Hilltop Estates is a small nursing home located in Gothenburg, Nebraska. It looks like this nursing home is ranked among the better facilities we assessed. A grade of this caliber requires high-end scores across the board. In fact, we ranked this facility in the top quarter of all nursing homes in the United States. If you scroll down, you will see this nursing home's category grades, which are also quite good.
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Hilltop Estates
- Nursing Home
Updated Nov 1, 2023 by Nick Reese
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- Accepts Medicare 1
- Accepts Medicaid 1
- No CCRC
- Has Resident Council
- No Family Council
- For profit - Corporation
- Offers Post-Acute Care
- Offers Inpatient Rehab
- Offers Outpatient Rehab
Specialized Services
- Personal Care
- Home Making
- Speech Therapy
- Stroke Recovery
- Wound Care
- Occupational Therapy
- Cardiac Therapy
- Physical Therapy
- Respiratory Therapy
- Nutritional Counseling
- Recreational Therapy
- Orthopedic Rehabilitation
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Registered Staff Hours
Facility Inspections
On top of receiving a strong overall score, this nursing home also received excellent government inspections recently. We gave it one of our highest grades in that area, with an A. Inspection ratings are tied to several pieces of information located in the a nursing home's recent inspection reports. Nursing homes that score well in this area have few deficiencies on those reports. Most importantly, these nursing homes generally do not have any severe deficiencies which are associated with endangerment of patients. This nursing home was hit with 4 deficiencies on its inspection report, but fortunately none of the deficiencies were considered to be major deficiencies. This means that the inspectors didn't consider any of the deficiencies to cause an imminent threat to resident safety or health. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Long-term Care Quality
Adding to its high-end resume, this nursing home also was given a dominant long-term care grade, with a score of A. Nursing homes that excel in this category typically provide residents with more supervision and stay on top of routine healthcare services. In addition to assessing the quantity of care provided by aids and other staff, we analyzed the percentage of residents vaccinated for pneumonia. This facility vaccinated 100 percent of its residents, which is very impressive. Pneumonia tragically can be a dangerous ailment for nursing home residents so we prefer when a nursing home doesn't take any chances. Finally, this facility was able to limit hospitalizations. In fact, it had only 0.02 hospitalizations per one thousand long-term resident days, which is an impressively low number.
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Nurse Quality
Another strong feature for this facility is that it received an impressive nursing grade. In that area, we awarded this facility a grade of B+. When calculating a facility's nursing grade, we assess the number of hours nurses are with residents as well as the skill levels of those nurses. This facility provided 0.4 hours of nursing care per resident per day. Finally, we also assessed several nursing quality-based metrics and this facility excelled in some of these areas. With less than five percent of its residents sustaining pressure ulcers, it performed as well as any place the nation in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can generally be prevented by offering better nursing care, such as by having a policy of turning a resident at least once a day.
Short-term Care Quality
In the last category, this nursing home also was awarded a very strong short-term care score, with a B+. This topped off a very strong report card. Short-term care scores are meaningful for people needing rehabilitation. Rehabilitation generally requires more highly-skilled nursing. This includes a broad range of nursing services, ranging from registered nurses to physical and respiratory therapists, as well as other types of therapy. Fortunately, it appear that this facility has registered nurses on staff. Not every nursing home employs these types of nurses. However, based on the data this nursing home provided, it does not look like the facility employs physical therapists. The last datapoint we looked at in this area is the percentage of residents who were able to leave the nursing home and return home. We discovered that 4.1 percent of this facility's patients were able to return home.
Rating Over Time
Compared to national and state averages across all facilities.
Hilltop Estates Quality Metrics
Minimizes Pressure Ulcers
In Hilltop Estates, 8.89% of Patients had Pressure Ulcers
This indicates the percent of long-term care residents who suffer from pressure ulcers. We've found that pressure ulcers are a reliable measure of the quality of nursing care a nursing home provides.
Minimizes Serious Falls
In Hilltop Estates, 8.51% of Patients had Serious Falls
This tells you the percentage of residents who sustained a major fall. Falls leading to severe injuries are often linked to poor nursing care. More supervision can limit the number of major falls sustained by residents in a nursing home.
Minimizes Urinary Tract Infections
In Hilltop Estates, 5.07% of Patients had UTIs
This statistic indicates the percentage of long-term patients who had a UTI. While a higher rate infections may reflect poorly on a nursing home's hygiene protocols, it is problematic to compare different nursing homes due to facilities having varying reporting standards.
Appropriately Uses Anti-Psychotic Medication
In Hilltop Estates, 26.62% of Patients use Anti-Psychotic Medication
This tells you the percentage of patients who were prescribed antipsychotic medications. Antipsychotic drugs are administered to residents for many medical conditions, such as Alzheimer's or other dementias. Unfortunately, in some situations, increased usage of these drugs may mean a nursing home is using these drugs to control patient behavior.
Appropriately Uses Anti-Anxiety Medication
In Hilltop Estates, 7.69% of Patients use Anti-Anxiety Medication
This indicates the percent of residents prescribed antianxiety medications. Antianxiety medications are administered to residents experiencing anxiety and depression.
Managing Depression Among Residents
In Hilltop Estates, 0% of Patients
This tells you the percent of patients exhibiting signs of depression. Increased levels of depression could be a sign a lower level of care.
Appropriate Vaccine Usage
In Hilltop Estates, 100% of Patients
This tells you the percentage of patients that received the flu and pneumonia vaccines. High vaccination rates should be standard at this point.
Residents Maintain Autonomy
In Hilltop Estates, 14.62% of Patients
This datapoint is a measure of the percent of long-term care residents who needed more assistance with activities of daily living over time. Activities of daily living include activities such as moving around and continence.
Ability to Keep Residents Mobile
In Hilltop Estates, 22.8% of Residents
This datapoint measures the percent of long-term patients who remained mobile levels.
Hospitalizations
In Hilltop Estates, 0.02 Hospitalizations per 1,000 resident days
This tells you the number of hospitalizations per 1,000 days of patient care.
Short-term Care: Rehospitalizations
In Hilltop Estates, 22.8% of Residents Rehospitalized
This is the number of times residents are rehospitalized per 1,000 days of short-term care. There is usually a correlation between reduced hospitalizations and a nursing home's quality of short-term rehabilitation.
Short-term Care: ER Visits
In Hilltop Estates, 4.37% of Patients
This indicates the number of times residents are sent to the emergency room per thousand days of short-term care. There is usually a correlation between fewer emergency room visits and the overall quality of rehabilitation.
Short-term Care: Facilitates Functional Improvement
In Hilltop Estates, 75.18% of Resident
This tells you the percentage of short-term residents that experienced functional improvements, such as with activities of daily living. High levels of performance with ADL's usually correlates with successful rehabilitation services.
Nearby Hospitals
- Gothenburg Memorial HospitalCritical Access Hospitals 0.45 miles away910 20th St Gothenburg Nebraska 69138Government - Hospital District or Authority(308) 537-3661