Hillcrest Country Estates Cottages

Q: What neighborhood is Hillcrest Country Estates Cottages in?

Hillcrest Country Estates Cottages is in the Papillion Second II Precinct neighborhood of Papillion.

Q: Is Hillcrest Country Estates Cottages in a walkable area?

Hillcrest Country Estates Cottages has a walk score of 6. Car-dependent. Most errands require a car, with limited nearby walkable options.

Q: What is the occupancy rate at Hillcrest Country Estates Cottages?

Hillcrest Country Estates Cottages's occupancy is 24.7%.

Q: How long has Hillcrest Country Estates Cottages been in business?

Hillcrest Country Estates Cottages has been operating for approximately 38 years, based on available licensing and registration records.

Q: Are pets allowed at Hillcrest Country Estates Cottages?

No, Hillcrest Country Estates Cottages has a no-pet policy.

Q: Does Hillcrest Country Estates Cottages operate as a for-profit or non-profit?

Hillcrest Country Estates Cottages is registered as a for-profit in NE.

Nursing Home, Independent Living & Skilled Nursing · Papillion, NE

CMS overall rating

6082 Grand Lodge Ave, Papillion, NE 68133 View map

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Hillcrest Country Estates Cottages accepts Medicare, Medicaid, and private pay.

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Hillcrest Country Estates Cottages accepts Medicare, Medicaid, and private pay.

Overview of 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 4 hours 59 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.

Facility Direct Line (402) 885-7000

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours 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.

Hours per resident per day vs Nebraska averages

Total nursing care This nursing home is ranked 19th out of 117 nursing homes we track 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.

4h 59m

11% above state avg

Staff type

Hours / day / resident

vs state avg

Registered Nurse (RN)

55m

LPN / LVN

38m

Nurse Aide

3h 26m

Weekend Total Nursing

4h 27m

Physical Therapist

12m

Weekend RN

53m

1 of 6 metrics below state avg

By The Numbers

Community insights.

Bed count 186

Medium-capacity home · Offers a balance of services and community atmosphere.

Years of operating

38 years

Walk Score

6 / 100

Occupancy rate

24.7% This home usually has availability

Based on 46 residents and 186 beds. Source: state inspection report (Jul 2018)

Lower than the Nebraska average: 74.9%

Avg. Length of Stay

22 days

BBB Rating

A+ Accredited

How BBB ratings work

About this community

Facility TypeNursing Home

CountySarpy

CMS Certification Number285293

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

Medicaid

26 units

Medicaid and Medicare

22 units

Total beds

186 units

Respite Care

Fax(402) 885-7001

Pets not allowed

Community Kitchen

Cable Tv

Wi-Fi

Parking

Fitness Center

Swimming Pool

Modern Appliances

In-Unit Washer And Dryer

Landline Telephone Service

Access To Grand Lodge Amenities

This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.

Since 2011 · 15 years of data These figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
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

Overall vs. NE average

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	NE Average	vs. NE Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	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 Average deficiencies per inspection.	2.9	2.7	This facility has 7% more deficiencies per inspection than a typical Nebraska nursing home (2.9 vs. NE avg 2.7).↑ 7% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	NE Average	vs. NE Avg
Total inspections Combined count of all inspections conducted at this facility.	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

Show Inspection Reports

Inspections Since 2023 · 3 years of data

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Total health inspections 5

Nebraska average 4.6

Last Health inspection on Apr 2025

Total health citations

Nebraska average 18.8

Citations per inspection

4.4

Nebraska average 4.07

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

9 of 22 citations resulted from standard inspections; 7 of 22 resulted from complaint investigations; and 6 of 22 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)

Critical health citations

100% better than Nebraska average

Nebraska average: 0.2

Serious health citations

100% better than Nebraska average

Nebraska average: 0.5

0 critical citations Nebraska average: 0.2

0 serious citations Nebraska average: 0.5

22 moderate citations Nebraska average: 17.8

0 minor citations Nebraska average: 0.3

Citations history (last 3 years)

Abuse/Neglect moderate citation Apr 14, 2025

Corrected

Nursing Services moderate citation Apr 14, 2025

Corrected

Nutrition moderate citation Apr 14, 2025

Corrected

Nutrition moderate citation Apr 14, 2025

Corrected

Total staff 253

Employees 121

Contractors 132

Staff to resident ratio 5.38 : 1

253 total staff / 47 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).

