Skilled nursing facility · CMS certification number 285293
Hillcrest Country Estates-Cottages
Papillion, Nebraska · Medicare and Medicaid
Certified beds, as filed in Care Compare: 48
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,027,158 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $451,269 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,575,889 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,895,731 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $680,158 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $52,797 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $732,955 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $732,955 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 186 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 68,076 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 6,418 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 6,726 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 30,061 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 43,205 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 264 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 1 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 94 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 359 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 6,726 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 120.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1434683, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 30, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,955,123 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $608,206 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,346,917 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,256,901 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $90,016 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $132,297 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $222,313 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $222,313 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 186 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,775 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 413 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 113.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1390566, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,236,345 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $804,582 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,431,763 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,994,528 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$562,765 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,787 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$534,978 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$534,978 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 186 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,493 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 465 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 84.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1362690, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,055,207 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,192,775 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,862,432 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,694,743 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$832,311 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,214,384 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $382,073 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $382,073 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 186 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,709 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 381 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 96.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1332222, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 22, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,314,685 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $897,342 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,417,343 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,499,777 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,082,434 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $40,024 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,042,410 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,042,410 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 186 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,829 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 348 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 100.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1290068, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 16, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,411,792 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,172,715 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,239,077 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,035,567 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $203,510 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$360,242 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$156,732 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$156,732 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 186 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,618 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 403 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 602.18 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 103.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1276406, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for April 1, 2018 to December 31, 2018 — a reporting period of 274 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 22, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,007,609 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,389,287 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,618,322 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,687,615 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$69,293 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,413 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$46,880 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$46,880 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 186 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,551 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 322 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 654.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 101.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1237838, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,418,909 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,719,617 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,699,292 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,323,454 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $375,838 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $124,177 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $500,015 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $551,003 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,475 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 454 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 338.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 93.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1202170, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 16, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,468,332 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,981,939 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,486,393 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,694,854 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $791,539 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $37,354 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $828,893 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$381,717 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,177 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 457 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 403.19 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 94.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1173469, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,261,914 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,003,763 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,258,151 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,715,743 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $542,408 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,900 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $567,308 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,347,230 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,714 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 227 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 345.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 174.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1137279, read from the public cost report file SNF10FY2015.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| AERNI, TODD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/31/2021 |
