Nursing Care Index

Hillcrest Health & Rehab

Bellevue, Sarpy County, Nebraska · CCN 285133 · For-profit (Corporation) · not part of a chain

CMS rates Hillcrest Health & Rehab 2 of 5 overall as of August 2026. 151 certified beds, 110 residents a day on average. 18 citations on record from the current inspection cycles, 3 involving actual harm; 1 fine totalling $33,248.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★☆☆☆ 2 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★☆☆☆ 2 of 5
Quality: long-stay / short-stay1 / 4 of 5

Staffing

Total nurse staffing4.58959 hours per resident per day
Registered nurses0.6142 hours per resident per day
Weekend total4.13875 hours per resident per day
Nursing staff turnover41.6% (registered nurses 23.8%)
Administrators who left2

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-06-04
complaint survey
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has no plan of correction
2025-12-30
complaint survey
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2026-01-28
2025-12-30
complaint survey
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-01-28
2025-12-30
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-28
2025-12-30
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-28
2025-09-03
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
G Actual harm that is not immediate jeopardy; isolated Past Non-Compliance
2025-03-11
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2025-03-21
2024-12-17 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 medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-30
2024-12-17 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · tag F0756
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2025-01-30
2023-10-17 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-11-28
2023-10-17 Have enough outside ventilation via a window or mechanical ventilation, or both.
Environmental Deficiencies · tag F0923
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-11-28
2023-10-17 Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · tag F0757
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-28
2022-09-20 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2022-10-19
2022-09-20 Perform COVID19 testing on residents and staff.
Infection Control Deficiencies · tag F0886
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2022-10-19
2022-09-20 Ensure staff are vaccinated for COVID-19
Infection Control Deficiencies · tag F0888
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2022-10-19
2022-09-20 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-10-19
2022-09-20 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-10-19
2022-09-20 Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · tag F0757
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-10-19

Fines and payment denials

DatePenaltyAmount
2025-12-30Fine$33,248

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Forvis Mazars LLP
Organization
adp of the snf2022-07-01
Hillcrest Health Systems Inc.
Organization
adp of the snf2026-01-27
Innovate Rehab And Wellness LLC
Organization
adp of the snf2017-01-01
Joro, LLC
Organization
adp of the snf2012-09-28
Hillcrest Health Systems Inc.
Organization
operational/managerial control2012-09-01
Aswege-Mezenberg, Debra
Individual
adp of the snf2023-07-01
Clark, Anthony
Individual
adp of the snf2021-02-15
Cruzat, Stacie
Individual
adp of the snf2018-04-25
Diehl, Leah
Individual
adp of the snf2017-03-27
Geis, Heather
Individual
adp of the snf2024-12-01
Hatcher, Anthony
Individual
adp of the snf2023-03-01
Janicki, James
Individual
adp of the snf2021-12-31
Kendall, Amber
Individual
adp of the snf2025-12-16
Malloy, Timothy
Individual
adp of the snf2020-01-01
Miller, Michele
Individual
adp of the snf2019-04-01
Mulhearn, Kevin
Individual
adp of the snf2013-11-06
Oestmann, Matthew
Individual
adp of the snf2021-12-31
Ripple, Reggie
Individual
adp of the snf2021-12-31
Shoemaker, Vickie
Individual
adp of the snf1996-06-01
Stratman, Elizabeth
Individual
adp of the snf2017-01-23
Janicki, James
Individual
direct ownership interest2021-12-31
Mulhearn, Kevin
Individual
direct ownership interest2021-12-31
Oestmann, Matthew
Individual
direct ownership interest2021-12-31
Ripple, Reggie
Individual
direct ownership interest2021-12-31
Janicki, James
Individual
managing control - governing body2021-12-31
Mulhearn, Kevin
Individual
managing control - governing body2021-12-31
Oestmann, Matthew
Individual
managing control - governing body2021-12-31
Ripple, Reggie
Individual
managing control - governing body2021-12-31
Aswege-Mezenberg, Debra
Individual
operational/managerial control2023-07-01
Hatcher, Anthony
Individual
operational/managerial control2023-03-01
Janicki, James
Individual
operational/managerial control2021-12-31
Kendall, Amber
Individual
operational/managerial control2025-12-16
Malloy, Timothy
Individual
operational/managerial control2020-01-01
Mulhearn, Kevin
Individual
operational/managerial control2021-12-31
Oestmann, Matthew
Individual
operational/managerial control2016-01-01
Geis, Heather
Individual
trustee of the snf2024-12-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Sarpy County.