★★★★★CMS 5/5110 bedsNon-profitMedicaid
- Nurse hours
- 4.18 /day
- Staff turnover
- 29%
- Serious cites
- 0
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.
★★☆☆☆CMS 2/548 bedsFor-profitMedicaid
- Nurse hours
- 4.77 /day
- Staff turnover
- 69%
- Serious cites
- 0
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.
★☆☆☆☆CMS 1/5114 bedsFor-profitMedicaid
- Nurse hours
- 3.51 /day
- Staff turnover
- 62%
- Serious cites
- 0
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.