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.
Hilltop Estates
Nursing Home in Nebraska
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.
Hilltop Estates
Nursing Home in Nebraska
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.
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.
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 49th 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 49th 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.
4h 30m per day
vs Nebraska avg
+4%
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
64
Avg. Length of Stay
236 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
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
$6.3M
Profit
$350.6K
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
Facility TypeNursing Home
CountyDawson
CMS Certification Number285163
Certification TypeCertification
Hilltop Estates is administrated by Scott Bahe, Administrator.
Owner NameK. C. HEALTH CARE ENTERPRISES, INC.
Rehabilitation Services
Fax(308) 537-7130
Specific ProgramsFaculty, 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
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
January 27, 2025
Renewal53 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Nebraska average: 52 deficiencies
Inspection Report Summary for Hilltop Estates
The most recent inspection-related document for Hilltop Estates, dated January 27, 2025, showed no deficiencies and certified compliance for license renewal. Earlier inspections revealed a pattern of deficiencies primarily related to medication administration errors, care plan updates, infection control, and facility maintenance issues such as housekeeping and fire drill scheduling. Complaint investigations generally found the facility in compliance, with most allegations unsubstantiated, and no fines or enforcement actions were listed in the available reports. Some prior reports noted issues with staff training on specialized care and timely physician notifications, but these were not repeated in later inspections. The overall trend suggests improvement over time, culminating in a clean renewal inspection in 2025.
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.
Filter by care type
| 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 | +11% | +1% | 0 | 7 | 3.5 | 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 (Precinct 9) | 67 | 63.6% | -10% | 4.13 | -7% | -7% | 0 | 7 | 2.3 | 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 | +19% | -14% | 0 | 12 | 4.0 | 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 (Platte Valley Precinct) | 66 | 72.4% | +3% | 4.08 | -2% | -8% | 0 | 18 | 4.5 | 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 | +15% | -16% | 0 | 29 | 7.3 | 1 | 35 | - | - | Luth, Kurt | $2.9M | $1.5M | 52.9% | 285294 |
Financial Assistance for
Nursing Home in Nebraska
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Estimated distance in miles from GOTHENBURG's city center to Hilltop Estates's address, calculated via Google Maps.
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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 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.
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
$350.6K
↑ ~$249.8K vs 2022
Total Payroll
$3.6M
↑ ~$579.9K vs 2022
Profit Margin
6.7%
↑ 4.4pp vs 2022
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