| ASWEGE-MEZENBERG, DEBRA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2023 |
| HATCHER, ANTHONY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/01/2023 |
| HILLCREST HEALTH SYSTEMS INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/26/2026 |
| JANICKI, JAMES | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/31/2021 |
| MALLOY, TIMOTHY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2020 |
| MATHISON ROBERTS, JOLENE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/31/2021 |
| MULHEARN, KEVIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/06/2013 |
| OESTMANN, MATTHEW | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/31/2021 |
| RIPPLE, REGGIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/31/2021 |
| WALKER, SHYANN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/04/2025 |
| AERNI, TODD | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 12/31/2021 |
| JANICKI, JAMES | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 12/31/2021 |
| MATHISON ROBERTS, JOLENE | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 12/31/2021 |
| MULHEARN, KEVIN | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 12/31/2021 |
| OESTMANN, MATTHEW | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 12/31/2021 |
| RIPPLE, REGGIE | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 12/31/2021 |
| JANICKI, JAMES | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 12/31/2021 |
| MULHEARN, KEVIN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 12/31/2021 |
| OESTMANN, MATTHEW | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 12/31/2021 |
| RIPPLE, REGGIE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 12/31/2021 |
| ASWEGE-MEZENBERG, DEBRA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2023 |
| HATCHER, ANTHONY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/01/2023 |
| HILLCREST HEALTH SYSTEMS INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2018 |
| JANICKI, JAMES | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/31/2021 |
| MULHEARN, KEVIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/31/2021 |
| OESTMANN, MATTHEW | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/31/2021 |
| WALKER, SHYANN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/04/2025 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of HCE-COTTAGES LLC (enrollment ID O20180320001137).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| JAMES JANICKI | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25 | 12/31/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOLENE L MATHISON ROBERTS | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 72 | 12/31/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEVIN J MULHEARN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25 | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MATTHEW P OESTMANN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5.6 | 12/31/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| REGGIE J RIPPLE | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25 | 12/31/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANTHONY L HATCHER | Individual | ADP OF THE SNF | Not stated in the filing | 3/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEBRA ASWEGE-MEZENBERG | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HILLCREST HEALTH SYSTEMS INC | Organization | ADP OF THE SNF | Not stated in the filing | 1/26/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| JAMES JANICKI | Individual | ADP OF THE SNF | Not stated in the filing | 12/31/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOLENE L MATHISON ROBERTS | Individual | ADP OF THE SNF | Not stated in the filing | 12/31/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEVIN J MULHEARN | Individual | ADP OF THE SNF | Not stated in the filing | 11/6/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MATTHEW P OESTMANN | Individual | ADP OF THE SNF | Not stated in the filing | 12/31/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| REGGIE J RIPPLE | Individual | ADP OF THE SNF | Not stated in the filing | 12/31/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHYANN WALKER | Individual | ADP OF THE SNF | Not stated in the filing | 8/4/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TIMOTHY R MALLOY | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TODD AERNI | Individual | ADP OF THE SNF | Not stated in the filing | 12/31/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES JANICKI | Individual | DIRECT OWNERSHIP INTEREST | 25 | 12/31/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOLENE L MATHISON ROBERTS | Individual | DIRECT OWNERSHIP INTEREST | 72 | 12/31/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEVIN J MULHEARN | Individual | DIRECT OWNERSHIP INTEREST | 25 | 12/31/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MATTHEW P OESTMANN | Individual | DIRECT OWNERSHIP INTEREST | 5.6 | 12/31/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| REGGIE J RIPPLE | Individual | DIRECT OWNERSHIP INTEREST | 5.6 | 12/31/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TODD AERNI | Individual | DIRECT OWNERSHIP INTEREST | 5.6 | 12/31/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES JANICKI | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 12/31/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEVIN J MULHEARN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 12/31/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MATTHEW P OESTMANN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 12/31/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| REGGIE J RIPPLE | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 12/31/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANTHONY L HATCHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEBRA ASWEGE-MEZENBERG | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HILLCREST HEALTH SYSTEMS INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 0 | 4/1/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| JAMES JANICKI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/31/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEVIN J MULHEARN | Individual | OPERATIONAL/MANAGERIAL CONTROL | 20 | 12/31/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MATTHEW P OESTMANN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/31/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHYANN WALKER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/4/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- August 1, 2026: REGGIE J RIPPLE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JAMES JANICKI no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: KALEB HIGHT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: KEVIN J MULHEARN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MATTHEW P OESTMANN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: TIMOTHY R MALLOY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: REGGIE J RIPPLE (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: REGGIE J RIPPLE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: REGGIE J RIPPLE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JAMES JANICKI (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JAMES JANICKI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JAMES JANICKI (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JOLENE L MATHISON ROBERTS (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JOLENE L MATHISON ROBERTS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JOLENE L MATHISON ROBERTS (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: TODD AERNI (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: TODD AERNI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: SHYANN WALKER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 4, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: SHYANN WALKER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 4, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: DEBRA ASWEGE-MEZENBERG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since July 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: KEVIN J MULHEARN (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: KEVIN J MULHEARN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 6, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: KEVIN J MULHEARN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: HILLCREST HEALTH SYSTEMS INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 26, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MATTHEW