Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Hillcrest Nursing Home during CMS and state inspections, most recent first.
A resident with chronic kidney disease and congestive heart failure reported shoulder pain after using a sink to stand, later diagnosed with a left shoulder and thoracic compression fracture. The DON did not investigate the cause of the compression fracture after being notified by the provider, contrary to facility policy requiring thorough investigation of such injuries.
A resident was prescribed a prophylactic antibiotic without a clear indication or stop date, contrary to the facility's Antibiotic Stewardship Policy. The resident had a history of urinary tract infections, and the antibiotic was ordered by a urologist. However, there was no clinical documentation supporting its use, and it was not reviewed by the pharmacist or physician.
Failure to Investigate Resident Fracture
Penalty
Summary
The facility failed to thoroughly investigate a fracture sustained by one resident. According to the facility's policy, the Director of Nursing (DON) is responsible for directing investigations into possible abuse or injury. The resident in question, who was cognitively intact and required varying levels of assistance with daily activities, reported using a sink to assist in standing and subsequently experienced pain and a popping sound in the left shoulder. The resident was sent to the emergency room, where initial X-rays were reported as normal, but the resident was admitted for an exacerbation of congestive heart failure. Upon the resident's return to the facility, documentation indicated diagnoses of a left acromion fracture and a compression fracture of the 8th thoracic vertebra. The facility was notified by the resident's provider of these injuries, but the DON confirmed that no investigation was conducted to determine the possible or probable cause of the compression fracture. This lack of investigation was contrary to facility policy and regulatory requirements to respond appropriately to all alleged violations or injuries.
Lack of Indication for Prophylactic Antibiotic Use
Penalty
Summary
The facility failed to provide a clear indication and rationale for the use of a prophylactic antibiotic for one resident. The resident, who was cognitively intact, had a history of urinary tract infections and was on an antibiotic regimen without a documented indication or stop date. The antibiotic, Cephalexin, was prescribed by a urologist, but there was no clinical documentation supporting its continued use, nor was it reviewed by the pharmacist or physician. Interviews with the registered nurse and the Director of Nursing confirmed the lack of a clear indication and rationale for the antibiotic's use. The facility's Antibiotic Stewardship Policy requires monitoring of antibiotic regimens, including reviewing clinical documentation and compliance with therapy duration, which was not adhered to in this case. The deficiency was identified during a review of the resident's records and interviews with facility staff.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Mccook
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Good Samaritan Society - Decatur County | 26.6 mi | — | 19 | 0 |
| Good Samaritan Society - Atwood | 34 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.