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Nursing home

Hilltop Estates

Gothenburg, Nebraska · Dawson County

  • 2520 Avenue M, Gothenburg, NE 69138 · Directions
  • (308) 537‑7138
  • Medicare overall rating: 3 of 5 starsMedicare overall rating
  • Ownership: For profit – corporation
  • 15 health citations in its last 3 inspection cycles (most serious: level F). See the inspection record

Summary

Hilltop Estates is a Medicare-certified nursing home in Gothenburg, Nebraska, with 64 certified beds. Medicare overall rating: 3 of 5 stars. Most recent standard health inspection: 2026-06-16, with 8 health deficiencies. Ownership: for profit – corporation. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 3 of 5 starsMedicare overall rating
64Certified beds
Health inspections: 2 of 5 starsHealth inspections

Quick answers

Where is Hilltop Estates?
2520 Avenue M, Gothenburg, NE 69138, in Dawson County, Nebraska.
What is the phone number of Hilltop Estates?
(308) 537-7138, as listed by Medicare (CMS).
What is the Medicare star rating of Hilltop Estates?
Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
Has Hilltop Estates been fined?
Medicare lists no fines for Hilltop Estates.
What did inspectors find at Hilltop Estates?
In its last three inspection cycles (March 21, 2024 to June 16, 2026), Medicare lists 15 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 3 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 2 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 5 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 3 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Short-stay residents (rehab): 3 of 5 stars
Quality rating for people who stay a short time, usually to recover after a hospital stay.
Long-stay residents
Long-stay residents: 3 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (March 21, 2024 to June 16, 2026), Hilltop Estates had 15 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 4.22 hours per resident per day; the Nebraska average is 4.12 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: June 16, 2026 — 8 health citations

Inspections in this cycle: June 16, 2026 (standard health inspection).

Show 8 citations (levels A to F, no actual harm)
  • F0803 Level F June 16, 2026 · corrected July 31, 2026

    “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.”

  • F0812 Level F June 16, 2026 · corrected July 31, 2026

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0552 Level E June 16, 2026 · corrected July 31, 2026

    “Ensure that residents are fully informed and understand their health status, care and treatments.”

  • F0637 Level D June 16, 2026 · corrected July 31, 2026

    “Assess the resident when there is a significant change in condition”

  • F0641 Level D June 16, 2026 · corrected July 31, 2026

    “Ensure each resident receives an accurate assessment.”

  • F0684 Level D June 16, 2026 · corrected July 31, 2026

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

  • F0755 Level D June 16, 2026 · corrected July 31, 2026

    “Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”

  • F0880 Level D June 16, 2026 · corrected July 31, 2026

    “Provide and implement an infection prevention and control program.”

Previous cycle: March 18, 2025 — 4 health citations

Inspections in this cycle: March 18, 2025 (standard health inspection).

Show 4 citations (levels A to F, no actual harm)
  • F0812 Level F March 18, 2025 · corrected April 3, 2025

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0880 Level F March 18, 2025 · corrected April 3, 2025

    “Provide and implement an infection prevention and control program.”

  • F0740 Level D March 18, 2025 · corrected April 3, 2025

    “Ensure each resident must receive and the facility must provide necessary behavioral health care and services.”

  • F0759 Level D March 18, 2025 · corrected April 3, 2025

    “Ensure medication error rates are not 5 percent or greater.”

Earlier cycle: March 21, 2024 — 3 health citations

Inspections in this cycle: March 21, 2024 (standard health inspection).

Show 3 citations (levels A to F, no actual harm)
  • F0812 Level F March 21, 2024 · corrected April 12, 2024

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0880 Level F March 21, 2024 · corrected April 12, 2024

    “Provide and implement an infection prevention and control program.”

  • F0582 Level D March 21, 2024 · corrected April 12, 2024

    “Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.”

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fire safety citations (12)
  • K0911 Level F June 16, 2026 · corrected July 31, 2026

    “Meet requirements for the installation and maintenance of electrical systems.”

  • K0321 Level E June 16, 2026 · corrected July 31, 2026

    “Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”

  • K0355 Level E June 16, 2026 · corrected July 31, 2026

    “Properly select, install, inspect, or maintain portable fire extinguishes.”

  • E0041 Level F March 18, 2025 · corrected April 1, 2025

    “Implement emergency and standby power systems.”

  • K0324 Level F March 18, 2025 · corrected April 1, 2025

    “Provide properly protected cooking facilities.”

  • K0353 Level F March 18, 2025 · corrected April 1, 2025

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0712 Level F March 18, 2025 · corrected April 1, 2025

    “Have simulated fire drills held at unexpected times.”

  • K0918 Level F March 18, 2025 · corrected April 1, 2025

    “Have generator or other power source capable of supplying service within 10 seconds.”

  • K0321 Level E March 18, 2025 · corrected April 1, 2025

    “Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”

  • K0923 Level E March 18, 2025 · corrected April 1, 2025

    “Have proper medical gas storage and administration areas.”

  • K0363 Level D March 21, 2024 · corrected April 12, 2024

    “Install corridor and hallway doors that block smoke.”

  • K0920 Level D March 21, 2024 · corrected April 12, 2024

    “Ensure proper usage of power strips and extension cords.”

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homeNebraskaNational
Registered nurse (RN) hours per resident per day0.880.690.69
Licensed practical nurse (LPN) hours per resident per day0.530.680.86
Nurse aide hours per resident per day2.812.752.35
Total nurse staff hours per resident per day4.224.123.90
Total nurse staff hours per resident per day on the weekend3.473.573.43
RN hours per resident per day on the weekend0.600.480.48
Nursing staff turnover (per year)43.4%48.5%45.3%
RN turnover (per year)14.3%43.5%42.5%
Administrators who left in the last year0.00.50.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Owners and operator

Legal business name: K C Health Care Enterprises Inc.

Owners and managers Medicare lists (7)
NameRoleShareSince
K C Health Care Enterprises IncDirect owner—February 15, 1995
Bartruff, CraigDirect owner—October 19, 2009
Family Physical Therapy & Sports CenterManagement company (operational or managerial control)NOT APPLICABLEDecember 1, 2021
Flatwater BankManagement company (operational or managerial control)NOT APPLICABLEJanuary 1, 1995
Key Rehabilitation IncManagement company (operational or managerial control)NOT APPLICABLEJanuary 1, 2024
Luminate HCC LLCManagement company (operational or managerial control)NOT APPLICABLEDecember 1, 2023
S. Douglas Kucera, CpaManagement company (operational or managerial control)NOT APPLICABLEJanuary 1, 2005

Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds64
Average residents per day40.9
Takes part inMedicare and Medicaid
OwnershipFor profit – corporation
Legal business nameK C Health Care Enterprises Inc
First approved by Medicare/Medicaid1995-07-02
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address2520 Avenue M, Gothenburg, NE 69138
CountyDawson County
StateNebraska
Phone(308) 537‑7138
CMS Certification Number285163
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13