Occupancy rate
72%
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.
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Nursing Home
Hilltop Estates
Hilltop Estates is a rehabilitation center in Gothenburg, NE. It offers primary nursing care and a variety of rehabilitation services including orthotic and prosthetic training, balance training, and speech therapy. The facility is dedicated to providing quality care with respect, dignity, and kindness.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
64
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
71.9%
Residents per day (avg)
42
Occupancy rate
71.9%
Residents per day (avg)
42
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
67% of new residents, usually for short-term rehab.
Typical stay
22 days
Private pay
28% of new residents, often for short stays.
Typical stay
10 - 11 months
Medicaid
5% of new residents, often for long-term daily care.
Typical stay
5 - 6 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$6.3M
Profit
$350.6K
Privately-owned community
Operated by a business corporation.
Home revenue
$6,259,080.00
Profit
$350,633.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.0M
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.
$2.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.9M
64-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy
In line with Nebraska averageOccupied beds
46 / 64
Average residents
54 per day
License details
Facility type
Nursing Home
County:
DAWSON
Additional licensing details
CMS Certification Number:
285163
Certification type:
Certification
Ownership & operating entity
Hilltop Estates is administrated by Scott Bahe, Administrator.
Owner name:
K. C. HEALTH CARE ENTERPRISES, INC.
Care Services
Nursing Services
Rehabilitation Services
Licensed Nurses/CNAs
Contact Information
Fax:
(308) 537-7130
Programs & Activities
Specific Programs
Faculty, Rehabilitation, Employment Opportunities, Photo Tour, Reviews, About, Contact
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.
15 visits/inspections
7 visits/inspections triggered by complaints
2 routine inspections
Results
9 with issues
6 without issues
Show Inspection Reports
Latest inspection
Date:January 27, 2025
Type:Renewal
53 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Health Inspection History
Inspections
Total health inspections
2
Nebraska average 4.3
Last Health inspection on Mar 2025
Total health citations
7
Nebraska average 18.2
Citations per inspection
3.5
Nebraska average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 7 citations resulted from standard inspections.
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
7 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 18, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 18, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 18, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 18, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Mar 18, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Mar 18, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 18, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 18, 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 Nebraska The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
Hilltop Estates
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).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
GOTHENBURG
64
66.7%
-5%
4.50
+1%
0
7
0
42
-
K C Health Care Enterprises Inc
$5,2M
$3,0M
57.4%
285163
Accura HealthCare of Hartington
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).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HARTINGTON
67
63.6%
-10%
4.13
-7%
0
7
0
31
-
Klaasmeyer, Kenneth
$3,7M
$2,1M
57.9%
285088
Accura HealthCare of Tekamah
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).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
TEKAMAH
46
72.0%
+2%
3.83
-14%
0
12
0
30
-
Geis, Heather
$3,1M
$2,1M
66.4%
285118
Arbor Care Center-Valhaven, LLC
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).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
VALLEY
66
72.4%
+3%
4.08
-8%
0
18
1
50
A+
-
$5,0M
$3,2M
64%
285117
Arbor Care Centers – Ord, LLC
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).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
ORD
60
51.8%
-26%
3.76
-16%
0
29
1
35
-
Luth, Kurt
$2,9M
$1,5M
52.9%
285294
Places of interest near Hilltop Estates
0.0 miles from city center
2520 Avenue M, GOTHENBURG, NE 69138
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
103
Employees
93
Contractors
10
Staff to resident ratio
2.34:1
9% better than Nebraska averageNebraska average ratio: 2.15:1
Avg staff/day
27
Average shift
7.2 hours
8% worse than Nebraska averageNebraska average: 7.8 hours
Total staff hours (quarter)
17,575
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
