Hilltop Estates

In the surveyor’s words

From the most serious findings on record at Hilltop Estates, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF803Jun 16, 2026

  Licensure Reference Number 175 NAC 12-006.11Based on record review, observation, and interview the facility failed to follow the menus and recipes to ensure that residents were receiving the required nutritional intake during meals. This affected all residents eating meals from the kitchen. The facility census was 39. Record review of the facility policy The Dining Experience; Staff Responsibilities copyright dated 2013 revealed the goals of the dining experience are to enhance the individual's quality of life through person centered dining: providing nourishing, palatable, and attractive meals that meet the individual's daily nutritional needs. […]

• No harm, potential for more than minimal, widespreadF812Jun 16, 2026

  Licensure Reference Number 175 NAC 12-006.11(E) Based on record review, observation, and interview, the facility failed to perform handwashing when working with foods, failed to perform temperature checks of the facility's kitchen refrigerator and freezer units, and failed to maintain potentially hazardous foods at the appropriate temperature. This affected all residents in the facility. The facility census was 39. A. Record review of the facility policy Hand Hygiene dated June 2022 revealed that all staff will perform proper hand hygiene procedures to prevent the spread of infection to other personnel residents and visitors. This applies to all staff working in all locations with in the facility. […]

• No harm, potential for more than minimal, widespreadF812Mar 18, 2025

  Licensure Reference Number 175 NAC 12-006.11(E) Based on observations and interviews, the facility failed to ensure the walk-through refrigerator maintained safe temperatures and failed to ensure the dishwashing machine reached the required temperatures during cycles to prevent the potential for foodborne illness. This had the potential to affect all facility residents eating out of the kitchen. The facility census was 44. Findings Are: A. A record review of the Nebraska Food Code, dated 2017, revealed ready to eat foods should be held at a temperature of 41 degrees Fahrenheit (F) or below. […]

• No harm, potential for more than minimal, widespreadF880Mar 18, 2025

  Licensure Reference Number 175 NAC 12-006.18(B) Licensure Reference Number 175 NAC 12-006.04(A)(ii) Based on observation, record review, and interview the facility failed to ensure an insulin pen tip was cleansed prior to use for 1 (Resident 20) of 1 sampled resident, ensure the glucometer was disinfected after use for 1 (Resident 20) of 1 sampled resident, and failed to ensure an employee health screening was completed and reviewed for 2 of 5 sampled staff. The facility census was 44. Findings are: A. A record review of a facility policy titled Insulin Pen dated 01/2020 revealed to remove the cap from the insulin pen and wipe the rubber seal with an alcohol pad, then screw on the needle cap to the insulin pen. […]

• No harm, potential for more than minimal, widespreadF812Mar 21, 2024

  Licensure Reference Number 175NAC 12-006.11E Based on observations, record reviews and interviews, the facility failed to ensure that the high temperature dishwashing machine maintained the required high temperature for sanitization of facility dishware. This affected all 43 facility residents that receive meals out of the facility kitchen. The facility census was 43. Findings are: A. Record review revealed an undated policy titled Dishwasher Temperature: Policy: It is the policy of this facility to ensure dishes and utensils are cleaned under sanitary conditions through adequate dishwasher temperatures. Policy Explanation and Compliance Guidelines: 3. For high temperature dishwashers (heat sanitization): a. The wash temperature shall be 150-160 degrees F. b. […]