Hillcrest Health & Rehab

1702 Hillcrest Drive · Bellevue, NE · 68005 · 4022918500

151 certified beds For profit - Corporation

Why this verdict

  • 3 citations involved actual harm to residents.
  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 74 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

Red flags

2 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

Score breakdown

Inspection record 30% of score 54
Serious harm & abuse 20% 82
Staffing 20% 83
Federal penalties 15% 100
Trend 10% 51
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.493.48 min · 4.1 strong
RN hours / resident-day0.680.55–0.75
Weekend hours / resident-day4.08≈ weekday level
Nursing turnover / year41%median 45%
Fines (3-yr window)none

Inspection citations (17 in the current record)

  • Actual harm · G December 30, 2025 · found via complaint

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

    Corrected January 28, 2026 · Quality of Life and Care

  • Potential for harm · D December 30, 2025 · found via complaint

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

    Corrected January 28, 2026 · Quality of Life and Care

  • Potential for harm · D December 30, 2025 · found via complaint

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

    Corrected January 28, 2026 · Quality of Life and Care

  • Potential for harm · E December 30, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected January 28, 2026 · Infection Control

  • Actual harm · G September 3, 2025 · found via complaint

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

    Past Non-Compliance · Quality of Life and Care

  • Actual harm · G March 11, 2025 · found via complaint

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

    Corrected March 21, 2025 · Quality of Life and Care

  • Potential for harm · D December 17, 2024

    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.

    Corrected January 30, 2025 · Pharmacy Service

  • No harm found · C December 17, 2024

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

    Corrected January 30, 2025 · Pharmacy Service

  • Potential for harm · D October 17, 2023

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected November 28, 2023 · Pharmacy Service

  • Potential for harm · F October 17, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 28, 2023 · Nutrition and Dietary

  • Potential for harm · E October 17, 2023

    Have enough outside ventilation via a window or mechanical ventilation, or both.

    Corrected November 28, 2023 · Environmental

  • Potential for harm · D September 20, 2022

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

    Corrected October 19, 2022 · Quality of Life and Care

  • Potential for harm · D September 20, 2022

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

    Corrected October 19, 2022 · Quality of Life and Care

  • Potential for harm · D September 20, 2022

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected October 19, 2022 · Pharmacy Service

  • Potential for harm · F September 20, 2022

    Provide and implement an infection prevention and control program.

    Corrected October 19, 2022 · Infection Control

  • Potential for harm · F September 20, 2022

    Perform COVID19 testing on residents and staff.

    Corrected October 19, 2022 · Infection Control

  • Potential for harm · F September 20, 2022

    Ensure staff are vaccinated for COVID-19

    Corrected October 19, 2022 · Infection Control

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285133 · certified since August 2, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.