Hillcrest Nursing Home
309 West 7th Street, McCook, NE 69001
Hillcrest Nursing Home, a 100-bed government - county nursing facility in McCook, NE, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #106 of 178 rated homes in NE on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 3083454600
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- 2 / 5
- Below average · CMS overall · nat'l 3.0
- #106 of 178
- In-state rank among rated NE homes
- 4.88
- Well above average · nurse hrs/day · nat'l 3.86
- 16
- Inspection findings
The verdict
Hillcrest Nursing Home, a 100-bed government - county nursing facility in McCook, NE, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #106 of 178 rated homes in NE on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
- 2 / 5
- CMS overall · national 3.0
- #106 of 178
- In-state rank among rated NE homes
- 4.88
- Nurse hrs/resident-day · national 3.86
- 16
- Inspection findings on file
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 180 NE nursing homes split by ownership sector
This facility is recorded as Government - County. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 285080
- Ownership
- Government - County
- Provider Type
- Medicare and Medicaid
- Beds
- 100
- Residents
- 64
- In Hospital
- No
- County
- Red Willow
- Last Inspection
- May 7, 2026
Staffing Data
How the 4.88 total nursing hours per resident-day are staffed:
- RN Hours
- 0.49 (nat'l avg: 0.69)
- LPN Hours
- 0.53
- CNA Hours
- 3.86
- Total Nursing Hours
- 4.88 (nat'l avg: 3.86)
- PT Hours
- 0.02
- Nursing Turnover
- 36.3%
- RN Turnover
- 14.3%
What the CMS Record Reveals About Hillcrest Nursing Home
According to CMS Nursing Home Compare, Hillcrest Nursing Home ranks #106 of 178 rated nursing homes in NE on overall stars (tie-broken by health+staffing+quality, then fewer fines). Hillcrest Nursing Home operates 100 certified beds in McCook, NE with approximately 64 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 4★ · quality 2★).
The inspection file contains 16 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Reported nurse staffing runs 4.88 total hours per resident day (national average 3.86); RN hours specifically are 0.49 per resident day.
Classified as "Government - County" ownership and operating as a "Medicare and Medicaid" provider, Hillcrest Nursing Home falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 36.3% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (16 most recent)
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Category: Pharmacy Service Deficiencies
Corrected: Jun 19, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 19, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 19, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 19, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 19, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 19, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jun 19, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jun 19, 2026
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jan 31, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Category: Pharmacy Service Deficiencies
Corrected: Mar 30, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Mar 1, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 1, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 1, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: Mar 1, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Mar 1, 2024
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Category: Nutrition and Dietary Deficiencies
Corrected: Mar 1, 2024
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 23.5% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.8% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.6% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.4% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.7% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.3% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 4.9% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 4.1% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 24.2% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 26.8% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 97.9% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 100.0% | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Hillcrest Nursing Home, both outside NE so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside NE (100 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside NE (5.56 here).
Nearby Nursing Homes in NE
179 other nursing homes are on record in NE; 6 are shown here.
Accura Healthcare of Franklin
Franklin, NE
Accura Healthcare of Fullerton
Fullerton, NE
Accura HealthCare of Hartington
Hartington, NE
Accura HealthCare of Kenesaw
Kenesaw, NE
Accura Healthcare of Neligh
Neligh, NE
Accura HealthCare of North Platte
North Platte, NE
Understanding Nursing Home Data
What the CMS records show for Hillcrest Nursing Home
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The NE registry aggregates state averages and the highest-rated homes in this cohort. View NE registry
- Peer homes near 100 beds show how CMS stars vary at a similar scale in NE. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Hillcrest Nursing Home?
Where does Hillcrest Nursing Home rank among nursing homes in NE?
What are the staffing levels at Hillcrest Nursing Home?
How many beds does Hillcrest Nursing Home have?
Does Hillcrest Nursing Home have any deficiencies on record?
Has Hillcrest Nursing Home received any fines or penalties?
Who owns Hillcrest Nursing Home?
When was Hillcrest Nursing Home last inspected?
What quality measures are tracked for Hillcrest Nursing Home?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
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