173% more staff per resident than Nebraska average

Avg staff/day 44

Average shift 6.1 hours

22% worse than Nebraska average

Total staff hours (quarter) 24,490

Nursing staff breakdown

6.1 hours

4.3 hours

139

6.7 hours

Contractor staffing

7,604 contractor hours this quarter

Certified Nursing Assistant: 56 Licensed Practical Nurse: 20 Medication Aide/Technician: 17 Physical Therapy Assistant: 14 Respiratory Therapy Technician: 8 Speech Language Pathologist: 4 Registered Nurse: 3 Qualified Social Worker: 2 Nurse Practitioner: 2 Administrator: 1 Occupational Therapy Aide: 1 Medical Director: 1 Physical Therapy Aide: 1 Occupational Therapy Assistant: 1 Other Dietary Services Staff: 1

Staff by category


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

139 Certified Nursing Assistant

% of Days 100%

16 Registered Nurse

% of Days 100%

34 Licensed Practical Nurse

% of Days 100%

14 Physical Therapy Assistant

% of Days 84%

View All Staffing Data in Bellevue

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 12.3

23% worse than Nebraska average

Nebraska average: 10.1

Functional decline score 23.5

12% worse than Nebraska average

Nebraska average: 21.0

Long-stay resident measures

Below average Nebraska avg: 2.8

Need for Help with Daily Activities Increased 16.9%

11% better than Nebraska average

Nebraska average: 19.0%

Walking Ability Worsened 24.7%

36% worse than Nebraska average

Nebraska average: 18.2%

Low Risk Residents with Bowel/Bladder Incontinence 28.8%

11% worse than Nebraska average

Nebraska average: 25.9%

Falls with Major Injury 4.1%

8% better than Nebraska average

Nebraska average: 4.5%

High Risk Residents with Pressure Ulcers 4.9%

22% worse than Nebraska average

Nebraska average: 4.0%

Urinary Tract Infection 0.0%

100% better than Nebraska average

Nebraska average: 2.8%

Lost Too Much Weight 11.1%

116% worse than Nebraska average

Nebraska average: 5.1%

Depressive Symptoms 1.6%

62% better than Nebraska average

Nebraska average: 4.3%

Antipsychotic Use 21.3%

In line with Nebraska average

Nebraska average: 20.7%

Pneumococcal Vaccine 97.9%

5% better than Nebraska average

Nebraska average: 93.0%

Influenza Vaccine 92.6%

In line with Nebraska average

Nebraska average: 96.1%

Short-stay resident measures

Significantly above average Nebraska avg: 2.2

Pneumococcal Vaccine 96.1%

19% better than Nebraska average

Nebraska average: 80.9%

Antipsychotic medication increase 2.5%

26% worse than Nebraska average

Nebraska average: 2.0%

Influenza Vaccine 76.7%

In line with Nebraska average

Nebraska average: 75.9%

Re-hospitalized after SNF stay 20.8%

In line with Nebraska average

Nebraska average: 20.9%

Emergency department visits 8.5%

27% better than Nebraska average

Nebraska average: 11.6%

Falls with major injury 1.6%

104% worse than Nebraska average

Nebraska average: 0.8%

Ability to care for self at discharge 69.3%

29% better than Nebraska average

Nebraska average: 53.7%

Successful return to home or community 66.5%

32% better than Nebraska average

Nebraska average: 50.6%

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

Total residents 47

Medicare

42.6% of residents

Medicaid

31.9% of residents

Private pay or other

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.

Financial Trends

Historical financial and operational data for Hillcrest Country Estates Cottages from 2015–2023, based on CMS SNF Cost Reports. Includes all financial data for this property, which could include management/ownership changes.

Key figures below are for fiscal year ending in 12/2023.

Net Patient Income $90.0K ↑ ~$652.8K vs 2022

Payroll Costs $7.2M ↑ ~$1.4M vs 2022

Operating Margin 0.5% ↑ 4.2pp vs 2022

Metric	2015	2016	2017	2019	2020	2021	2022	2023
Occupancy %	94.5%	93.6%	92.4%	61.3%	51.2%	54.1%	58.2%	68.9%
Beds	126	126	126	186	186	186	186	186
Net Income	-$1,347,230	-$381,717	$551,003	-$156,732	-$1,042,410	$382,073	-$534,978	$222,313
Gross Revenue	$13,261,914	$18,468,332	$18,418,909	$16,411,792	$13,314,685	$15,055,207	$16,236,345	$17,955,123
Operating Expenses	$10,715,743	$12,694,854	$13,323,454	$14,035,567	$13,499,777	$14,694,743	$15,994,528	$17,256,901
Net Patient Income	$542,408	$791,539	$375,838	$203,510	-$1,082,434	-$832,311	-$562,765	$90,016
Net Patient Revenue	$11,258,151	$13,486,393	$13,699,292	$14,239,077	$12,417,343	$13,862,432	$15,431,763	$17,346,917
Payroll Costs	$5,308,228	$5,929,573	$6,227,734	$6,639,496	$6,625,577	$6,081,060	$5,831,129	$7,192,352
Operating Margin %	4.8%	5.9%	2.7%	1.4%	-8.7%	-6.0%	-3.7%	0.5%
Medicare %	5.5%	12.8%	13.1%	13.6%	12.9%	14.1%	14.5%	13.0%
Medicaid %	16.5%	14.9%	16.7%	15.9%	17.0%	16.7%	14.8%	13.7%
Private %	78.0%	72.3%	70.2%	70.5%	70.1%	69.2%	70.8%	73.2%
Net Patient Revenue/Day	$283	$312	$323	$342	$357	$378	$391	$371
Cost/Day	$270	$294	$314	$337	$388	$400	$405	$369
Avg Length of Stay	21.7 days	19.9 days	20.4 days	22.4 days	23.8 days	24.8 days	21.3 days	22.5 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$17.3M

Net patient income

$90.0K

For-profit Operated by a limited liability company.

