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Nursing Home

Hillcrest Country Estates Cottages

Nursing Home

Hillcrest Country Estates Cottages

6082 Grand Lodge Ave, Papillion, NE 68133 View map
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.

(402) 885-7000

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
2/5
Nebraska average: 2.8/5
Health Inspection Info 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.
2/5
Nebraska average: 2.8/5
Staffing Info 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.
4/5
Nebraska average: 3.1/5
Quality Measures Info 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.
3/5
Nebraska average: 2.8/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
5h 35m per day

This home provides 30% more nursing time per resident than the Nebraska average.

Nebraska average: 4h 19m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 44m per day 43m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 3h 43m per day 2h 46m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 4h 43m per day 3h 37m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 11m per day 3m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 45m per day 29m per day 29m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 186

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Nebraska average
Occupancy rate 24.7%
Residents per day (avg) 44
Occupancy rate
24.7%
Residents per day (avg)
44

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

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
$18,087,420.00
Profit
$222,313.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.3M
34.7% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$11.6M
Total costs $17.9M
Bed community size
186-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Years in operation
38 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 6 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
BBB Rating
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

Services

Physical Therapy
Occupational Therapy
Speech Therapy

About this community

Occupancy

Occupancy rate
25%
In line with Nebraska average
Occupied beds
46 / 186
Average residents 54 per day

License details

Facility type
Nursing Home
County: SARPY

Additional licensing details

CMS Certification Number: 285293

Ownership & operating entity

Hillcrest Country Estates Cottages is legally operated by SNF/NF Distinct, and administrated by Shyann Walker.

Type Of Units

Medicaid
26 units
Medicaid and Medicare
22 units
Total beds
186 units

Safety & Compliance

Staffing

Key information about the people who lead and staff this community.

Leadership

Contact: Jim Janicki, Chief Administrative Officer

Care Services

Respite Care
Independent Living

Contact Information

Fax: (402) 885-7001

Amenities & Lifestyle

Full kitchen
modern appliances
in-unit washer and dryer
all utilities included
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

Programs & Activities

Specific Programs
Independent Living, Assisted Living, Memory Care, Skilled Nursing, Respite Care, Adult Day Services, In-Home Care

Pricing & Financial Information

Types of Care at Hillcrest Country Estates Cottages

Nursing Home
Contact Hillcrest Country Estates Cottages

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

15 visits/inspections triggered by complaints

4 routine inspections

Results

15 with issues

12 without issues

Latest inspection

Date:March 12, 2024
Type:Renewal

78 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

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 More info 0
100% better than Nebraska average

Nebraska average: 0.2


Serious Health citations More info 0
100% better than Nebraska average

Nebraska average: 0.5

0 critical citations More info Nebraska average: 0.2

0 serious citations More info Nebraska average: 0.5

22 moderate citations More info Nebraska average: 17.2

0 minor citations More info Nebraska average: 0.2
Citations history (last 3 years)
Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Apr 14, 2025
Corrected

Nursing Services moderate citation Info Issues related to the availability and quality of nursing staff and the care they provide. Apr 14, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Apr 14, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Apr 14, 2025
Corrected

Compare Nursing Homes around Bellevue The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.

3 facilities compared · CMS & NE Dept. of Health data · Updated Mar 2026

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
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
186
68.9%
-2%
5.59
-46%
+25%
1
22
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
5
53
-
47
Omaha Operations Llc
$7,8M
$4,0M
50.6%
285097

Places of interest near Hillcrest Country Estates Cottages

Address 5.5 miles from city center — 1.13 miles to nearest hospital (Hy-Vee Pharmacy)

Address 6082 Grand Lodge Ave, Papillion, NE 68133

Calculate Travel Distance to Hillcrest Country Estates Cottages

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Address

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 average

Nebraska average ratio: 2.15:1

Avg staff/day 45
Average shift 6.2 hours
21% worse than Nebraska average

Nebraska 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 Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 5.9 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 31
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 4.7 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 175
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.9 hours

