Nursing Care Index

Hilltop Estates

Gothenburg, Dawson County, Nebraska · CCN 285163 · For-profit (Corporation) · not part of a chain

CMS rates Hilltop Estates 2 of 5 overall as of August 2026. 64 certified beds, 41 residents a day on average. 15 citations on record from the current inspection cycles; no fines on record.

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★★★☆☆ 3 of 5
Quality: long-stay / short-stay3 / 2 of 5

Staffing

Total nurse staffing4.10531 hours per resident per day
Registered nurses0.72876 hours per resident per day
Weekend total3.38499 hours per resident per day
Nursing staff turnover46.4% (registered nurses 22.2%)
Administrators who left0

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
2026-06-16 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · tag F0803
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-07-31
2026-06-16 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
2026-07-31
2026-06-16 Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · tag F0552
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-07-31
2026-06-16 Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · tag F0637
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-07-31
2026-06-16 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-07-31
2026-06-16 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
2026-07-31
2026-06-16 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-07-31
2026-06-16 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-07-31
2025-03-18 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
2025-04-03
2025-03-18 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
2025-04-03
2025-03-18 Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · tag F0740
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-03
2025-03-18 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-03
2024-03-21 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
2024-04-12
2024-03-21 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
2024-04-12
2024-03-21 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · tag F0582
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-12

Fines and payment denials

No fines or payment denials on record since 2023.

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
K C Health Care Enterprises Inc.
Organization
5% or greater direct ownership interest1995-02-15
Family Physical Therapy & Sports Center
Organization
adp of the snf2025-03-05
Flatwater Bank
Organization
adp of the snf2025-03-05
K C Health Care Enterprises Inc.
Organization
adp of the snf1995-03-15
Key Rehabilitation Inc.
Organization
adp of the snf2025-02-24
Luminate Hcc LLC
Organization
adp of the snf2025-02-21
S. Douglas Kucera, Cpa
Organization
adp of the snf2025-02-24
Family Physical Therapy & Sports Center
Organization
operational/managerial control2021-12-01
Flatwater Bank
Organization
operational/managerial control1995-01-01
Key Rehabilitation Inc.
Organization
operational/managerial control2024-01-01
Luminate Hcc LLC
Organization
operational/managerial control2023-12-01
S. Douglas Kucera, Cpa
Organization
operational/managerial control2005-01-01
Bartruff, Craig
Individual
5% or greater direct ownership interest2009-10-19
Bahe, Scott
Individual
adp of the snf1998-03-15
Bartruff, Craig
Individual
adp of the snf1995-03-15
Donner, Tiffany
Individual
adp of the snf2016-11-11
Osborn, Shirley
Individual
adp of the snf2019-05-01
Stoddard, Emily
Individual
adp of the snf2025-02-24
Weicker, Rachel
Individual
adp of the snf2021-08-23
Bahe, Scott
Individual
corporate officer1998-03-15
Bahe, Scott
Individual
operational/managerial control1998-03-15
Bartruff, Craig
Individual
operational/managerial control1995-03-15
Donner, Tiffany
Individual
operational/managerial control2016-11-11
Osborn, Shirley
Individual
operational/managerial control2019-05-01
Stoddard, Emily
Individual
operational/managerial control2025-02-24
Weicker, Rachel
Individual
operational/managerial control2021-08-23

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 Dawson County.