Net patient revenue

$17.3M

Net patient income

$90.0K

Other income

$132.3K

Payroll costs

$7.2M 41.5% of net patient revenue

Other operating costs

$10.1M

Total costs

$17.3M

TYPE OF STAY

Mostly short-term rehab stays

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.

Medicare 63%

Private pay 35%

Medicaid 2%

Coverage residents most often leave under.

Medicare 65%

Private pay 31%

Medicaid 3%

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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Aged and Disabled Waiver

Nebraska Medicaid A&D Waiver

Age 65+ or disabled

General Nebraska resident, Medicaid- eligible, nursing home-level care need.

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $4,000 individual, higher than most states

Higher asset limit; rural access focus.

Benefits

Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Nebraska Respite Network

NE Respite Network

Age Caregiver of someone 60+

General Nebraska resident.

Income Limits No strict limit; prioritizes low-income.

Asset Limits Not applicable.

Lifespan respite focus; limited funding.

Benefits

In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Personal Assistance Services (PAS)

Nebraska Personal Assistance Services

Age 19+ (65+ for seniors focus)

General Nebraska resident, Medicaid-eligible, needs help with 1+ ADL (e.g., bathing, dressing).

Income Limits (2025) ~$1,255/month (100% FPL, individual); spenddown allowed.

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

Family can be paid caregivers; statewide via DHHS.

Benefits

Personal care (4-6 hours/day) Limited homemaker services Respite (~200 hours/year)

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

Nebraska PACE (Immanuel Pathways)

Age 55+

General Nebraska resident (specific counties), NFLOC, safe with PACE support.

Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.

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

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

Benefits

Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

Medicare Savings Program (MSP)

Nebraska Medicare Savings Program

Age 65+ or disabled

General Nebraska resident, Medicare Part A/B.

Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

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

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

Benefits

Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

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

Nebraska VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse

General Nebraska resident, wartime service, need for ADL help (A&A) or homebound.

Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits ~$155,356 net worth limit

High veteran demand in rural areas.

Benefits

Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

What neighborhood is Hillcrest Country Estates Cottages in?

Hillcrest Country Estates Cottages is in the Papillion Second II Precinct neighborhood of Papillion.

Who is the owner of Hillcrest Country Estates Cottages?

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

Is Hillcrest Country Estates Cottages in a walkable area?

Hillcrest Country Estates Cottages has a walk score of 6. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at Hillcrest Country Estates Cottages?

Hillcrest Country Estates Cottages's occupancy is 24.7%.

How long has Hillcrest Country Estates Cottages been in business?

Hillcrest Country Estates Cottages has been operating for approximately 38 years, based on available licensing and registration records.

Are pets allowed at Hillcrest Country Estates Cottages?

No, Hillcrest Country Estates Cottages has a no-pet policy.

Does Hillcrest Country Estates Cottages operate as a for-profit or non-profit?

Hillcrest Country Estates Cottages is registered as a for-profit in NE.

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Hillcrest Country Estates Cottages

Overview of Hillcrest Country Estates Cottages

Quality ratings

Community insights.

About this community

License Details

Ownership & Operating Entity

Type Of Units

Therapy & Rehabilitation

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Hillcrest Country Estates Cottages

Inspection History

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.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

CMS Health Inspection History

Inspections Since 2023 · 3 years of data

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

139 Certified Nursing Assistant

16 Registered Nurse

34 Licensed Practical Nurse

14 Physical Therapy Assistant

3 RN Director of Nursing

21 Medication Aide/Technician

8 Respiratory Therapy Technician

2 Dental Services Staff

4 Speech Language Pathologist

1 Physical Therapy Aide

3 Administrator

2 Qualified Social Worker

2 Nurse Practitioner

1 Occupational Therapy Aide

1 Occupational Therapy Assistant

1 Medical Director

1 Other Dietary Services Staff

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

CCRC

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Places of interest near Hillcrest Country Estates Cottages

Calculate Travel Distance to Hillcrest Country Estates Cottages

Financial Assistance for Nursing Home in Nebraska

Aged and Disabled Waiver

Nebraska Respite Network

Personal Assistance Services (PAS)

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

Medicare Savings Program (MSP)

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

Guides for Better Senior Living

Financial Assistance for
Nursing Home in Nebraska