Nebraska › Sarpy County › Papillion
Hillcrest Shadow Lake LLC
1507 E Gold Coast Road, Papillion, NE 68046
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Hillcrest Shadow Lake LLC is a For-profit, limited liability company nursing home in Papillion, Nebraska, certified for 114 beds and caring for about 95 residents a day.
CMS gives it 1 of 5 stars overall, below the Nebraska median of 3; the health inspection rating is 2, staffing 1 and quality measures 4.
Inspectors recorded 34 health deficiencies across the three most recent survey cycles (8, 15, 11 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 29.8 per 100 beds, more than the state median of 23.7.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.5 hours per resident per day (0.2 RN), close to the Nebraska median of 3.9; nursing staff turnover is 62.2%.
Compared with county, state and nation
| Measure | This facility | Sarpy Co. median | Nebraska median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 34 | 22 | 15 | 28.7 |
| Citations per 100 beds | 29.8 | 29.8 | 23.7 | 26.8 |
| Total nurse hours per resident day | 3.5 | 4.2 | 3.9 | 3.9 |
| RN hours per resident day | 0.2 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 62.2% | 62.2% | 47.1% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (5 in the county, 180 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Nebraska average per facility for the same cycle, as published by CMS. Standard health survey dates: 22 Apr 2025, 4 Apr 2024.
Severity mix: G ×2 D ×21 E ×8 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 7 May 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 17 Jun 2026 |
| 20 Jan 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 16 Feb 2026 |
| 20 Jan 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 16 Feb 2026 |
| 20 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 20 Mar 2026 |
| 21 May 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 24 Jun 2025 |
| 22 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 3 Jun 2025 |
| 22 Apr 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 3 Jun 2025 |
| 22 Apr 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 3 Jun 2025 |
| 22 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 3 Jun 2025 |
| 20 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 2 Jan 2025 |
| 20 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 2 Jan 2025 |
| 4 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 1 May 2024 |
| 4 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 1 May 2024 |
| 4 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 1 May 2024 |
| 4 Apr 2024 | F0584 | 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. | E | Standard survey | 1 May 2024 |
| 4 Apr 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 1 May 2024 |
| 4 Apr 2024 | F0726 | 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. | E | Complaint investigation | 1 May 2024 |
| 4 Apr 2024 | F0758 | 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. | E | Standard survey | 1 May 2024 |
| 4 Apr 2024 | F0761 | 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. | E | Standard survey | 1 May 2024 |
| 4 Apr 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 1 May 2024 |
| 4 Apr 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 1 May 2024 |
| 4 Apr 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 May 2024 |
| 4 Apr 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 1 May 2024 |
| 6 Dec 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | F | Complaint investigation | 17 Jan 2024 |
| 6 Dec 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 17 Jan 2024 |
| 6 Dec 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 17 Jan 2024 |
| 14 Feb 2023 | F0584 | 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. | E | Standard survey | 29 Mar 2023 |
| 14 Feb 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 29 Mar 2023 |
| 14 Feb 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 29 Mar 2023 |
| 14 Feb 2023 | F0625 | 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 | Standard survey | 29 Mar 2023 |
| 14 Feb 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 29 Mar 2023 |
| 14 Feb 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 29 Mar 2023 |
| 14 Feb 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 29 Mar 2023 |
| 14 Feb 2023 | F0761 | 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 | Standard survey | 29 Mar 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Nebraska average. Turnover: nursing staff 62.2%, RNs 63.6%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Nebraska median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.7% | 18.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.9% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.0% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.2% | 4.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.3% | 17.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.3% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.4% | 19.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Legal Business Name Not Available.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Sarpy County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Brookestone of Papillion | Papillion | 110 | 5 | 5 | 5 | 7 | 6.4 | — | 19 Nov 2024 |
| Adept Nursing & Rehab of Gretna | Gretna | 63 | 2 | 2 | 2 | 24 | 38.1 | — | 5 Mar 2026 |
| Hillcrest Country Estates-Cottages | Papillion | 48 | 2 | 2 | 4 | 22 | 45.8 | — | 14 Apr 2025 |
| Hillcrest Health & Rehab | Bellevue | 151 | 2 | 2 | 4 | 18 | 11.9 | $33K | 4 Jun 2026 |
All 5 facilities in Sarpy County
Questions and answers
How many deficiencies has Hillcrest Shadow Lake LLC been cited for?
34 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Nebraska median is 15 per facility.
Has Hillcrest Shadow Lake LLC been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Hillcrest Shadow Lake LLC compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Nebraska median of 3.9 and a national average of 3.9.
Who operates Hillcrest Shadow Lake LLC?
Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Hillcrest Shadow Lake LLC last inspected?
The most recent survey or investigation in the CMS record is dated 7 May 2026; the most recent standard health survey was 22 Apr 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.