Hillcrest Health & Rehab
1702 Hillcrest Drive, Bellevue, NE 68005 · Sarpy County · 151 certified beds · avg 110 residents/day · certified since Aug 2, 1993
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Dec 30, 2025 · F-0686 · triggered by a complaint
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.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jan 28, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Sep 3, 2025 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
▲ Actual harm, one-off · Mar 11, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 21, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (18)
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 |
|---|---|---|
| Jun 4, 2026 | E · Potential for harm, repeated | 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 |
| Dec 30, 2025 | ▲ G · Actual 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 |
| Dec 30, 2025 | 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 |
| Dec 30, 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 |
| Dec 30, 2025 | 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 |
| Sep 3, 2025 | ▲ G · Actual 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 |
| Mar 11, 2025 | ▲ G · Actual 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 |
| Dec 17, 2024 | 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. |
| Dec 17, 2024 | C · Minimal risk, facility-wide | 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. |
| Oct 17, 2023 | 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. |
| Oct 17, 2023 | E · Potential for harm, repeated | The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both. |
| Oct 17, 2023 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Sep 20, 2022 | 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. |
| Sep 20, 2022 | F · Potential for harm, facility-wide | The facility did not perform required COVID-19 testing on residents and staff. |
| Sep 20, 2022 | F · Potential for harm, facility-wide | The facility did not make sure its staff were vaccinated for COVID-19 in accordance with the federal requirements in effect at the time. |
| Sep 20, 2022 | 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. |
| Sep 20, 2022 | 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. |
| Sep 20, 2022 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (3 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 6 | 0 | F |
| 2023 | 3 | 0 | F |
| 2024 | 2 | 0 | D |
| 2025 | 6 | 3 | G ▲ |
| 2026 | 1 | 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.
Fines and enforcement (last 3 years)
1 fine totaling $33,248.
| Date | Type | Amount / length |
|---|---|---|
| Dec 30, 2025 | Fine | $33,248 |
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) | 4.77 | 4.33 | 3.95 | top 31% in Nebraska; top 17% in the U.S. |
| Registered Nurse hours | 0.64 | 0.72 | 0.69 | bottom 43% in Nebraska; top 43% in the U.S. |
| Weekend total nurse staffing | 4.30 | 3.79 | 3.50 | top 22% in Nebraska; top 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.27 | 0.47 | 0.48 | bottom 18% in Nebraska; bottom 26% in the U.S. |
| Total nursing staff turnover (%) | 41.6 | 48.7 | 45.8 | top 37% in Nebraska; top 41% in the U.S. |
| RN turnover (%) | 23.8 | 44.1 | 42.9 | top 27% in Nebraska; top 20% 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 4.59, RN 0.61, weekend 4.14. 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: 2/5 · long-stay residents: 1/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Janicki, James | 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 |
| 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 |
| Clark, Anthony | Individual | ADP of the SNF | NOT APPLICABLE | 02/15/2021 |
| Cruzat, Stacie | Individual | ADP of the SNF | NOT APPLICABLE | 04/25/2018 |
| Diehl, Leah | Individual | ADP of the SNF | NOT APPLICABLE | 03/27/2017 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2022 |
| Geis, Heather | Individual | Trustee of the SNF | NOT APPLICABLE | 12/01/2024 |
| Geis, Heather | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2024 |
| 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 | 09/01/2012 |
| Hillcrest Health Systems INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/27/2026 |
| Innovate Rehab and Wellness LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2017 |
| 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 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 Country Estates-Cottages | 4.6 mi | Papillion, NE | ★★☆☆☆ | 2/5 | |
| Omaha Nursing and Rehabilitation Center | 6.1 mi | Omaha, NE | ★☆☆☆☆ | 1/5 | |
| Hillcrest Shadow Lake LLC | 6.2 mi | Papillion, NE | ★☆☆☆☆ | 2/5 | |
| St. Joseph Villa Nursing Center | 6.8 mi | Omaha, NE | ★☆☆☆☆ | 1/5 | |
| Brookestone of Papillion | 6.9 mi | Papillion, NE | ★★★★★ | 5/5 | |
| Emerald Nursing & Rehab Omaha | 7.3 mi | Omaha, NE | ★☆☆☆☆ | 1/5 | SFF |
| Douglas County Health Center | 7.8 mi | Omaha, NE | ★★★☆☆ | 2/5 | |
| The Cypress at Midtown | 8.2 mi | Omaha, NE | ★★★☆☆ | 3/5 | |
| Chapters Living of Council Bluffs | 8.7 mi | Council Bluffs, IA | ★☆☆☆☆ | 1/5 | SFF |
| Emerald Nursing & Rehabilitation Mercy | 8.9 mi | Omaha, NE | ★☆☆☆☆ | 1/5 | SFF |
| Prestige Care Center of Plattsmouth | 9.4 mi | Plattsmouth, NE | ★☆☆☆☆ | 1/5 | |
| Prairie Gate | 9.6 mi | Council Bluffs, IA | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 285133.