Hillcrest Country Estates-Cottages
Papillion, Sarpy County, Nebraska · CCN 285293 · For-profit (LLC) · not part of a chain
CMS rates Hillcrest Country Estates-Cottages 2 of 5 overall as of August 2026. 48 certified beds, 44 residents a day on average. 22 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 | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 2 / 5 of 5 |
Staffing
| Total nurse staffing | 4.77077 hours per resident per day |
|---|---|
| Registered nurses | 0.87667 hours per resident per day |
| Weekend total | 4.25537 hours per resident per day |
| Nursing staff turnover | 68.7% (registered nurses 85.7%) |
| Administrators who left | 1 |
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.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-04-14 | 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-05-15 |
| 2025-04-14 | 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-05-15 |
| 2025-04-14 | 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-05-15 |
| 2025-04-14 complaint survey |
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · tag F0947 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-05-15 |
| 2025-04-14 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-15 |
| 2025-04-14 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-15 |
| 2025-04-14 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-15 |
| 2025-04-14 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 2025-05-15 |
| 2025-04-14 | 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 2025-05-15 |
| 2024-04-24 complaint survey |
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 2024-05-30 |
| 2024-04-24 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-30 |
| 2024-04-24 complaint survey |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-30 |
| 2024-04-24 complaint survey |
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 2024-05-30 |
| 2024-02-29 complaint survey |
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 2024-04-10 |
| 2024-02-29 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-04-10 |
| 2024-02-29 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 2024-04-10 |
| 2024-02-29 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-10 |
| 2023-11-13 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 2023-12-06 |
| 2023-03-21 | 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 2023-05-03 |
| 2023-03-21 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · tag F0623 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-03 |
| 2023-03-21 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · tag F0625 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-03 |
| 2023-03-21 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-03 |
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.
| Name | Role | Share | Since |
|---|---|---|---|
| Hillcrest Health Systems Inc. Organization | adp of the snf | — | 2026-01-26 |
| Hillcrest Health Systems Inc. Organization | operational/managerial control | — | 2018-04-01 |
| Aerni, Todd Individual | adp of the snf | — | 2021-12-31 |
| Aswege-Mezenberg, Debra Individual | adp of the snf | — | 2023-07-01 |
| Hatcher, Anthony Individual | adp of the snf | — | 2023-03-01 |
| Janicki, James Individual | adp of the snf | — | 2021-12-31 |
| Malloy, Timothy Individual | adp of the snf | — | 2020-01-01 |
| Mathison Roberts, Jolene Individual | adp of the snf | — | 2021-12-31 |
| Mulhearn, Kevin Individual | adp of the snf | — | 2013-11-06 |
| Oestmann, Matthew Individual | adp of the snf | — | 2021-12-31 |
| Ripple, Reggie Individual | adp of the snf | — | 2021-12-31 |
| Walker, Shyann Individual | adp of the snf | — | 2025-08-04 |
| Aerni, Todd Individual | direct ownership interest | — | 2021-12-31 |
| Janicki, James Individual | direct ownership interest | — | 2021-12-31 |
| Mathison Roberts, Jolene Individual | direct ownership interest | — | 2021-12-31 |
| Mulhearn, Kevin Individual | direct ownership interest | — | 2021-12-31 |
| Oestmann, Matthew Individual | direct ownership interest | — | 2021-12-31 |
| Ripple, Reggie Individual | direct ownership interest | — | 2021-12-31 |
| Janicki, James Individual | managing control - governing body | — | 2021-12-31 |
| Mulhearn, Kevin Individual | managing control - governing body | — | 2021-12-31 |
| Oestmann, Matthew Individual | managing control - governing body | — | 2021-12-31 |
| Ripple, Reggie Individual | managing control - governing body | — | 2021-12-31 |
| Aswege-Mezenberg, Debra Individual | operational/managerial control | — | 2023-07-01 |
| Hatcher, Anthony Individual | operational/managerial control | — | 2023-03-01 |
| Janicki, James Individual | operational/managerial control | — | 2021-12-31 |
| Mulhearn, Kevin Individual | operational/managerial control | — | 2021-12-31 |
| Oestmann, Matthew Individual | operational/managerial control | — | 2021-12-31 |
| Walker, Shyann Individual | operational/managerial control | — | 2025-08-04 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Hillcrest Country Estates-Cottages.
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.