Hillcrest Country Estates-Cottages

Name: Hillcrest Country Estates-Cottages
Address: 6082 Grand Lodge Avenue, Papillion, NE, 68133, US
Telephone: 4028857000

6082 Grand Lodge Avenue, Papillion, NE 68133 · Sarpy County · 48 certified beds · avg 44 residents/day · certified since Jul 1, 2015

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.98

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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 self-reported quality measures.

All citations in the current public record (22)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 14, 2025	E · Potential for harm, repeated	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.
Apr 14, 2025	E · Potential for harm, repeated	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.
Apr 14, 2025	E · Potential for harm, repeated	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.
Apr 14, 2025	E · Potential for harm, repeated	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
Apr 14, 2025	D · Potential for harm, one-off	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.
Apr 14, 2025	D · Potential for harm, one-off	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
Apr 14, 2025	D · Potential for harm, one-off	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.
Apr 14, 2025	D · Potential for harm, one-off	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
Apr 14, 2025	D · Potential for harm, one-off	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
Apr 24, 2024	D · Potential for harm, one-off	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
Apr 24, 2024	D · Potential for harm, one-off	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
Apr 24, 2024	D · Potential for harm, one-off	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
Apr 24, 2024	D · Potential for harm, one-off	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
Feb 29, 2024	F · Potential for harm, facility-wide	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
Feb 29, 2024	E · Potential for harm, repeated	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
Feb 29, 2024	E · Potential for harm, repeated	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
Feb 29, 2024	D · Potential for harm, one-off	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
Nov 13, 2023	D · Potential for harm, one-off	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
Mar 21, 2023	F · Potential for harm, facility-wide	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.
Mar 21, 2023	D · Potential for harm, one-off	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.
Mar 21, 2023	D · Potential for harm, one-off	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.
Mar 21, 2023	D · Potential for harm, one-off	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 7).

Year	Citations	Worst severity that year
2023	5	F
2024	8	F
2025	9	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.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

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, 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. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 2/5 · short-stay residents: 5/5

Who owns this facility

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

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

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
The Cypress at Midtown	7.7 mi	Omaha, NE	★★★☆☆	3/5
St. Joseph Villa Nursing Center	7.8 mi	Omaha, NE	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Papillion →

Facility data as of CMS processing date 2026-08-01. CCN 285293.

The Care File

Visit checklist — Hillcrest Country Estates-Cottages

6082 Grand Lodge Avenue, Papillion, NE 68133 · 4028857000

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 285293 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)