C

Hillcrest Shadow Lake LLC

1507 E Gold Coast Road, Papillion, NE 68046
Score: 57 / 100

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

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 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

32
Total Deficiencies
Jan 19, 2026
Most Recent Inspection
🟠 32 Moderate
View recent deficiencies (5 shown)
  • Tag 0686 Severity G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    Jan 19, 2026 · Quality of Life and Care Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Jan 19, 2026 · Quality of Life and Care Deficiencies
  • Tag 0757 Severity D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    May 20, 2025 · Pharmacy Service Deficiencies
  • Tag 0812 Severity E
    Procure 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 D
    Timely 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

Ownership
For profit - Limited Liability company
Certified Beds
114
Provider Type
Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 21, 2025
Deficiencies (Cycle 1)
7