Home›Nebraska›Red Willow County›Hillcrest Nursing Home
C
Below Standard

Hillcrest Nursing Home

309 West 7th Street · McCook, NE 69001

3083454600 · Government - City/county

100 beds65.3 residents111 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Hillcrest Nursing Home receives an overall staffing grade of C (Below Standard). With 4.5591 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4582 HPRD, below the recommended 0.75. It is 0.66 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 20.71% compared to weekdays. The facility has low agency staff usage (0.62% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (3)

⚠️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 (0.4582 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
📊Staffing levels are highly variable day to day (consistency score: 0.8142). This means the care experience can be very different depending on the day.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Low agency staff usage (0.62%) — mostly permanent, familiar staff
Total Nurse HPRD
4.5591hrs/resident/day▲ 0.66
CMS benchmark: 3.48
RN HPRD
0.4582hrs/resident/day▼ 0.22
Recommended: 0.75
Weekend Drop-off
20.71%
4.8426 weekday → 3.8394 weekend
⚠ Significant weekend reduction
Agency Staff
0.62%
0% of RN hours from contractors
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
2.2687hrs/resident/day
Direct care aides
LPN HPRD
0.535hrs/resident/day
Licensed practical nurses
Consistency
0.8142std 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. Red Willow County Average+0.00 HPRD
4.56
04.56 HPRD
vs. Nebraska State Average+0.42 HPRD
4.14
04.56 HPRD
vs. National Average+0.66 HPRD
3.90
04.56 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 Nursing Home ★
McCook · This facility
—
C
4.55910.4582★★★★☆
Wauneta Care and Therapy Center
Wauneta
41.7 mi
B
4.11440.5964★☆☆☆☆
Beaver City Manor
Beaver City
43 mi
B
4.63610.6543★★★☆☆
Sarah Ann Hester Memorial Home
Benkelman
48.6 mi
C
4.35830.4278★☆☆☆☆
Elwood Care Center
Elwood
49 mi
B
3.98660.6363★★★★★
Hilltop Estates
Gothenburg
57.5 mi
B
4.08910.7964★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
9
Total Deficiencies
$0
Fines Assessed
Dec 16, 2025Health
1 deficiency cited
▼
Feb 13, 2025Health
1 deficiency cited
▼
Jan 25, 2024Health
6 deficiencies cited
▼
Dec 1, 2022Health
1 deficiency 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.