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No fines or payment denials in the published 3-year window.
6082 Grand Lodge Avenue, Papillion, NE 68133 (opens Google Maps) · Sarpy County · (402) 885-7000· 48 certified beds · avg 44 residents/day · certified since Jul 1, 2015 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Showing the latest 3 of 22 inspection findings. Open the full record below to read every finding.
The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. F-0756
The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. F-0803
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. F-0812
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 14, 2025 | E · Potential for more than minimal harm, pattern | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756 |
| Apr 14, 2025 | E · Potential for more than minimal harm, pattern | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803 |
| Apr 14, 2025 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Apr 14, 2025 | E · Potential for more than minimal harm, pattern | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · from a complaint · F-0947 |
| Apr 14, 2025 | D · Potential for more than minimal harm, isolated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655 |
| Apr 14, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| Apr 14, 2025 | D · Potential for more than minimal harm, isolated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Apr 14, 2025 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580 |
| Apr 14, 2025 | D · Potential for more than minimal harm, isolated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609 |
| Apr 24, 2024 | D · Potential for more than minimal harm, isolated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint · F-0759 |
| Apr 24, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760 |
| Apr 24, 2024 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint · F-0761 |
| Apr 24, 2024 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880 |
| Feb 29, 2024 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint · F-0812 |
| Feb 29, 2024 | E · Potential for more than minimal harm, pattern | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609 |
| Feb 29, 2024 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880 |
| Feb 29, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686 |
| Nov 13, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Mar 21, 2023 | F · Potential for more than minimal harm, widespread | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Mar 21, 2023 | D · Potential for more than minimal harm, isolated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623 |
| Mar 21, 2023 | D · Potential for more than minimal harm, isolated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625 |
| Mar 21, 2023 | D · Potential for more than minimal harm, isolated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · F-0725 |
Citations from standard inspections increased between the last two inspection cycles (4 → 7).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | F |
| 2024 | 8 | 0 | F |
| 2025 | 9 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Nebraska avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.98 | 4.33 | 3.95 | top 20% in Nebraska; top 13% in the U.S. |
| Registered Nurse hours | 0.92 | 0.72 | 0.69 | top 22% in Nebraska; top 20% in the U.S. |
| Weekend total nurse staffing | 4.45 | 3.79 | 3.50 | top 17% in Nebraska; top 13% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.88 | 0.47 | 0.48 | top 7% in Nebraska; top 9% in the U.S. |
| Total nursing staff turnover (%) | 68.7 | 48.7 | 45.8 | bottom 12% in Nebraska; bottom 7% in the U.S. |
| RN turnover (%) | 85.7 | 44.1 | 42.9 | bottom 6% in Nebraska; bottom 3% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.77, RN 0.88, weekend 4.26.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.77 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 2/5 · short-stay residents: 5/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Hillcrest Country Estates-Cottages. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Aerni, Todd | Individual | Direct Ownership Interest | NOT APPLICABLE | 12/31/2021 |
| Janicki, James | Individual | Direct Ownership Interest | NOT APPLICABLE | 12/31/2021 |
| Mathison Roberts, Jolene | Individual | Direct Ownership Interest | NOT APPLICABLE | 12/31/2021 |
| Mulhearn, Kevin | Individual | Direct Ownership Interest | NOT APPLICABLE | 12/31/2021 |
| Oestmann, Matthew | Individual | Direct Ownership Interest | NOT APPLICABLE | 12/31/2021 |
| Ripple, Reggie | Individual | Direct Ownership Interest | NOT APPLICABLE | 12/31/2021 |
| Aerni, Todd | Individual | ADP of the SNF | NOT APPLICABLE | 12/31/2021 |
| Aswege-Mezenberg, Debra | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| Aswege-Mezenberg, Debra | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2023 |
| Hatcher, Anthony | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2023 |
| Hatcher, Anthony | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2023 |
| Hillcrest Health Systems INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2018 |
| Hillcrest Health Systems INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/26/2026 |
| Janicki, James | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/31/2021 |
| Janicki, James | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/31/2021 |
| Janicki, James | Individual | ADP of the SNF | NOT APPLICABLE | 12/31/2021 |
| Malloy, Timothy | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2020 |
| Mathison Roberts, Jolene | Individual | ADP of the SNF | NOT APPLICABLE | 12/31/2021 |
| Mulhearn, Kevin | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/31/2021 |
| Mulhearn, Kevin | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/31/2021 |
Showing 20 of 28 parties CMS has on file for this facility; 8 are not displayed. The full list is in the CMS Ownership dataset.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Hillcrest Shadow Lake LLC | 1.7 mi | Papillion, NE | ★☆☆☆☆ | 2/5 | |
| Brookestone of Papillion | 2.4 mi | Papillion, NE | ★★★★★ | 5/5 | |
| Hillcrest Health & Rehab | 4.6 mi | Bellevue, NE | ★★☆☆☆ | 2/5 | |
| Omaha Nursing and Rehabilitation Center | 4.8 mi | Omaha, NE | ★☆☆☆☆ | 1/5 | |
| Emerald Nursing & Rehab Omaha | 5.9 mi | Omaha, NE | ★☆☆☆☆ | 1/5 | SFF |
| Emerald Nursing & Rehabilitation Mercy | 6.8 mi | Omaha, NE | ★☆☆☆☆ | 1/5 | SFF |
| Good Samaritan Society - Millard | 7.2 mi | Omaha, NE | ★★★★☆ | 4/5 | |
| Douglas County Health Center | 7.3 mi | Omaha, NE | ★★★☆☆ | 2/5 | |
| St. Joseph Villa Nursing Center | 7.8 mi | Omaha, NE | ★☆☆☆☆ | 1/5 | |
| The Cypress at Midtown | 7.8 mi | Omaha, NE | ★★★☆☆ | 3/5 | |
| Hillcrest Millard LLC | 8.5 mi | Omaha, NE | ★☆☆☆☆ | 2/5 | |
| Brookestone Village | 8.7 mi | Omaha, NE | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
CMS records place this facility in Sarpy, NE — 5 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 285293.
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