Hillcrest Country Estates-Cottages in Papillion, NE was fined $13,000 by CMS following 22 deficiency citations identified during federal surveys.

Hillcrest Country Estates-Cottages (Papillion, NE) — $13,000 in CMS Fines

Outcome: Hillcrest Country Estates-Cottages in Papillion, NE was fined $13,000 by CMS following 22 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.


• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.


• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted


• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.


• 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.


• 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.


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


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