Deficiency Index

Hillcrest Nursing Home

McCook, Nebraska · CCN 285080

33 surveys since 2011, 2 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
146
Surveys
33
Harm or worse
2
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse2

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file29/33

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
100
Ownership
Government - County
Chain
Independent
County
Red Willow · rural
Medicare-certified since
1987

CMS ratings

Overall
2
Health inspection
2
Staffing
4
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 23 facilities of 100–127 beds in Nebraska.

Last survey on record

May 7, 2026

186 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.883.49
Registered-nurse hours per resident day0.49—
Annual nurse turnover36.3%50.1%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1168.8%E16.3%F425.0%
No harm, potential for minimalA—B—C—
CMS’s current file: 16 of the 146 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6842×

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

  • F7572×

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

  • F8122×

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

  • F8802×

    Provide and implement an infection prevention and control program.

  • F6101×

    Respond appropriately to all alleged violations.

In the surveyor’s words

From the most serious findings on record at Hillcrest Nursing Home, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812May 7, 2026

    Licensure Reference Number NAC 175 12-006.11(E) Based on observation, record review, and interview, the facility failed to label frozen food packages with contents or dates. This had the potential to affect all 62 residents.A record review of a facility policy, Food Storage Policy, last revised November 2023 revealed the following:Food shall be stored at least 6 inches off the floor. All food and supplies should be stored in compliance with federal and state regulations.All foods shall be clearly labeled with contents, dated with the opening date, and discarded if not dated or expired. Frozen foods shall be dated and properly rotated. […]

  • No harm, potential for more than minimal, widespreadF880May 7, 2026

    Nebraska Reference Number 175 NAC 1-005.06(A) and 12-006.18 Based on observations, interviews and record reviews, the facility failed to have an infection control program that ensured tracking and trending was fully completed and to implement interventions for concerns that were identified to prevent antibiotic overuse, failed to utilize handwashing and gloving techniques to prevent potential cross contamination during personal care for 1(Residents 10) of 4 sampled residents. The facility identified a census of 62. Findings are:A. […]

  • No harm, potential for more than minimal, widespreadF801Jan 25, 2024

    Licensure Reference Number 175 NAC 12-006.04D2a Based on an interview and record reviews, the facility failed to have a qualified Dietary Manager. This had the potential to affect all residents. The facility identified a census of 63 at the time of survey. Findings are: A record review of the Hillcrest Nursing Home Facility Assessment Tool with a date of 8/8/2017, under Part 3: Facility Resources Needed to Provide Competent Support and Care for our Resident Population Every Day and During Emergencies read: Food and nutrition services - Director - 1 (40 hours) support staff - 8 day registered dietician - 2 days/week. […]

  • No harm, potential for more than minimal, widespreadF812Jan 25, 2024

    Licensure Reference Number 175 NAC12-006.11E Based on observations, interviews, and record review, the facility kitchen staff failed to store food under sanitary conditions, complete hand hygiene while preparing and serving food, and maintain proper freezer temperatures to keep frozen foods solid. This had the potential to affect all residents. The facility identified a census of 63 at the time of the survey. Findings are: A. An observation during the initial kitchen tour on 1/22/2024 beginning at 12:41 PM of the storage room revealed the following: - 1 bag of Trio cheese sauce mix - the bag had been damaged and was spilling out the light yellow powder contents - 1 Knorr [NAME] sauce mix which had been left open to air and other possible contaminant did not have an opened on date or use… […]

  • No harm, potential for more than minimal, widespreadF880Dec 1, 2022

    Licensure Reference Number 175 NAC 12-006.17A Based on observation, interview, and record review, the facility failed to provide a sanitary environment by failing to ensure all staff were informed regarding COVID positive residents' quarantine status. This had the ability to affect all residents. Facility census was 43. Record review revealed Resident #22 tested positive for COVID on Friday, 11/25/2022. Record review also revealed Resident #22 was to be in quarantine from Friday, 11/25/2022 through Friday 12/2/2022. On 11/28/2022 an observation revealed Resident #22 was walking down a resident hallway with no mask in place and no staff escort. Resident #22 was stopped in the hallway by NA-C (Nurse Assistant-A) beside the Social Service office. […]

Read 22 findings in full →The most serious and the most recent: 22 of 146 on record.

Every survey on record

FindingsAt actual harm or above

  • May 7, 2026Standard8 findings
  • Dec 16, 2025Complaint1 finding
  • Feb 13, 2025Standard1 finding
  • Jan 25, 2024Standard and complaint6 findings
  • Dec 1, 2022Standard1 finding
  • Jul 15, 2021Standard4 findings
  • Dec 15, 2020Infection control1 finding
  • Jan 30, 2020Standard8 findings
Show the 25 earlier surveys
  • Aug 13, 2019Complaint1 finding
  • May 7, 2019Complaint2 findings
  • Nov 29, 2018Standard9 findings
  • Aug 16, 2018Complaint3 findings
  • Apr 3, 2018Complaint4 findings
  • Jan 24, 2018Complaint2 findings · 1 harm
  • Oct 11, 2017Standard and complaint18 findings
  • Jun 1, 2017Complaint1 finding
  • Apr 13, 2017Complaint1 finding
  • Aug 4, 2016Standard and complaint5 findings
  • Jun 7, 2016Complaint1 finding
  • Mar 31, 2016Complaint1 finding
  • Mar 17, 2016Complaint1 finding
  • Jun 22, 2015Standard and complaint8 findings
  • May 4, 2015Complaint2 findings
  • Jan 13, 2015Complaint2 findings
  • Sep 15, 2014Complaint3 findings · 1 harm
  • Jun 19, 2014Standard and complaint15 findings
  • Feb 5, 2014—2 findings
  • Aug 1, 2013—15 findings
  • Feb 6, 2013—3 findings
  • May 10, 2012—8 findings
  • Nov 16, 2011—1 finding
  • Apr 28, 2011—1 finding
  • Feb 17, 2011—7 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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