PlainNursing
CMS Nursing Home Compare · August 2026

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

2/5

Staffing

4/5

Quality Measures

2/5

Long-Stay Quality

2/5

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)

D - Isolated - Minimal harm May 7, 2026 Tag: 0757

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

Category: Pharmacy Service Deficiencies

Corrected: Jun 19, 2026

D - Isolated - Minimal harm May 7, 2026 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 19, 2026

D - Isolated - Minimal harm May 7, 2026 Tag: 0690

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

D - Isolated - Minimal harm May 7, 2026 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 19, 2026

D - Isolated - Minimal harm May 7, 2026 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 19, 2026

D - Isolated - Minimal harm May 7, 2026 Tag: 0677

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

F - Widespread - Minimal harm May 7, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 19, 2026

F - Widespread - Minimal harm May 7, 2026 Tag: 0812

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

D - Isolated - Minimal harm Dec 16, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 31, 2026

D - Isolated - Minimal harm Feb 13, 2025 Tag: 0757

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

Category: Pharmacy Service Deficiencies

Corrected: Mar 30, 2025

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 1, 2024

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0689

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

D - Isolated - Minimal harm Jan 25, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 1, 2024

E - Pattern - Minimal harm Jan 25, 2024 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 1, 2024

F - Widespread - Minimal harm Jan 25, 2024 Tag: 0812

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

F - Widespread - Minimal harm Jan 25, 2024 Tag: 0801

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.

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?
Hillcrest Nursing Home has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (4★), and quality measures (2★).
Where does Hillcrest Nursing Home rank among nursing homes in NE?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Hillcrest Nursing Home ranks 106th among 178 rated nursing homes in NE (#106 of 178). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Hillcrest Nursing Home?
Hillcrest Nursing Home reports 4.88 total nursing hours per resident day (national average: 3.86). RN hours are 0.49 per resident day (national average: 0.69). Nursing staff turnover is 36.3%.
How many beds does Hillcrest Nursing Home have?
Hillcrest Nursing Home has 100 certified beds with approximately 64 residents. The facility is located at 309 West 7th Street, McCook, NE 69001.
Does Hillcrest Nursing Home have any deficiencies on record?
Yes, Hillcrest Nursing Home has 16 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Hillcrest Nursing Home received any fines or penalties?
No, Hillcrest Nursing Home has no fines or penalties on record.
Who owns Hillcrest Nursing Home?
Hillcrest Nursing Home is classified as "Government - County" ownership. The facility type is "Medicare and Medicaid".
When was Hillcrest Nursing Home last inspected?
The most recent health inspection for Hillcrest Nursing Home was on May 7, 2026. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Hillcrest Nursing Home?
Hillcrest Nursing Home is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
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.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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