ElderGrade
C

62/100

Average

Hillcrest Health & Rehab

1702 Hillcrest Drive, Bellevue, NE 68005

CMS 2/5 stars #3 of 5 in Sarpy County (402) 291-8500
Certified beds
151
Occupancy
73%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 3 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $51,150 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

18/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -12 for 3 actual-harm citation(s) in the last 3 years

Staffing

24/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.77 total nurse hours per resident per day (national median 3.77)
  • 0.61 RN hours per resident per day
  • Weekend staffing drops 10% against weekdays

Staff stability

10/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 42% of nursing staff left in the last year
  • -2 for 2 administrator departures

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 2 of 5 stars on the CMS quality-measure rating

Enforcement history

5/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $51,150 in federal fines across 1 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.59 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.61 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 4.14 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 41.60%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 17 citations

Last standard health inspection: December 17, 2024 (1 year ago).

G Dec 30, 2025 F0686 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Actual harm to a resident

E Dec 30, 2025 F0880 From a complaint

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Dec 30, 2025 F0684 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

D Dec 30, 2025 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

G Sep 3, 2025 F0684 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Actual harm to a resident

G Mar 11, 2025 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm to a resident

D Dec 17, 2024 F0758

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the m...

No actual harm, potential for more than minimal harm

C Dec 17, 2024 F0756

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

No actual harm, minimal potential

Who owns this home

Full record
Owner Type Role Since
JANICKI, JAMES Individual DIRECT OWNERSHIP INTEREST
MULHEARN, KEVIN Individual DIRECT OWNERSHIP INTEREST
OESTMANN, MATTHEW Individual DIRECT OWNERSHIP INTEREST
RIPPLE, REGGIE Individual DIRECT OWNERSHIP INTEREST
JANICKI, JAMES Individual MANAGING CONTROL - GOVERNING BODY
MULHEARN, KEVIN Individual MANAGING CONTROL - GOVERNING BODY
OESTMANN, MATTHEW Individual MANAGING CONTROL - GOVERNING BODY
RIPPLE, REGGIE Individual MANAGING CONTROL - GOVERNING BODY
HILLCREST HEALTH SYSTEMS INC Organization OPERATIONAL/MANAGERIAL CONTROL
ASWEGE-MEZENBERG, DEBRA Individual OPERATIONAL/MANAGERIAL CONTROL
HATCHER, ANTHONY Individual OPERATIONAL/MANAGERIAL CONTROL
JANICKI, JAMES Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Hillcrest Health & Rehab

What is the ElderGrade for Hillcrest Health & Rehab? +

Hillcrest Health & Rehab holds an ElderGrade of C (62 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Hillcrest Health & Rehab? +

Residents receive an average of 4.59 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Hillcrest Health & Rehab been cited for harming residents? +

Yes. 3 of the 17 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Hillcrest Health & Rehab accept Medicaid? +

Yes, Hillcrest Health & Rehab is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.