Skilled nursing facility · CMS certification number 285293

Hillcrest Country Estates-Cottages

Papillion, Nebraska · Medicare and Medicaid

Certified beds, as filed in Care Compare: 48

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 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
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%).

Beds, days and discharges, fiscal year 2024
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 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 July 2024.

Revenue and expenses, fiscal year 2023
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%).

Beds, days and discharges, fiscal year 2023
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 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2023.

Revenue and expenses, fiscal year 2022
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%).

Beds, days and discharges, fiscal year 2022
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 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2022.

Revenue and expenses, fiscal year 2021
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%).

Beds, days and discharges, fiscal year 2021
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 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 22 July 2021.

Revenue and expenses, fiscal year 2020
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%).

Beds, days and discharges, fiscal year 2020
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 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 December 2020.

Revenue and expenses, fiscal year 2019
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%).

Beds, days and discharges, fiscal year 2019
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 31 December 2018

Cost report for 1 April 2018 to 31 December 2018 — a reporting period of 274 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 22 July 2019.

Revenue and expenses, fiscal year 2018
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%).

Beds, days and discharges, fiscal year 2018
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 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 July 2018.

Revenue and expenses, fiscal year 2017
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%).

Beds, days and discharges, fiscal year 2017
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 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 August 2017.

Revenue and expenses, fiscal year 2016
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%).

Beds, days and discharges, fiscal year 2016
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 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2016.

Revenue and expenses, fiscal year 2015
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%).

Beds, days and discharges, fiscal year 2015
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.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 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 1 August 2026 (Medicare enrollment ownership), under the enrollment of HCE-COTTAGES LLC (enrollment ID O20180320001137).

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: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOLENE L MATHISON ROBERTS	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	72	12/31/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KEVIN J MULHEARN	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	25	1/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MATTHEW P OESTMANN	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	5.6	12/31/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
REGGIE J RIPPLE	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	25	12/31/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ANTHONY L HATCHER	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DEBRA ASWEGE-MEZENBERG	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
HILLCREST HEALTH SYSTEMS INC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/26/2026	Private equity company: No Real estate investment trust: No Holding company: No
JAMES JANICKI	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/31/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOLENE L MATHISON ROBERTS	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/31/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KEVIN J MULHEARN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/6/2013	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MATTHEW P OESTMANN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/31/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
REGGIE J RIPPLE	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/31/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SHYANN WALKER	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/4/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TIMOTHY R MALLOY	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TODD AERNI	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/31/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES JANICKI	Individual	DIRECT OWNERSHIP INTEREST	25	12/31/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOLENE L MATHISON ROBERTS	Individual	DIRECT OWNERSHIP INTEREST	72	12/31/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KEVIN J MULHEARN	Individual	DIRECT OWNERSHIP INTEREST	25	12/31/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MATTHEW P OESTMANN	Individual	DIRECT OWNERSHIP INTEREST	5.6	12/31/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
REGGIE J RIPPLE	Individual	DIRECT OWNERSHIP INTEREST	5.6	12/31/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TODD AERNI	Individual	DIRECT OWNERSHIP INTEREST	5.6	12/31/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES JANICKI	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/31/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KEVIN J MULHEARN	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/31/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MATTHEW P OESTMANN	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/31/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
REGGIE J RIPPLE	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/31/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ANTHONY L HATCHER	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DEBRA ASWEGE-MEZENBERG	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
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	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/31/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KEVIN J MULHEARN	Individual	OPERATIONAL/MANAGERIAL CONTROL	20	12/31/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MATTHEW P OESTMANN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/31/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SHYANN WALKER	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/4/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 August 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
1 August 2026: JAMES JANICKI no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 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
1 August 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
1 August 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
1 August 2026: TIMOTHY R MALLOY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: REGGIE J RIPPLE appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: REGGIE J RIPPLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: REGGIE J RIPPLE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: JAMES JANICKI appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: JAMES JANICKI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: JAMES JANICKI appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: JOLENE L MATHISON ROBERTS appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: JOLENE L MATHISON ROBERTS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: JOLENE L MATHISON ROBERTS appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: TODD AERNI appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: TODD AERNI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: SHYANN WALKER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: SHYANN WALKER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: DEBRA ASWEGE-MEZENBERG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: KEVIN J MULHEARN appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: KEVIN J MULHEARN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: KEVIN J MULHEARN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: HILLCREST HEALTH SYSTEMS INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: MATTHEW P OESTMANN appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: MATTHEW P OESTMANN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: MATTHEW P OESTMANN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: ANTHONY L HATCHER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: ANTHONY L HATCHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 July 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
1 July 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
1 July 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
1 July 2024: REGGIE J RIPPLE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: JAMES JANICKI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: KALEB HIGHT appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: DEBRA ASWEGE-MEZENBERG appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: MATTHEW P OESTMANN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
2 October 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
2 October 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
2 October 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
2 October 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
2 October 2023: KALEB HIGHT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: MATTHEW P OESTMANN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
14 April 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
14 April 2023: SHARYL RONAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
14 April 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
14 April 2023: SPENCER BARTLETT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
15 March 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
15 March 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
15 March 2023: JAMES JANICKI appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv

Recent changes on this record

1 August 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
1 August 2026: JAMES JANICKI no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 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
1 August 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
1 August 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
1 August 2026: TIMOTHY R MALLOY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: REGGIE J RIPPLE appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: REGGIE J RIPPLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: REGGIE J RIPPLE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: JAMES JANICKI appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: JAMES JANICKI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: JAMES JANICKI appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: JOLENE L MATHISON ROBERTS appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: JOLENE L MATHISON ROBERTS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: JOLENE L MATHISON ROBERTS appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: TODD AERNI appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: TODD AERNI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: SHYANN WALKER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: SHYANN WALKER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: DEBRA ASWEGE-MEZENBERG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: KEVIN J MULHEARN appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: KEVIN J MULHEARN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: KEVIN J MULHEARN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: HILLCREST HEALTH SYSTEMS INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: MATTHEW P OESTMANN appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: MATTHEW P OESTMANN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: MATTHEW P OESTMANN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: ANTHONY L HATCHER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: ANTHONY L HATCHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
30 July 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
1 July 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
1 July 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
1 July 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
1 July 2024: REGGIE J RIPPLE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: JAMES JANICKI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: KALEB HIGHT appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: DEBRA ASWEGE-MEZENBERG appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: MATTHEW P OESTMANN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
2 October 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	14 April 2025	14 April 2025	7	9
2	29 February 2024	29 February 2024	6	7
3	21 March 2023	21 March 2023	9	8

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 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
14 April 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	15 May 2025
14 April 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	15 May 2025
14 April 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	15 May 2025
14 April 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	15 May 2025
14 April 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	15 May 2025
14 April 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	15 May 2025
14 April 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	15 May 2025
14 April 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	15 May 2025
14 April 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	15 May 2025
24 April 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	30 May 2024
24 April 2024	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	Yes	Deficient, Provider has date of correction	30 May 2024
24 April 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	30 May 2024
24 April 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	30 May 2024
29 February 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	10 April 2024
29 February 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	10 April 2024
29 February 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	10 April 2024
29 February 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	Yes	Deficient, Provider has date of correction	10 April 2024
13 November 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	6 December 2023
21 March 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	3 May 2023
21 March 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	3 May 2023
21 March 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	3 May 2023
21 March 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	3 May 2023

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Not yet extracted for this facility.

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 1 August 2026.

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On 1 August 2026: REGGIE J RIPPLE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. 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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