Occupancy rate
25%
In line with Nebraska averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Hillcrest Country Estates Cottages
Nursing Home in Bellevue
CMS overall rating
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.
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.
Hillcrest Country Estates Cottages
Nursing Home in Bellevue
CMS overall rating
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.
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.
Overview of Hillcrest Country Estates Cottages
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.
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 12th out of 129 homes in Nebraska.
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.
This home is ranked 12th out of 129 homes in Nebraska.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.
5h 35m per day
vs Nebraska avg
+29%
Standout metric
Physical Therapist is +267% above state avg
| Staff type | Hours / day | 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.
| 44m per day | ■ Avg State avg: 43m per day · National avg: 41m 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 43m per day | ▲ 34% State avg: 2h 46m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
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 43m per day | ▲ 30% 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 | ▲ 267% State avg: 3m per day · National avg: 4m per day |
|
RN (Weekend)
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 | ▲ 55% State avg: 29m per day · National avg: 29m per day |
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
186
Avg. Length of Stay
22 days
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
63% of new residents, usually for short-term rehab.
Typical stay
22 days
Private pay
35% of new residents, often for short stays.
Typical stay
7 - 8 months
Medicaid
2% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$18.1M
Profit
$222.3K
Privately-owned community
Operated by a business corporation.
Home revenue
$18.1M
Profit
$222.3K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.3M
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.
$11.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$17.9M
186-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
38 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 6 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
BBB Rating: A+ (Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
Services
About this community
Occupancy
In line with Nebraska averageOccupied beds
46 / 186
Average residents
54 per day
Facility TypeNursing Home
CountySarpy
CMS Certification Number285293
Hillcrest Country Estates Cottages is legally operated by SNF/NF Distinct, and administrated by Shyann Walker.
Medicaid
26 units
Medicaid and Medicare
22 units
Total beds
186 units
Staffing
Key information about the people who lead and staff this community.
ContactJim Janicki, Chief Administrative Officer
Respite Care
Fax(402) 885-7001
Full Kitchen
Modern Appliances
In-Unit Washer And Dryer
Cox Cable Television
Landline Telephone Service
Wifi Internet Access
Interior And Exterior Maintenance
Reserved Outdoor Parking
Access To Grand Lodge Amenities
Wellness Membership For Fitness Center And Pool
Specific ProgramsRespite Care, Adult Day Services, In-Home Care
Types of Care at Hillcrest Country Estates Cottages
Nursing Home
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.
27 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Show Inspection Reports
Latest inspection
Date
March 12, 2024
Renewal78 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Nebraska average: 52 deficiencies
Inspection Report Summary for Hillcrest Country Estates Cottages
The most recent inspection on March 12, 2024, found no deficiencies and confirmed the facility meets statutory requirements for licensure renewal as a skilled nursing facility. Earlier inspections showed a mixed pattern, with some deficiencies primarily related to administrative notifications, care planning, fall interventions, skin care, and medication management. Complaint investigations were mostly unsubstantiated, though some substantiated issues involved delayed reporting and incomplete follow-up care after falls or skin breakdown. Enforcement actions included a 90-day probation in 2016 related to pressure sore and weight loss management, with the probation later modified to remove pressure sore requirements; fines or license suspensions were not listed in the available reports. The facility’s inspection history shows improvement over time, with recent reports indicating compliance and resolution of earlier cited issues.
Health Inspection History
Inspections
Total health inspections
5
Nebraska average 4.3
Last Health inspection on Apr 2025
Total health citations
22
Nebraska average 18.2
Citations per inspection
4.4
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).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Nebraska averageNebraska average: 0.2
Serious Health citations
0
0
100% better than Nebraska averageNebraska average: 0.5
0 critical citations
0 serious citations
22 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Apr 14, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Apr 14, 2025
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Apr 14, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Apr 14, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 14, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 14, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 14, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 14, 2025
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 Bellevue The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
Filter by care type
| Papillion Manor |
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). | Papillion | 40 | 76.1% | +8% | 4.42 | -15% | -1% | 0 | 8 | 2.7 | 0 | 28 | - | 27 | Bowles, Elizabeth | $2.9M | $1.5M | 51.4% | 285245 | ||||
| Hillcrest Country Estates Cottages |
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). | Papillion (Papillion Second Ii Precinct) | 186 | 68.9% | -2% | 5.59 | -46% | +25% | 1 | 22 | 4.4 | 0 | 44 | A+ | 6 | Hight, Kaleb | $18.0M | $6.3M | 35% | 285293 | ||||
| Emerald Nursing & Rehab |
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). | Omaha (South Central Omaha) | 155 | 42.6% | -39% | 4.05 | -27% | -9% | 4 | 54 | 6.0 | 5 | 53 | - | 47 | Omaha Operations Llc | $7.8M | $4.0M | 50.6% | 285097 |
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Places of interest near Hillcrest Country Estates Cottages
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.
