Hillcrest Shadow Lake Llc is an average performer in CMS ratings, earning a C grade with a score of 57/100. Located in Papillion, Nebraska, the facility meets baseline standards across most quality metrics.
Staffing at Hillcrest Shadow Lake Llc is near the national average, with 3.45 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 32 deficiencies at Hillcrest Shadow Lake Llc. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.45 | 3.8 | Average |
| Registered Nurses (RN) | 0.33 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.39 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.73 | 2.4 | Above Average |
| Weekend Total Nursing | 3.24 | 3.8 | Below Average |
| Weekend RN Hours | 0.21 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0686 Severity GProvide appropriate pressure ulcer care and prevent new ulcers from developing.Jan 19, 2026 · Quality of Life and Care Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Jan 19, 2026 · Quality of Life and Care Deficiencies
- Tag 0757 Severity DEnsure each resident’s drug regimen must be free from unnecessary drugs.May 20, 2025 · Pharmacy Service Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Apr 21, 2025 · Nutrition and Dietary Deficiencies
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Apr 21, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 8.6% | 4.5% | Worse |
| Falls with major injury | 5.1% | 3.0% | Worse |
| On antipsychotic medication | 19.4% | 14.5% | Worse |
| Urinary tract infections | 1.5% | 2.5% | Better |
| ADL decline (daily activities) | 6.4% | 14.0% | Better |
| Excessive weight loss | 8.9% | 7.5% | Worse |
| New/worsened incontinence | 31.5% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of C is based on a score of 57 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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