The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Hillcrest Shadow Lake LLC
Papillion, NE · Medicare-certified · 114 beds
In good standing
For-profit
2 of 5 overall
Hillcrest Shadow Lake LLC in Papillion, NE has an overall 2 of 5 stars, with 2-star health inspection and staffing ratings but a 4-star quality measures rating. Reported nurse staffing is 3.39 hours per resident per day, below the 4.1 federal benchmark, and there were no fines in the last 24 months; recent inspection issues included pressure ulcer care, accident hazards/supervision, and infection prevention and control.
Facility ratings
Health inspections
Staffing
3.3922 hrs/resident/day
Quality measures
Last inspection: January 20, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3922.
Staffing detail
- Registered nurses
- 0.25
- Licensed practical nurses
- 0.54
- Nurse aides
- 2.60
- Weekend nursing
- 3.18
Hours per resident per day.
Total staff turnover: 61%
Registered nurse turnover: 58%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
18.4%Steady
Residents with a fall causing major injury
5.2%Worsening
Residents with pressure ulcers (bedsores)
6.6%Improving
Residents with a urinary tract infection
1%Steady
Residents who lost too much weight
7.9%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
6.9%Steady
Residents whose ability to walk got worse
10.1%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
20.8%Improving
Short-stay residents newly given an antipsychotic
2.9%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
30.6%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
87.5%Steady
Long-stay residents given the pneumonia vaccine
69.9%Worsening
Short-stay residents given the seasonal flu vaccine
44.4%Steady
Short-stay residents given the pneumonia vaccine
49.1%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to ensure a working call system was available in each resident’s bathroom and bathing area. Cited December 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 919 — 42 CFR §483.90 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 101.5 residents on an average day (89% of 114 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 9 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.