facebook tracking Hilltop Estates, Gothenburg NE: CMS Ratings & Inspections
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Hilltop Estates

All states › Nebraska › Gothenburg › Hilltop Estates

2520 Avenue M Gothenburg, NE 69138 · Dawson County

(308) 537-7138

Accepts Medicare Accepts Medicaid 64 certified beds For profit

CMS certification number 285163 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Hilltop Estates a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Hilltop Estates as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the Nebraska average of 2.9. Inspectors issued 15 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 3 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 4.22 hours per resident per day at Hilltop Estates, above the Nebraska median of 3.99 (US median: 3.72). About 0.88 of those hours are from registered nurses. On weekends it falls to 3.47 hours, 18% below its all-week average. Ask how weekends are staffed. 43.4% of nursing staff left within a year (Nebraska median 47.6%).

Nursing care per resident per day 4.22 hours
Above the Nebraska median of 3.99 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.88 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.47 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 43.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 14.3% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds64
Residents per day 41 About 64% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceJuly 1995
Legal business nameK C HEALTH CARE ENTERPRISES INC

Paying for care at Hilltop Estates: Medicare and Medicaid

Hilltop Estates is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Nebraska's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on June 16, 2026 and found 8 deficiencies. In total, inspectors issued 15 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 15 citations at Hilltop Estates across 3 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 15 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were nutrition and dietary (4) and infection control (3). The most serious was cited under the CMS rule to "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" (tag F0803, level F, June 16, 2026).

June 16, 2026 · 8 citations

FEnsure 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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0803 · Deficient, Provider has date of correction (Jul 31, 2026)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jul 31, 2026)

EEnsure that residents are fully informed and understand their health status, care and treatments.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0552 · Deficient, Provider has date of correction (Jul 31, 2026)

DAssess the resident when there is a significant change in condition

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0637 · Deficient, Provider has date of correction (Jul 31, 2026)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Jul 31, 2026)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Jul 31, 2026)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Jul 31, 2026)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jul 31, 2026)

March 18, 2025 · 4 citations

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Apr 3, 2025)

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Apr 3, 2025)

DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0740 · Deficient, Provider has date of correction (Apr 3, 2025)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Apr 3, 2025)

March 21, 2024 · 3 citations

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Apr 12, 2024)

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Apr 12, 2024)

DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Apr 12, 2024)

Questions to ask on a tour of Hilltop Estates

  1. Weekend staffing is 18% below the all-week average. Who is on duty on Saturday nights?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 2/5 5/5 3/5
August 2026 2/5 2/5 4/5 3/5
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Location

Hospitals near Hilltop Estates

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Emerald Nursing & Rehab Cozad Cozad · 9.9 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 67 beds · Medicaid
Callaway Good Life Center Callaway · 26.6 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 38 beds · Medicaid
Elwood Care Center Elwood · 28.9 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 43 beds · Medicaid
Adept Nursing & Rehab of North Platte North Platte · 34.5 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 94 beds · Medicaid
Accura HealthCare of North Platte North Platte · 36.2 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 71 beds · Medicaid

More nursing homes near Hilltop Estates ›   All nursing homes in Gothenburg ›

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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/nebraska/gothenburg/hilltop-estates/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.