Hilltop Estates
Nursing Home & Skilled Nursing · Gothenburg, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Hilltop Estates

Nursing Home & Skilled Nursing · Gothenburg, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Hilltop Estates accepts Medicare, Medicaid, and private pay.

Overview of 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

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.
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.
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.
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.

Staffing hours breakdown

Info 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 — compared to state averages

Total nursing care / resident Info 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 30m per day
Rank #48 / 128Nurse hours — State benchmarkedThis home is ranked 48th out of 128 homes in Nebraska for Nurse Hours. Shows adjusted nurse hours per resident per day benchmarked to the Nebraska average, with a ranking across 128 Nebraska facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg

4 of 6 metrics below state avg

Standout metric Weekend RN is +29% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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. 45m per day ▲ 5% State avg: 43m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 29m per day ▼ 32% State avg: 43m per day · National avg: 52m per day
Nurse Aide Info 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. 2h 39m per day ▼ 4% State avg: 2h 46m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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. 3h 19m per day ▼ 8% State avg: 3h 37m per day · National avg: 3h 26m per day
Physical Therapist Info 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. 1m per day ▼ 82% State avg: 3m per day · National avg: 4m per day
Weekend RN Info 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. 37m per day ▲ 29% State avg: 29m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
236 days
Bed community size
64-bed community Rank #122 / 228Bed count — State benchmarkedThis home is ranked 122nd out of 228 homes in Nebraska for Bed Count. Shows this facility's certified or reported bed count compared to other Nebraska facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 49 / 100 Rank #147 / 296Walk Score — State benchmarkedThis home is ranked 147th out of 296 homes in Nebraska for Walk Score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Nebraska facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
72%
Rank #105 / 183Occupancy rate — State benchmarkedThis home is ranked 105th out of 183 homes in Nebraska for Occupancy. Shows this facility's occupancy rate versus the Nebraska average, with its Statewide rank out of 183. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Similar to the Nebraska average: 70.3%
Occupied beds
46 / 64
Average occupied beds in Nebraska homes 54 beds

License Details

Facility TypeNursing Home
CountyDawson
CMS Certification Number285163
Certification TypeCertification

Ownership & Operating Entity

Hilltop Estates is administered by Administrator Scott Bahe.

Owner NameK. C. Health Care Enterprises, Inc

Therapy & Rehabilitation

1 service
Rehabilitation Services

Contact Information

Fax(308) 537-7130

Additional Policies & Features

Pets not allowed

Contact Hilltop Estates

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.

Since 2011 · 15 years of data 53 deficiencies

Inspection Scorecard Info 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 1 Worse Metrics worse than Nebraska average:
• Total deficiencies (2% above)
1 At Avg Metrics at Nebraska average:
• Deficiencies per year (at NE avg)
0 Better No metrics in this bucket.
Latest Inspection January 27, 2025 Renewal

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityNE Averagevs. NE Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 5352 This facility has 2% more total deficiencies than a typical Nebraska assisted living residence (53 vs. NE avg 52).↑ 2% worse
Deficiencies per year Info Average deficiencies per year since 2011. 3.53.5 This facility has deficiencies per year in line with the Nebraska average (3.5 vs. NE avg 3.5).— At avg

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The January 27, 2025 licensure renewal application certified full compliance with all state regulations and reported no deficiencies or complaints.
  • The October 2, 2017 complaint investigation found eight deficiencies including medication errors, unsanitary conditions, incomplete care plan revisions, and fire safety lapses.
  • Complaint investigations in 2018 and 2019 found no substantiated violations, confirming compliance with fall prevention, resident dignity, and food safety allegations.

Health Inspection History

Inspections since 2024
Total health inspections 2

State average N/A


Last Health inspection on Mar 2025

Total health citations
7 Rank #14 / 131Health citations — State benchmarkedThis home is ranked 14th out of 131 homes in Nebraska for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Nebraska State average, with a ranking across all 131 NE facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
3.5 Rank #44 / 131Citations per inspection — State benchmarkedThis home is ranked 44th out of 131 homes in Nebraska for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Nebraska mean across 131 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


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 2 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

7 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 2 years)
Infection Control moderate citation Mar 18, 2025
Corrected

Nutrition moderate citation Mar 18, 2025
Corrected

Pharmacy moderate citation Mar 18, 2025
Corrected

Quality of Care moderate citation Mar 18, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 88
Employees 76
Contractors 12
Staff to resident ratio 2.00 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 26
Average shift 7.2 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 17,219

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 5 RN Staff are full-time employees. No contractors work on this role. 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 7 total: 5 full-time employees and 2 contractors. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.6 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 46 CNA Staff are full-time employees. No contractors work on this role. 46
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.1 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

