| Hillcrest Shadow Lake LLC | |
| 1507 E Gold Coast Road, Papillion, Nebraska 68046 | |
| (402) 339-6010 | |
| Name | Hillcrest Shadow Lake LLC |
|---|---|
| Location | 1507 E Gold Coast Road, Papillion, Nebraska |
| Certified By | Medicaid |
| No. of Certified Beds | 114 |
| Occupancy Rate | 83.51% |
| Medicare ID (CCN) | 28E299 |
| Legal Business Name | Legal Business Name Not Available |
| Ownership Type | For Profit - Limited Liability Company |
| NPI Number | 1194712141 |
| Match | Possible same name, address or phone number |
| Organization Name | Huntington Park Care Center, Inc. |
| Address | 1507 E Gold Coast Rd, Papillion, NE 68046 |
| Phone Number | 402-339-6010 |
| NPI Number | 1245997436 |
| Match | Possible same name, address or phone number |
| Organization Name | Hillcrest Shadow Lake, LLC |
| Doing Business As | Hillcrest Shadow Lake |
| Address | 1507 E Gold Coast Rd, Papillion, NE 68046 |
| Phone Number | 402-339-6010 |
| NPI Number | 1871949024 |
| Match | Possible same name, address or phone number |
| Organization Name | Hillcrest Shadow Lake LLC |
| Address | 1507 E Gold Coast Rd, Papillion, NE 68046 |
| Phone Number | 402-682-4800 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.51 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.23 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.59 | 0.86 |
| Nurse aide hours per resident per day | 2.7 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.22 | 3.42 |
| RN hours per resident per day on the weekend | 0.12 | 0.48 |
| Physical therapist hours per resident per day | 0.02 | 0.07 |
| Total nursing staff turnover | 62.2% | 45.8% |
| Registered nurse turnover | 63.6% | 42.9% |
| Number of administrators who have left the nursing home | 2 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| May 7, 2026 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jun 17, 2026 |
| Jan 20, 2026 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Feb 16, 2026 |
| Jan 20, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Feb 16, 2026 |
| Jan 20, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Mar 20, 2026 |
| May 21, 2025 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Jun 24, 2025 |
| Apr 22, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Jun 3, 2025 |
| Apr 22, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Jun 3, 2025 |
| Apr 22, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 3, 2025 |
| Apr 22, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jun 3, 2025 |
| Nov 20, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jan 2, 2025 |
| Nov 20, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jan 2, 2025 |
| Apr 4, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection, Complaint inspection | Actual harm, isolated | Corrected by May 1, 2024 |
| Apr 4, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by May 1, 2024 |
| Apr 4, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by May 1, 2024 |
| Apr 4, 2024 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by May 1, 2024 |
| Apr 4, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by May 1, 2024 |
| Apr 4, 2024 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726, Nursing and Physician Services, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by May 1, 2024 |
| Apr 4, 2024 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by May 1, 2024 |
| Apr 4, 2024 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by May 1, 2024 |
| Apr 4, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 1, 2024 |
| Apr 4, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 1, 2024 |
| Apr 4, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 1, 2024 |
| Apr 4, 2024 | Provide care or services that was trauma informed and/or culturally competent. F0699, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 1, 2024 |
| Dec 6, 2023 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919, Environmental, Complaint inspection | Potential for harm, widespread | Corrected by Jan 17, 2024 |
| Dec 6, 2023 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jan 17, 2024 |
| Dec 6, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jan 17, 2024 |
| Feb 14, 2023 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Mar 29, 2023 |
| Feb 14, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Mar 29, 2023 |
| Feb 14, 2023 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Mar 29, 2023 |
| Feb 14, 2023 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. F0625, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Mar 29, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.72 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 6.14 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.99 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.2 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 67.08 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 48.15 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 10.3 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.95 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 87.5 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 44.44 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.29 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.38 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 17.42 | 15.38 |
Brookestone of Papillion Location: 610 South Polk Street, Papillion, Nebraska 68046 Phone: (402) 339-7700 |
Hillcrest Country Estates-cottages Location: 6082 Grand Lodge Avenue, Papillion, Nebraska 68133 Phone: (402) 885-7000 |