Nursing home
Hilltop Estates
2520 Avenue M, Gothenburg, NE 69138 · Map
For profit - Corporation · 64 certified beds
Hilltop Estates is a Medicare-certified nursing home in Gothenburg, Nebraska. CMS rates it 4 out of 5 stars overall (4/5 for staffing, 3/5 for health inspections). Nurse staffing is 4.07 hours per resident per day, below the Nebraska average of 4.17. Its most recent inspection on Mar 18, 2025 cited 4 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Hilltop Estates compares
This facility vs. the Nebraska and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Nebraska avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.07 | 4.17 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.79 | 0.71 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.66 | 2.76 | 2.34 | below avg |
| Nursing staff turnover | 52.8% | 49.3% | 46.4% | above avg |
| Deficiencies cited, last inspection | 4.0 | 6.7 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Hilltop Estates
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 18, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 18, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Mar 18, 2025 · Full report (PDF) - Potential for harm
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · Mar 18, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 21, 2024 · Full report (PDF)
Show all 7 deficiencies
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 21, 2024 · Full report (PDF) - Potential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Mar 21, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 2520 Avenue M
Gothenburg, NE 69138 - CMS certification #
- 285163
- Ownership
- For profit - Corporation
- Certified beds
- 64
- Avg residents/day
- 39.8
- Provider type
- Medicare and Medicaid
- First certified
- 1995-07-02
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Hilltop Estates using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2014
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Jun 15, 2014 to Jun 14, 2016. Violations found: Child labor. Civil money penalties assessed: $1,206. Employer as DOL recorded it: Hilltop Estates (KC Health Care Enterprises, Inc.). Case 1789374.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Gothenburg Health, Gothenburg. 0.4 miles away, straight line.
- Nearest Medicare nursing home
- Emerald Nursing & Rehab Cozad, Cozad. 9.9 miles away, straight line.
- Nearest home health agency office
- Central Plains Home Health, Cozad. 10.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Gothenburg Discount Pharmacy. 1.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 69138 as rural (rural area).
- Hospice
- 2 Medicare hospices tell CMS they serve ZIP code 69138.
Central Plains Hospice, office in Cozad, 10.3 miles away, straight line - Nearest geriatric medicine practice
- Unmc Physicians, Omaha. 206.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively moderate, wildfire relatively low, tornado relatively high, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Hilltop Estates a good nursing home?
CMS gives Hilltop Estates an overall rating of 4 out of 5 stars, including 4/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Hilltop Estates staffed?
Hilltop Estates reports 4.07 total nurse hours per resident per day, compared with the Nebraska average of 4.17.
Has Hilltop Estates had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Hilltop Estates have?
Hilltop Estates is certified for 64 beds.