3.1%

542 contractor hours this quarter

Speech Language Pathologist: 2 Licensed Practical Nurse: 2 Respiratory Therapy Technician: 2 Physical Therapy Assistant: 1 Qualified Social Worker: 1 Medical Director: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Respiratory Therapist: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant460469,05792100%7.1
Registered Nurse5051,91992100%10.7
Licensed Practical Nurse5271,4328795%9.6
Other Dietary Services Staff3031,3717480%7.3
Medication Aide/Technician110118358491%6.4
Mental Health Service Worker1014927379%6.7
Nurse Practitioner1014725964%8
Clinical Nurse Specialist1014316368%6.8
Administrator1014165257%8
RN Director of Nursing1014026166%6.6
Speech Language Pathologist0221103942%2.6
Physical Therapy Assistant0111035762%1.8
Occupational Therapy Aide0114267%7
Respiratory Therapy Technician022332224%1.5
Medical Director011301112%2.8
Occupational Therapy Assistant0112378%3.3
Nurse Aide in Training1012355%4.6
Qualified Social Worker011232224%1.1
Respiratory Therapist011444%1.1
46 Certified Nursing Assistant
% of Days 100%
5 Registered Nurse
% of Days 100%
7 Licensed Practical Nurse
% of Days 95%
3 Other Dietary Services Staff
% of Days 80%
11 Medication Aide/Technician
% of Days 91%
1 Mental Health Service Worker
% of Days 79%
1 Nurse Practitioner
% of Days 64%
1 Clinical Nurse Specialist
% of Days 68%
1 Administrator
% of Days 57%
1 RN Director of Nursing
% of Days 66%
2 Speech Language Pathologist
% of Days 42%
1 Physical Therapy Assistant
% of Days 62%
1 Occupational Therapy Aide
% of Days 7%
2 Respiratory Therapy Technician
% of Days 24%
1 Medical Director
% of Days 12%
1 Occupational Therapy Assistant
% of Days 8%
1 Nurse Aide in Training
% of Days 5%
1 Qualified Social Worker
% of Days 24%
1 Respiratory Therapist
% of Days 4%

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

No penalties in the past 3 years

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

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. 6.0
47% better than State average

State average: 11.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 12.8
45% better than State average

State average: 23.3

Long-stay resident measures
Above average State avg: 2.8 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 8.2%
60% better than State average

State average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 10.5%
53% better than State average

State 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 19.8%
26% better than State average

State average: 26.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.0%
11% worse than State average

State average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.5%
51% worse than State average

State average: 4.3%

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

State average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 0.0%
100% better than State average

State average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.3%
70% better than State average

State average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 20.0%
In line with State average

State average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
7% better than State average

State average: 93.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with State average

State average: 96.1%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.14
19% worse than State average

State average: 1.80

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.16
41% better than State average

State average: 1.95

Short-stay resident measures
Significantly above average State avg: 2.2 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 95.7%
19% better than State average

State average: 80.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 2.4%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 14.4%
31% better than State average

State average: 20.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 0.0%
100% better than State average

State average: 11.6%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State 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. 47.1%
12% worse than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 35.1%
31% worse than State average

State average: 50.6%

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 44
Medicare
2
4.5% of residents
Medicaid
22
50% of residents
Private pay or other
20
45.5% of residents
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.

Finances and operations

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

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.0M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$671.1K
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.0M Rank #73 / 129Revenue — State benchmarkedThis home is ranked 73rd out of 129 homes in Nebraska for Revenue. Shows this facility's annual revenue compared to the Nebraska average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$671.1K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$1.0M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #71 / 129Payroll — State benchmarkedThis home is ranked 71st out of 129 homes in Nebraska for Payroll. Shows total annual staff payroll benchmarked to the Nebraska average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.6M 71.8% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #74 / 129Payroll % — State benchmarkedThis home is ranked 74th out of 129 homes in Nebraska for Payroll %. Shows payroll as a percentage of revenue versus the Nebraska average. Well-run Nebraska facilities typically land around 66–74% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.1M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$5.6M

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.

Most new residents arrive under Medicare (67% of admissions), and a typical Medicare stay runs around 22 days.

Admissions
75 total

Coverage residents most often arrive under.

Medicare 67%
Private pay 28%
Medicaid 5%
Discharges
66 total

Coverage residents most often leave under.

Medicare 36%
Private pay 41%
Medicaid 23%

Places of interest near Hilltop Estates

Address 0.0 miles from city center Info Estimated distance in miles from Gothenburg's city center to Hilltop Estates's address, calculated via Google Maps.

Calculate Travel Distance to Hilltop Estates

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Address

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The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.

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Frequently Asked Questions about Hilltop Estates

Who is the owner of Hilltop Estates?

Hilltop Estates is legally operated by K. C. Health Care Enterprises, Inc., and administered by Administrator Scott Bahe.

Is Hilltop Estates in a walkable area?

Hilltop Estates has a walk score of 49. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Hilltop Estates?

Hilltop Estates's occupancy is 72%.

Are pets allowed at Hilltop Estates?

No, Hilltop Estates has a no-pet policy.

Does Hilltop Estates operate as a for-profit or non-profit?

Hilltop Estates is registered as a for-profit in NE.

Who is the administrator of Hilltop Estates?

Administrator Scott Bahe is the administrator of Hilltop Estates.

How many beds does Hilltop Estates have?

Hilltop Estates has 64 beds.

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