— 1.13 miles to nearest hospital (Hy-Vee Pharmacy)
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
289
Employees
113
Contractors
176
Staff to resident ratio
6.15:1
186% better than Nebraska averageNebraska average ratio: 2.15:1
Avg staff/day
45
Average shift
6.2 hours
21% worse than Nebraska averageNebraska average: 7.8 hours
Total staff hours (quarter)
25,234
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
15
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
5.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
5.9 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
31
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
4.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
4.7 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
175
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
34.2%
8,634 contractor hours this quarter
Certified Nursing Assistant: 97
Medication Aide/Technician: 27
Licensed Practical Nurse: 22
Physical Therapy Assistant: 10
Registered Nurse: 5
Speech Language Pathologist: 5
Qualified Social Worker: 3
Respiratory Therapy Technician: 3
Occupational Therapy Aide: 1
Physical Therapy Aide: 1
Occupational Therapy Assistant: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 78 | 97 | 175 | 13,917 | 91 | 100% | 6.9 |
| Registered Nurse | 10 | 5 | 15 | 2,509 | 91 | 100% | 5.9 |
| Licensed Practical Nurse | 9 | 22 | 31 | 2,234 | 91 | 100% | 4.7 |
| Medication Aide/Technician | 6 | 27 | 33 | 1,449 | 91 | 100% | 6.3 |
| Physical Therapy Assistant | 0 | 10 | 10 | 905 | 77 | 85% | 6.6 |
| RN Director of Nursing | 4 | 0 | 4 | 862 | 65 | 71% | 6 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 774 | 66 | 73% | 6.5 |
| Dental Services Staff | 2 | 0 | 2 | 586 | 64 | 70% | 4.9 |
| Speech Language Pathologist | 0 | 5 | 5 | 497 | 65 | 71% | 7.1 |
| Physical Therapy Aide | 0 | 1 | 1 | 428 | 61 | 67% | 7 |
| Qualified Social Worker | 0 | 3 | 3 | 378 | 68 | 75% | 5.5 |
| Administrator | 2 | 0 | 2 | 312 | 64 | 70% | 2.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 195 | 63 | 69% | 3.1 |
| Nurse Practitioner | 2 | 0 | 2 | 145 | 56 | 62% | 2.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 40 | 6 | 7% | 6.7 |
| Medical Director | 0 | 1 | 1 | 3 | 4 | 4% | 0.8 |
175 Certified Nursing Assistant
% of Days
100%
15 Registered Nurse
% of Days
100%
31 Licensed Practical Nurse
% of Days
100%
33 Medication Aide/Technician
% of Days
100%
10 Physical Therapy Assistant
% of Days
85%
4 RN Director of Nursing
% of Days
71%
3 Respiratory Therapy Technician
% of Days
73%
2 Dental Services Staff
% of Days
70%
5 Speech Language Pathologist
% of Days
71%
1 Physical Therapy Aide
% of Days
67%
3 Qualified Social Worker
% of Days
75%
2 Administrator
% of Days
70%
1 Occupational Therapy Aide
% of Days
69%
2 Nurse Practitioner
% of Days
62%
1 Occupational Therapy Assistant
% of Days
7%
1 Medical Director
% of Days
4%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
47
Medicare
20
42.6% of residents
Medicaid
15
31.9% of residents
Private pay or other
12
25.5% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
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.
11.0
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.3
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
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
15.2%
Percent of long-stay residents whose need for help with daily activities has increased
15.2%
27% better than Nebraska averageNebraska average: 20.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
25.5%
Percent of long-stay residents whose ability to move independently worsened
25.5%
15% worse than Nebraska averageNebraska average: 22.1%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.3%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.9%
Percent of long-stay residents experiencing one or more falls with major injury
5.9%
32% worse than Nebraska averageNebraska average: 4.5%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.0%
Percent of long-stay high risk residents with pressure ulcers
2.0%
54% better than Nebraska averageNebraska average: 4.3%
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 Nebraska averageNebraska average: 3.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.3%
Percent of long-stay residents who lose too much weight
6.3%
15% worse than Nebraska averageNebraska average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Nebraska averageNebraska average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
16.8%
Percent of long-stay residents who received an antipsychotic medication
16.8%
15% better than Nebraska averageNebraska average: 19.8%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
86.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
86.1%
8% worse than Nebraska averageNebraska average: 93.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.6%
In line with Nebraska averageNebraska average: 96.1%
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
76.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
76.3%
5% worse than Nebraska averageNebraska average: 80.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
83% better than Nebraska averageNebraska average: 2.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
76.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
76.7%
In line with Nebraska averageNebraska average: 75.9%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.8%
In line with Nebraska averageNebraska average: 20.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
8.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.5%
27% better than Nebraska averageNebraska average: 11.6%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.6%
Percentage of SNF residents who experience falls with major injury during their stay.
1.6%
104% worse than Nebraska averageNebraska average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
69.3%
Percentage of residents at or above expected ability to care for themselves at discharge.
69.3%
29% better than Nebraska averageNebraska average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
66.5%
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.
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
$13K
60% lower than Nebraska averageNebraska average: $33K
Number of fines
1
31% fewer fines than Nebraska averageNebraska average: 1.5
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 Nebraska averageNebraska average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$13K
Nebraska average
$33K
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.
Mar 21, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 21, 2023
$13K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Hillcrest Country Estates Cottages based on CMS SNF Cost Reports.
Occupancy Rate
68.9%
↑ 10.7pp vs 2022
Net Income
$222.3K
↑ ~$757.3K vs 2022
Total Payroll
$10.6M
↑ ~$433.4K vs 2022
Profit Margin
1.2%
↑ 4.5pp vs 2022
Loading trend charts...
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