Home›Nebraska›Sarpy County›Hillcrest Shadow Lake LLC
D
Poor

Hillcrest Shadow Lake LLC

1507 E Gold Coast Road · Papillion, NE 68046

4023396010 · For profit - Limited Liability company

114 beds105.3 residents165 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Hillcrest Shadow Lake LLC receives an overall staffing grade of D (Poor). With 3.4506 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3319 HPRD, below the recommended 0.75. It is 0.45 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 8.14% compared to weekdays. The facility uses a moderate level of agency staff (10.22% of hours), suggesting some reliance on temporary workers.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4506 HPRD — needs 0.03 more hours per resident per day.
⚠️RN staffing (0.3319 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅No days with zero registered nurse hours this quarter
✅Consistent weekend staffing — only 8.14% drop-off
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.4506hrs/resident/day▼ 0.45
CMS benchmark: 3.48
RN HPRD
0.3319hrs/resident/day▼ 0.35
Recommended: 0.75
Weekend Drop-off
8.14%
3.5318 weekday → 3.2445 weekend
Agency Staff
10.22%
3.19% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1473hrs/resident/day
Direct care aides
LPN HPRD
0.3887hrs/resident/day
Licensed practical nurses
Consistency
0.2251std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Sarpy County Average-0.83 HPRD
4.28
03.45 HPRD
vs. Nebraska State Average-0.68 HPRD
4.14
03.45 HPRD
vs. National Average-0.45 HPRD
3.90
03.45 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Hillcrest Shadow Lake LLC ★
Papillion · This facility
—
D
3.45060.3319★★★☆☆
Brookestone of Papillion
Papillion
1 mi
A
4.29730.8204★★★★★
Hillcrest Country Estates-Cottages
Papillion
1.7 mi
B
5.23820.7412★★☆☆☆
Omaha Nursing and Rehabilitation Center
Omaha
5.5 mi
C
3.470.5572★☆☆☆☆
Good Samaritan Society - Millard
Omaha
6 mi
B
3.61470.9108★★★☆☆
Hillcrest Health & Rehab
Bellevue
6.2 mi
A
4.49470.7775★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
30
Total Deficiencies
$0
Fines Assessed
May 21, 2025Health
1 deficiency cited
▼
Apr 22, 2025Health
4 deficiencies cited
▼
Nov 20, 2024Health
2 deficiencies cited
▼
Apr 4, 2024Health
12 deficiencies cited· Includes actual harm
▼
Dec 6, 2023Health
3 deficiencies cited
▼
Feb 14, 2023Health
8 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.