P OESTMANN (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MATTHEW P OESTMANN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MATTHEW P OESTMANN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ANTHONY L HATCHER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since March 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ANTHONY L HATCHER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since March 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- July 1, 2024: KALEB HIGHT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: KEVIN J MULHEARN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: MATTHEW P OESTMANN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: REGGIE J RIPPLE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JAMES JANICKI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: KALEB HIGHT (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since March 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: DEBRA ASWEGE-MEZENBERG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since July 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: MATTHEW P OESTMANN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- October 2, 2023: SHARYL RONAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: REGGIE J RIPPLE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JAMES JANICKI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: SPENCER BARTLETT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: KALEB HIGHT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since March 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: MATTHEW P OESTMANN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- April 14, 2023: SHARYL RONAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: SHARYL RONAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: CHRIS SOBRILSKY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: SPENCER BARTLETT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since February 8, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- March 15, 2023: MARTHA ZUBKE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: MARTHA ZUBKE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: JAMES JANICKI (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
Recent changes on this record
- August 1, 2026: REGGIE J RIPPLE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JAMES JANICKI no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: KALEB HIGHT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: KEVIN J MULHEARN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MATTHEW P OESTMANN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: TIMOTHY R MALLOY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: REGGIE J RIPPLE (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: REGGIE J RIPPLE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: REGGIE J RIPPLE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JAMES JANICKI (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JAMES JANICKI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JAMES JANICKI (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JOLENE L MATHISON ROBERTS (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JOLENE L MATHISON ROBERTS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: JOLENE L MATHISON ROBERTS (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: TODD AERNI (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: TODD AERNI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: SHYANN WALKER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 4, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: SHYANN WALKER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 4, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: DEBRA ASWEGE-MEZENBERG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since July 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: KEVIN J MULHEARN (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: KEVIN J MULHEARN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 6, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: KEVIN J MULHEARN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: HILLCREST HEALTH SYSTEMS INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since January 26, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MATTHEW P OESTMANN (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MATTHEW P OESTMANN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: MATTHEW P OESTMANN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since December 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ANTHONY L HATCHER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since March 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ANTHONY L HATCHER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since March 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- July 30, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- July 1, 2024: KALEB HIGHT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: KEVIN J MULHEARN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: MATTHEW P OESTMANN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: REGGIE J RIPPLE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: JAMES JANICKI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: KALEB HIGHT (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since March 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: DEBRA ASWEGE-MEZENBERG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since July 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- July 1, 2024: MATTHEW P OESTMANN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- October 2, 2023: SHARYL RONAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 14, 2025 | April 14, 2025 | 7 | 9 |
| 2 | February 29, 2024 | February 29, 2024 | 6 | 7 |
| 3 | March 21, 2023 | March 21, 2023 | 9 | 8 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
22 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| April 14, 2025 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | May 15, 2025 |
| April 14, 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | May 15, 2025 |
| April 14, 2025 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 14, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | May 15, 2025 |
| April 14, 2025 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 14, 2025 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 14, 2025 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 14, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 14, 2025 | Health | F 0947 | Nursing and Physician Services Deficiencies | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Yes | Deficient, Provider has date of correction | May 15, 2025 |
| April 24, 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | Yes | Deficient, Provider has date of correction | May 30, 2024 |
| April 24, 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Deficient, Provider has date of correction | May 30, 2024 |
| April 24, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Yes | Deficient, Provider has date of correction | May 30, 2024 |
| April 24, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | May 30, 2024 |
| February 29, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Yes | Deficient, Provider has date of correction | April 10, 2024 |
| February 29, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | April 10, 2024 |
| February 29, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Yes | Deficient, Provider has date of correction | April 10, 2024 |
| February 29, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | April 10, 2024 |
| November 13, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | December 6, 2023 |
| March 21, 2023 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | May 3, 2023 |
| March 21, 2023 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | No | Deficient, Provider has date of correction | May 3, 2023 |
| March 21, 2023 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | No | Deficient, Provider has date of correction | May 3, 2023 |
| March 21, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | May 3, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | HCE-COTTAGES LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2015-07-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Sarpy |
| Telephone Number | 4028857000 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 48 |
| Average Number of Residents per Day | 44.4 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.
Get an email when this record changes
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On August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for Hillcrest Country Estates-Cottages
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Nebraska at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 285293.