49
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
2.4%
429 contractor hours this quarter
Respiratory Therapy Technician: 2
Speech Language Pathologist: 2
Physical Therapy Aide: 1
Physical Therapy Assistant: 1
Medical Director: 1
Qualified Social Worker: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 49 | 0 | 49 | 8,770 | 91 | 100% | 7.3 |
| Registered Nurse | 11 | 0 | 11 | 2,040 | 90 | 99% | 10.3 |
| Licensed Practical Nurse | 7 | 0 | 7 | 1,677 | 85 | 93% | 9.6 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,166 | 78 | 86% | 6.4 |
| Medication Aide/Technician | 14 | 0 | 14 | 878 | 90 | 99% | 5.4 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 490 | 71 | 78% | 6.9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 435 | 59 | 65% | 7.4 |
| RN Director of Nursing | 1 | 0 | 1 | 429 | 57 | 63% | 7.5 |
| Administrator | 1 | 0 | 1 | 424 | 55 | 60% | 7.7 |
| Nurse Aide in Training | 2 | 0 | 2 | 332 | 44 | 48% | 6.8 |
| Speech Language Pathologist | 0 | 2 | 2 | 155 | 42 | 46% | 3 |
| Physical Therapy Aide | 0 | 1 | 1 | 77 | 45 | 49% | 1.7 |
| Physical Therapy Assistant | 0 | 1 | 1 | 50 | 28 | 31% | 1.8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 40 | 6 | 7% | 6.6 |
| Medical Director | 0 | 1 | 1 | 33 | 12 | 13% | 2.8 |
| Qualified Social Worker | 0 | 1 | 1 | 30 | 22 | 24% | 1.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 25 | 12 | 13% | 2.1 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 20 | 18 | 20% | 1.1 |
49 Certified Nursing Assistant
% of Days
100%
11 Registered Nurse
% of Days
99%
7 Licensed Practical Nurse
% of Days
93%
5 Other Dietary Services Staff
% of Days
86%
14 Medication Aide/Technician
% of Days
99%
1 Nurse Practitioner
% of Days
69%
1 Mental Health Service Worker
% of Days
78%
1 Clinical Nurse Specialist
% of Days
65%
1 RN Director of Nursing
% of Days
63%
1 Administrator
% of Days
60%
2 Nurse Aide in Training
% of Days
48%
2 Speech Language Pathologist
% of Days
46%
1 Physical Therapy Aide
% of Days
49%
1 Physical Therapy Assistant
% of Days
31%
1 Occupational Therapy Aide
% of Days
7%
1 Medical Director
% of Days
13%
1 Qualified Social Worker
% of Days
24%
1 Occupational Therapy Assistant
% of Days
13%
2 Respiratory Therapy Technician
% of Days
20%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
44 residents
Residents by payment source
Medicare
2 residents (4.5%)
Medicaid
22 residents (50%)
Private pay or other
20 residents (45.5%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
6.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.0
47% better than Nebraska averageNebraska average: 11.3
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.8
45% better than Nebraska averageNebraska average: 23.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
8.2%
Percent of long-stay residents whose need for help with daily activities has increased
8.2%
60% better than Nebraska averageNebraska average: 20.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
10.5%
Percent of long-stay residents whose ability to move independently worsened
10.5%
53% better 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
19.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.8%
26% better than Nebraska averageNebraska average: 26.9%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.0%
Percent of long-stay residents experiencing one or more falls with major injury
5.0%
11% worse than Nebraska averageNebraska average: 4.5%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.5%
Percent of long-stay high risk residents with pressure ulcers
6.5%
51% worse 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
0.0%
Percent of long-stay residents who lose too much weight
0.0%
100% better than Nebraska averageNebraska average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.3%
Percent of long-stay residents who have depressive symptoms
1.3%
70% better than Nebraska averageNebraska average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
20.0%
Percent of long-stay residents who received an antipsychotic medication
20.0%
In line with Nebraska averageNebraska average: 19.8%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than Nebraska averageNebraska average: 93.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Nebraska averageNebraska average: 96.1%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.7%
19% better than Nebraska averageNebraska average: 80.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Nebraska averageNebraska average: 2.4%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Hilltop Estates based on CMS SNF Cost Reports.
Occupancy Rate
66.7%
↑ 5.7pp vs 2022
Net Income
$350,633
↑ ~$250K vs 2022
Total Payroll
$3,553,266
↑ ~$580K vs 2022
Profit Margin
6.7%
↑ 4.4pp vs 2022
Loading trend charts...
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