nursing home in Papillion, NE
Hillcrest Shadow Lake LLC
1507 E Gold Coast Road, Papillion, NE 68046 · (402) 339-6010
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Hillcrest Shadow Lake LLC at a glance
Hillcrest Shadow Lake LLC is a 114-bed for-profit nursing home in Papillion, Nebraska (Sarpy County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Nebraska average of 2.8.
Residents receive about 3.5 hours of nursing care per day (0.2 of them from registered nurses), worse than the state average of 4 hours.
Its most recent standard health inspection (April 22, 2025) found 8 health citations. The Nebraska average is 7.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 62.2% per year (state average 48.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 114
- Certified for
- Medicaid
- Medicare-certified since
- September 23, 2016
- Resident/family council
- Resident
- County
- Sarpy County
- CMS Certification Number
- 28E299
Ratings
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 3.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 2.9 / 5 | 3.8 / 5 | Average |
Staffing
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.51 hrs | 3.98 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.23 hrs | 0.67 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.70 hrs | 2.64 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.22 hrs | 3.48 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 62.2% | 48.7% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 63.6% | 44.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 8 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 5 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 75 | 57.3 | 80.6 | Better |
Penalties
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 0 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $11,975 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 114 | 76 | 107 | |
| Average residents per day | 95 | 55 | 86 | |
| Occupancy | 83.5% | 73% | 80.9% |
Long-stay residents
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5.2% | 4.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.3% | 4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 17.4% | 20.7% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1% | 2.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 5.7% | 19% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 10.3% | 18.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 6.1% | 5.1% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 4.3% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.3% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 19% | 19.3% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 30.4% | 25.9% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 87.5% | 96.1% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 67.1% | 93% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 44.4% | 75.9% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 48.1% | 80.9% | 82% | Worse |
Inspection citations
State inspectors cited this home for 34 health deficiencies and 12 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 7, 2026 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected June 17, 2026 |
| January 20, 2026 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected February 16, 2026 |
| January 20, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 20, 2026 |
| January 20, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected February 16, 2026 |
| May 21, 2025 Complaint | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected June 24, 2025 |
| April 22, 2025 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected June 3, 2025 |
| April 22, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected June 3, 2025 |
| April 22, 2025 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected June 3, 2025 |
| April 22, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 3, 2025 |
| April 22, 2025 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected June 3, 2025 |
| April 22, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 3, 2025 |
| April 22, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected June 3, 2025 |
| November 20, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected January 2, 2025 |
| November 20, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected January 2, 2025 |
| April 4, 2024 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | F Potential harm, widespread | Corrected May 1, 2024 |
| April 4, 2024 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected May 1, 2024 |
| April 4, 2024 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected May 1, 2024 |
| April 4, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected May 1, 2024 |
| April 4, 2024 Fire safety | Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0922 | E Potential harm, pattern | Corrected May 1, 2024 |
| April 4, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected May 1, 2024 |
| April 4, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected May 1, 2024 |
| April 4, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected May 1, 2024 |
| April 4, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | E Potential harm, pattern | Corrected May 1, 2024 |
| April 4, 2024 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected May 1, 2024 |
| April 4, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | E Potential harm, pattern | Corrected May 1, 2024 |
| April 4, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected May 1, 2024 |
| April 4, 2024 Complaint | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | E Potential harm, pattern | Corrected May 1, 2024 |
| April 4, 2024 Standard | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected May 1, 2024 |
| April 4, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected May 1, 2024 |
| April 4, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected May 1, 2024 |
| April 4, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected May 1, 2024 |
| December 6, 2023 Complaint | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | F Potential harm, widespread | Corrected January 17, 2024 |
| December 6, 2023 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected January 17, 2024 |
| December 6, 2023 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected January 17, 2024 |
| February 14, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected May 11, 2023 |
| February 14, 2023 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | F Potential harm, widespread | Corrected May 11, 2023 |
| February 14, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected May 11, 2023 |
| February 14, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected May 11, 2023 |
| February 14, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 29, 2023 |
| February 14, 2023 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected March 29, 2023 |
| February 14, 2023 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected March 29, 2023 |
| February 14, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected March 29, 2023 |
| February 14, 2023 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected March 29, 2023 |
| February 14, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected March 29, 2023 |
| February 14, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected March 29, 2023 |
| February 14, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected March 29, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ownership data not available |
Other nursing homes near Hillcrest Shadow Lake LLC
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★★★★★1Much below averageGood Samaritan Society - Millard
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Emerald Nursing & Rehab Omaha
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Frequently asked questions
What is Hillcrest Shadow Lake LLC's rating?
Hillcrest Shadow Lake LLC has 1 out of 5 stars on the CMS overall star rating. The average for Nebraska nursing homes is 2.8 stars.
How many inspection citations did Hillcrest Shadow Lake LLC receive?
Its most recent standard health inspection found 8 citations, compared with a Nebraska average of 7.4. Every citation is listed on this page with its severity.
Does Hillcrest Shadow Lake LLC accept Medicare and Medicaid?
CMS lists it as certified for: Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Hillcrest Shadow Lake LLC?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Hillcrest Shadow Lake LLC and how do I contact it?
Hillcrest Shadow Lake LLC is at 1507 E Gold Coast Road, Papillion, NE 68046. Phone: (402) 339-6010.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.