ElderGrade
C

61.8/100

Average

Hillcrest Shadow Lake Llc

1507 E Gold Coast Road, Papillion, NE 68046

CMS 1/5 stars #4 of 5 in Sarpy County (402) 339-6010
Certified beds
114
Occupancy
84%
Ownership
For-profit
Accepts
Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 2 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • Nursing staff turnover of 62%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

18.8/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -8 for 2 actual-harm citation(s) in the last 3 years
  • -3.2 for 26 total citations against a national median of 17

Staffing

18/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.89 total nurse hours per resident per day (national median 3.77)
  • 0.23 RN hours per resident per day
  • Weekend staffing drops 8% against weekdays

Staff stability

3/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 62% of nursing staff left in the last year
  • -2 for 2 administrator departures

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.51 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.23 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.22 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 62.20%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 34 citations

Last standard health inspection: April 22, 2025 (1 year ago).

D May 7, 2026 F0692 From a complaint

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

No actual harm, potential for more than minimal harm

G Jan 20, 2026 F0686 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Actual harm to a resident

D Jan 20, 2026 F0684 From a complaint

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D Jan 20, 2026 F0880 From a complaint

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D May 21, 2025 F0757 From a complaint

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

No actual harm, potential for more than minimal harm

E Apr 22, 2025 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

D Apr 22, 2025 F0609

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

D Apr 22, 2025 F0695

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

No actual harm, potential for more than minimal harm

What families say

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Common questions about Hillcrest Shadow Lake Llc

What is the ElderGrade for Hillcrest Shadow Lake Llc? +

Hillcrest Shadow Lake Llc holds an ElderGrade of C (61.8 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Hillcrest Shadow Lake Llc? +

Residents receive an average of 3.51 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Hillcrest Shadow Lake Llc been cited for harming residents? +

Yes. 2 of the 34 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Hillcrest Shadow Lake Llc accept Medicaid? +

Yes, Hillcrest Shadow Lake Llc is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.