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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
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.
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.
This home is ranked 41st out of 108 homes in Nebraska.| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 47m per day | ▲ 9% State avg: 43m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 37m per day | ▼ 14% State avg: 43m per day · National avg: 52m per day |
|
Nurse Aide
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 |
|
Total Nursing (Weekend)
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 28m per day | ▼ 4% State avg: 3h 37m per day · National avg: 3h 26m per day |
|
RN (Weekend)
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.
| 36m per day | ▲ 24% State avg: 29m per day · National avg: 28m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
67% of new residents, usually for short-term rehab.
28% of new residents, often for short stays.
5% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #53 / 111Payroll — State benchmarkedThis home is ranked 53rd out of 111 homes in Nebraska.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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Similar to the Nebraska average: 70.3%Hilltop Estates is administrated by Administrator Scott Bahe.
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.
This scorecard compares key inspection, citation, 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 are formal regulatory issues recorded during state inspections.
| Metric | This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 53 | 52 | This facility has 2% more total deficiencies than a typical Nebraska nursing home (53 vs. NE avg 52). Click this badge to view the full Nebraska ranking.↑ 2% worse |
|
Deficiencies per year
Average deficiencies per year since 2011.
| 3.5 | 3.5 | This facility has deficiencies per year in line with the Nebraska average (3.5 vs. NE avg 3.5). Click this badge to view the full Nebraska ranking.— At avg |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNebraska average 4.3
Last Health inspection on Mar 2025
Nebraska average 18.2
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.
100% better than Nebraska averageNebraska average: 0.2
100% better than Nebraska averageNebraska average: 0.5
Corrected
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Hilltop Estates is located in GOTHENBURG, Nebraska.
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0.0 miles from city center
Estimated distance in miles from Gothenburg's city center to Hilltop Estates's address, calculated via Google Maps.
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Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
9% better than Nebraska average
8% worse than Nebraska average
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
429 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
44Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
8.2%
60% better than Nebraska averageNebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
10.5%
53% better than Nebraska averageNebraska average: 22.1%
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%
Percent of long-stay residents experiencing one or more falls with major injury
5.0%
11% worse than Nebraska averageNebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
6.5%
51% worse than Nebraska averageNebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Nebraska averageNebraska average: 3.1%
Percent of long-stay residents who lose too much weight
0.0%
100% better than Nebraska averageNebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
1.3%
70% better than Nebraska averageNebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
20.0%
In line with Nebraska averageNebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than Nebraska averageNebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Nebraska averageNebraska average: 96.1%
Number of hospitalizations per 1,000 long-stay resident days.
2.14
19% worse than Nebraska averageNebraska average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.16
41% better than Nebraska averageNebraska average: 1.95
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.7%
19% better than Nebraska averageNebraska average: 80.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Nebraska averageNebraska average: 2.4%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
14.4%
31% better than Nebraska averageNebraska average: 20.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
0.0%
100% better than Nebraska averageNebraska average: 11.6%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Nebraska averageNebraska average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
47.1%
12% worse than Nebraska averageNebraska average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
35.1%
31% worse than Nebraska averageNebraska average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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.
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 | +11% | +1% | $0 | 7 | 3.5 | - | 42 | - | 49 | K C Health Care Enterprises Inc | $6.3M | $3.6M | 56.8% | 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) | 47 | 63.6% | -10% | 4.13 | -7% | -7% | $0 | 7 | 2.3 | - | 31 | - | 52 | Kenneth Klaasmeyer | $4.5M | $2.7M | 59% | 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 | - | 30 | - | 59 | Heather Geis | $3.1M | $2.6M | 81.9% | 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+ | 43 | - | $5.0M | $3.8M | 76.3% | 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 | - | 62 | Kurt Luth | $2.9M | $1.9M | 67.3% | 285294 |
Historical financial and operational data for Hilltop Estates based on CMS SNF Cost Reports.
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The legal owner and operator of Hilltop Estates is K. C. Health Care Enterprises, Inc..
Hilltop Estates has a walk score of 49. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Hilltop Estates's occupancy is 72%.
Administrator Scott Bahe is the administrator of Hilltop Estates.
Hilltop Estates has 64 beds.
Yes — there are 5 photos of Hilltop Estates in the photo gallery on this page.
Hilltop Estates is located at 2520 Avenue M.
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