This 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 Assistant789717513,91791100%6.9
Registered Nurse105152,50991100%5.9
Licensed Practical Nurse922312,23491100%4.7
Medication Aide/Technician627331,44991100%6.3
Physical Therapy Assistant010109057785%6.6
RN Director of Nursing4048626571%6
Respiratory Therapy Technician0337746673%6.5
Dental Services Staff2025866470%4.9
Speech Language Pathologist0554976571%7.1
Physical Therapy Aide0114286167%7
Qualified Social Worker0333786875%5.5
Administrator2023126470%2.6
Occupational Therapy Aide0111956369%3.1
Nurse Practitioner2021455662%2.6
Occupational Therapy Assistant0114067%6.7
Medical Director011344%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 census
47 residents
Residents by payment source
Medicare
20 residents (42.6%)
Medicaid
15 residents (31.9%)
Private pay or other
12 residents (25.5%)
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.

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 Info 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 average

Nebraska average: 11.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 24.3
In line with Nebraska average

Nebraska average: 23.3

Long-stay resident measures
Average Nebraska avg: 3.2 Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 15.2%
27% better than Nebraska average

Nebraska average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 25.5%
15% worse than Nebraska average

Nebraska average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 32.3%
20% worse than Nebraska average

Nebraska average: 26.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.9%
32% worse than Nebraska average

Nebraska average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.0%
54% better than Nebraska average

Nebraska average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Nebraska average

Nebraska average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.3%
15% worse than Nebraska average

Nebraska average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Nebraska average

Nebraska average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 16.8%
15% better than Nebraska average

Nebraska average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 86.1%
8% worse than Nebraska average

Nebraska average: 93.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 92.6%
In line with Nebraska average

Nebraska average: 96.1%

Short-stay resident measures
Significantly above average Nebraska avg: 3.0 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 76.3%
5% worse than Nebraska average

Nebraska average: 80.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.4%
83% better than Nebraska average

Nebraska average: 2.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 76.7%
In line with Nebraska average

Nebraska average: 75.9%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 20.8%
In line with Nebraska average

Nebraska average: 20.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 8.5%
27% better than Nebraska average

Nebraska average: 11.6%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.6%
104% worse than Nebraska average

Nebraska average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 69.3%
29% better than Nebraska average

Nebraska average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 66.5%
32% better than Nebraska average

Nebraska average: 50.6%

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 average

Nebraska average: $33K

Number of fines 1
31% fewer fines than Nebraska average

Nebraska average: 1.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Nebraska average

Nebraska 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Mar 21, 2023
$13K

Last updated: Jan 2026

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Financial Aid for Nebraska Seniors

Get financial aid guidance

Aged and Disabled Waiver

Nebraska Medicaid A&D Waiver

Age 65+ or disabled, Nebraska resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$4,000 (individual, higher than most states).

Higher asset limit; rural access focus.

Nebraska Respite Network

NE Respite Network

Caregiver of someone 60+, Nebraska resident.

No strict limit; prioritizes low-income.

Not applicable.

Lifespan respite focus; limited funding.

Personal Assistance Services (PAS)

Nebraska Personal Assistance Services

Age 19+ (65+ for seniors focus), Nebraska resident, Medicaid-eligible, needs help with 1+ ADL (e.g., bathing, dressing).

~$1,255/month (100% FPL, individual); spenddown allowed.

$4,000 (individual), $6,000 (couple) (excludes home up to $688,000, car).

Family can be paid caregivers; statewide via DHHS.

Program of All-Inclusive Care for the Elderly (PACE)

Nebraska PACE (Immanuel Pathways)

Age 55+, Nebraska resident (specific counties), NFLOC, safe with PACE support.

~$2,829/month (Medicaid-eligible); private pay option available.

$4,000 (individual), $6,000 (couple).

Only in Douglas, Sarpy, parts of Cass/Pottawattamie/Washington Counties.

Medicare Savings Program (MSP)

Nebraska Medicare Savings Program

Age 65+ or disabled, Nebraska resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Senior Community Service Employment Program (SCSEP)

Nebraska SCSEP

Age 55+, unemployed, low-income, Nebraska resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Nebraska VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Nebraska resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.