papillion, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.




