Hillcrest Country Estates Cottages

    6082 Grand Lodge Ave, Papillion, NE, 68133
    3.1 · 35 reviews
    • Independent living
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Nice facility but unsafe care

    I was impressed by the brand-new, beautiful facility - great amenities (therapy, saltwater pool, gym), a lovely dining room, and many caring staff who tried hard. But chronic understaffing, poor nurse/concierge communication, delayed testing and inconsistent caregiving left me worried about safety and dignity (patients left alone, medication/UTI risks). Cleanliness and maintenance were hit-or-miss - some spotless areas and quick Environmental Services fixes, yet stained linens, wet floors and broken equipment showed up. It's high-end and pleasant, but I wouldn't trust it until management fixes staffing, training and follow-through.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    3.14 · 35 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.5
    • Staff

      2.8
    • Meals

      3.3
    • Amenities

      4.2
    • Value

      2.9

    Pros

    • Beautiful, brand-new and well-maintained facility
    • Attractive, up-to-date design and open-air concept
    • Small, homey 13-resident cottage model with homelike atmosphere
    • Spacious private rooms and large bathrooms (full showers)
    • Fireplaces in rooms and cozy common-area features
    • Extensive outdoor amenities: courtyard, garden center, putting green, outdoor gathering spaces, fire pit
    • Indoor amenities: saltwater pool, exercise room/gym, library, salon, hobby shop, pub/bistro, private dining room
    • On-site cooking with customizable, nutritious meal options and fine-dining style dining room
    • Engaging common features: piano, big-screen TV, fireplace, open kitchen
    • Rehab, physical therapy and on-site therapy services praised
    • One-on-one care and 24-hour staff coverage reported in cottage model
    • Transportation services to appointments and organized outings
    • Concierge and Environmental Services responsiveness noted in some cases
    • Secure and safe environment with high-end finishes
    • Ability to personalize rooms and furnishings provided

    Cons

    • Chronic understaffing and staff shortages
    • Perceived poor management and lack of leadership
    • Inconsistent staff quality—mixed reviews of caring vs. rude or lazy staff
    • Overworked staff, long response times, and missed care tasks
    • Staff unprofessionalism: cell phone use, socializing in common areas, privacy/HIPAA breaches
    • Safety incidents and clinical lapses (falls, hip fracture, oxygen left off, delayed tests)
    • Frequent urinary tract infections reported by multiple reviewers
    • Inconsistent meal quality and service (lukewarm meals, weekend gaps, one-size-fits-all menus)
    • Cleanliness/maintenance issues in some reports (stained linens, dirty bathrooms, wet floors)
    • Broken or poorly maintained equipment (ice machine, handicap door button)
    • Laundry mishandling and misrouted items
    • High cost, price increases, and concerns about affordability/Medicaid transition
    • Poor communication and concierge follow-up failures
    • Insufficient dementia care supervision for some residents (patients left alone)
    • Contradiction between high-end appearance/marketing and actual care delivery

    Summary review

    Overall sentiment in the reviews is mixed but consistent in its themes: Hillcrest Country Estates Cottages is widely praised for its physical plant, amenities, and some aspects of clinical and rehabilitative care, while receiving substantial criticism for staffing, management, and inconsistent day-to-day care execution.

    Facilities and amenities are the most consistently praised elements. Multiple reviewers describe a brand-new, aesthetically pleasing campus with an open-air concept, up-to-date furnishings, and a country feel. Specific features highlighted include small 13-resident cottage living, spacious private rooms with full bathrooms and fireplaces, an attractive dining room that resembles fine dining, an open kitchen, piano/library/big-screen TVs, and numerous indoor and outdoor amenities such as a saltwater pool, exercise room/gym, salon, hobby shop, garden center, putting green, outdoor gathering spaces and a pub/bistro. Reviewers repeatedly note that grounds are well-manicured and the property presents as clean and high-end in many areas.

    Dining and culinary services receive both praise and criticism. Many reviews praise nutritious, customizable meals, the ability to speak directly with chefs, and the fine-dining atmosphere in the dining room. Conversely, others report inconsistent food quality (lukewarm meals, one-size-fits-all menus), weekend cooking gaps, and lapses in meal assistance for residents who need help. This inconsistency suggests that while the program and culinary capacity are strong on paper, execution varies by time and staffing.

    Clinical care and rehabilitation storylines are mixed as well. Several reviewers strongly praise on-site rehab, physical therapy, and attentive caregivers, noting successful recoveries after surgery and positive interactions with nursing and therapy staff. In contrast, there are alarming reports of safety or clinical lapses — including a serious fall resulting in a hip fracture, oxygen-related errors, delayed medical testing, and repeated urinary tract infections. Some reviewers explicitly describe neglect (slow or no response to calls, patients left alone, inadequate dementia supervision), which raises safety and monitoring concerns. The pattern suggests pockets of high-quality clinical care coexisting with significant, sometimes dangerous shortcomings tied to staffing or supervision failures.

