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D
Poor

Hillcrest Firethorn

8601 Firethorn Lane · Lincoln, NE 68520

5317393500 · For profit - Corporation

72 beds59.8 residents109 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Hillcrest Firethorn receives an overall staffing grade of D (Poor). With 4.0439 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.3633 HPRD, below the recommended 0.75. It is 0.15 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 17.43% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
⚠️RN staffing (0.3633 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
4.0439hrs/resident/day▲ 0.15
CMS benchmark: 3.48
RN HPRD
0.3633hrs/resident/day▼ 0.32
Recommended: 0.75
Weekend Drop-off
17.43%
4.2534 weekday → 3.5121 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
2.2718hrs/resident/day
Direct care aides
LPN HPRD
1.2674hrs/resident/day
Licensed practical nurses
Consistency
0.4561std 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. Lancaster County Average-0.72 HPRD
4.77
04.04 HPRD
vs. Nebraska State Average-0.09 HPRD
4.14
04.04 HPRD
vs. National Average+0.15 HPRD
3.90
04.04 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 Firethorn ★
Lincoln · This facility
—
D
4.04390.3633★★★☆☆
Holmes Lake Rehabilitation & Care Center
Lincoln
2.4 mi
D
3.43920.2908★☆☆☆☆
Emerald Nursing & Rehab Brookside LLC
Lincoln
2.9 mi
C
3.60850.4247★☆☆☆☆
St. Jane de Chantal
Lincoln
3 mi
A+
7.37571.7499★★★★★
Southlake Village Rehabilitation & Care Center
Lincoln
3.1 mi
B
4.6610.6071★★★★★
Eastmont
Lincoln
3.2 mi
A
6.0960.7952★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
12
Total Deficiencies
$0
Fines Assessed
Apr 1, 2025Health
4 deficiencies cited
▼
Feb 20, 2025Health
2 deficiencies cited· Includes actual harm
▼
Apr 11, 2024Health
4 deficiencies cited
▼
May 16, 2023Health
2 deficiencies cited
▼
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.