Here are 5 Nursing Homes in Sarpy County, NE

Nurse hours

4.18 /day

Staff turnover

29%

Serious cites

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Brookestone Of Papillion runs a tight ship on the numbers that matter most. Nurse staffing sits at 4.18 hours per resident day, roughly 8 percent above the national average, though weekends drop about 13 percent below its own weekday levels, worth asking about if your family visits mostly on Saturdays and Sundays. Staff turnover is the standout: 28.7 percent against a national average near 46 percent, meaning the people caring for residents tend to stick around. Seven deficiencies on record, none at the harm level and none abuse-related, with a clean inspection as recently as February 2025. As a nonprofit, it answers to a board rather than shareholders.

Nurse hours

4.77 /day

Staff turnover

69%

Serious cites

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The staffing numbers look good on paper, 4.77 nurse hours per resident day, roughly a quarter above the national average, and the federal staffing rating backs that up. But 68.7% of staff turned over in a year against a national average near 46%, which means those hours are often delivered by people still learning the building, and weekend coverage drops about 11% below weekday levels. The inspection record shows 22 deficiencies with two tied to abuse, though none rose to actual harm or jeopardy, and the last state visit was April 2025. A for-profit LLC operation with that much churn is worth asking about directly.

Nurse hours

4.59 /day

Staff turnover

42%

Serious cites

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Hillcrest runs on a corporate for-profit model with 151 certified beds, and its staffing is genuinely a bright spot, 4.59 nurse hours per resident day, about 19% above the national average, with turnover at 41.6% that's actually a touch better than the 45.8% norm. Weekends dip roughly 10% below weekday coverage, which is worth asking about if your family visits then. The trouble sits on the inspection side: 17 deficiencies on the current record, three of them at harm or jeopardy level, and a $51,150 fine. The last inspection was December 17, 2024, and the two-star health inspection and quality ratings reflect those findings rather than the staffing numbers.

Nurse hours

3.51 /day

Staff turnover

62%

Serious cites

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Nurse staffing at Hillcrest Shadow Lake runs about 9% under the national average, and weekends drop roughly another 8% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 62.2% sits well above the 45.8% national figure, meaning many of the aides and nurses you'd meet are relatively new. The current inspection record carries 34 deficiencies, including two at the harm or jeopardy level and two tied to abuse; the last survey was April 22, 2025. Resident care measures look notably better than that, but the staffing and inspection sides of the federal data are where the concerns concentrate.

Nurse hours

4.04 /day

Staff turnover

87%

Serious cites

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Adept Nursing & Rehab Of Gretna runs 63 certified beds under corporate for-profit ownership, and its nurse staffing works out to 4.04 hours per resident day, roughly 5% above the national average of 3.86. That edge fades on weekends, when coverage drops about 11% below the home's own weekday level. Staff turnover sits at 87.1% against a national average of 45.8%, so most of the people caring for residents are relatively new to the building. The current inspection record carries 24 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, with the most recent inspection dated March 5, 2026. All three CMS star ratings, health inspections, quality measures, staffing, land at 2 out of 5.