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B
Good

Hillcrest Country Estates-Cottages

6082 Grand Lodge Avenue · Papillion, NE 68133

4028857000 · For profit - Limited Liability company

48 beds44.6 residents278 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Hillcrest Country Estates-Cottages receives an overall staffing grade of B (Good). With 5.2382 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.7412 HPRD, below the recommended 0.75. It is 1.34 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 13.19% compared to weekdays. The facility relies heavily on temporary agency staff (25.24% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.7412 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️25.24% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
5.2382hrs/resident/day▲ 1.34
CMS benchmark: 3.48
RN HPRD
0.7412hrs/resident/day▲ 0.06
Recommended: 0.75
Weekend Drop-off
13.19%
5.441 weekday → 4.7234 weekend
Agency Staff
25.24%
1.24% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
3.3987hrs/resident/day
Direct care aides
LPN HPRD
0.7727hrs/resident/day
Licensed practical nurses
Consistency
0.4908std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Sarpy County Average+0.95 HPRD
4.28
05.24 HPRD
vs. Nebraska State Average+1.10 HPRD
4.14
05.24 HPRD
vs. National Average+1.34 HPRD
3.90
05.24 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Hillcrest Country Estates-Cottages ★
Papillion · This facility
—
B
5.23820.7412★★☆☆☆
Hillcrest Shadow Lake LLC
Papillion
1.7 mi
D
3.45060.3319★★★☆☆
Brookestone of Papillion
Papillion
2.4 mi
A
4.29730.8204★★★★★
Hillcrest Health & Rehab
Bellevue
4.6 mi
A
4.49470.7775★★☆☆☆
Omaha Nursing and Rehabilitation Center
Omaha
4.8 mi
C
3.470.5572★☆☆☆☆
Emerald Nursing & Rehab Omaha
Omaha
5.9 mi
D
3.6340.3776★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
22
Total Deficiencies
$13,000
Fines Assessed
Apr 14, 2025Health
9 deficiencies cited
▼
Apr 24, 2024Health
4 deficiencies cited
▼
Feb 29, 2024Health
4 deficiencies cited
▼
Nov 13, 2023Health
1 deficiency cited
▼
Mar 21, 2023Health
4 deficiencies cited
▼

Penalty History

Mar 21, 2023Fine
$13,000
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.