    Staffing, professionalism, and management emerge as the most frequent negative themes. Many reviewers describe chronic understaffing, overworked employees, and inconsistent staff competence—ranging from devoted, caring individuals to rude, lazy, or inattentive team members. Specific unprofessional behaviors reported include staff on cell phones, casual staff conversations in common areas that disclose private patient information, and missed basic care tasks. Several reviewers called out management failures: lack of leadership, poor communication, concierge follow-up problems, and an apparent emphasis on marketing/appearance over frontline care. These management and staffing issues appear to be central contributors to many of the service and safety problems described.

    Cleanliness and maintenance are mostly described positively but with notable exceptions. Multiple reviewers said the facility is clean and well-maintained, yet others reported stained linens, dirty bathrooms, wet floors, misrouted laundry, and broken equipment (ice machine, nonfunctional handicap door button). Environmental Services received praise in at least one instance for quick repair work, which suggests maintenance responsiveness is variable and potentially dependent on who is working and when.

    Cost and value perception are split. Some reviewers consider the pricing high but reasonable given the facility’s offerings and all-inclusive pricing structure; others describe the care as not matching the high cost, express concern about price increases, and note that Medicaid becomes an option only after a payout. Affordability and perceived value therefore vary with individual expectations and actual care experience.

    Activities and engagement are another mixed area. The property offers many potential activities, classes, outings and social spaces; reviewers note lectures, exercise classes, movies and outings. However, several residents and family members experienced limited activity engagement for specific individuals, especially those with dementia or higher needs, implying that activity offerings may not be reliably individualized or consistently delivered.

    Patterns and notable tensions: reviewers repeatedly contrast the upscale, new, and highly-amenitized image of the community with serious operational weaknesses — chiefly staffing shortages, inconsistent staff training/behavior, lapses in clinical safety and monitoring, and breakdowns in communication. Positive experiences tend to cluster around specific units, shifts, or employees (for example, praised rehab teams, Environmental Services responsiveness, and dedicated caregivers), while negative experiences are often systemic (management, staffing ratios, follow-up, and weekend coverage).

    In summary, Hillcrest Country Estates Cottages appears to be a high-quality, well-appointed senior living option in terms of facilities, design, and potential programming. It also clearly demonstrates capacity for excellent rehabilitation and personalized cottage-style care. However, multiple reviews raise important concerns about staffing adequacy, management and communication, inconsistent meal and housekeeping execution, and safety-related incidents. Prospective residents and families should weigh the strong physical and programmatic offerings against documented variability in staffing, care quality, and management responsiveness when making placement decisions. Where possible, visitors should probe staffing ratios, weekend coverage, clinical monitoring systems, privacy practices, and recent management changes to better understand how consistently the facility delivers on its strong promise.

    Location

    Map showing location of Hillcrest Country Estates Cottages

    About Hillcrest Country Estates Cottages

    Hillcrest Country Estates Cottages in Papillion, Nebraska, offers a quiet spot for older adults, with several cottage homes and a bigger community setup that covers assisted living, independent living, memory care, and long-term care. The grounds come with patios for sitting out, several walking paths, and large living spaces, so there's always a place to relax or stroll around, and most apartments and cottages welcome pets. Family-style meals are served to help residents feel at home, and the kitchen often works with their registered dietitian to meet nutritional needs. Every resident gets a personalized schedule to help keep life familiar and comforting, and there's a regular lineup of social and recreational activities, with different levels of care available as needs change, so people don't have to move away if their care needs go up.

    The place has 48 certified beds, averages about 46 residents daily, and gives 24/7 skilled nursing care with daily living help and medication management, physical therapy services from Innovate Physical Therapy, and regular visits from a doctor. Amenities include a well-stocked library, laundry room, whirlpool bath suite, and a hair salon. Occupancy stays steady, and staffing is above the Nebraska average at almost five nurse hours per resident each day, though nurse turnover is higher than most places at about 68%. The campus claims to be the first and only freestanding nursing household community in Omaha.

    Hillcrest Country Estates Cottages' parent company, Hillcrest Health Systems Inc, has managed the site since 2018, and the operation works as a for-profit Limited Liability Company. The facility does offer some specialized dementia programs, adult day services, hospice care, and support groups for families. Residents can move between different types of rooms, cottages, rehab cottages, or signature villas, depending on care needs, making it easier for people to age in place and get more or less help as things change.

    There have been 22 documented deficiencies in official inspections, including three related to infection control, and some were about how medications are labeled, stored, and given out, with some medication error rates higher than federal standards. Violations have included infection control problems and issues with handling and storing drugs, all graded at severity level D, meaning there's room for improvement but nothing putting residents in immediate harm.

    People looking at Hillcrest Country Estates Cottages should know the facility gets mixed reviews and that inspection reports have noted several areas where change is needed, but the community remains one of the few in Omaha with this household-style care model. The homes are sturdy and well-kept, the grounds are pleasant, and there's a focus on letting folks keep as much independence as possible without being far from help.

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