Hillcrest Shadow Lake LLC
Hillcrest Shadow Lake LLC is a 114-bed nursing home in Papillion, Nebraska. CMS has certified it for Medicare and Medicaid since 2016-09-23. It averages 95.2 residents a day.
What harm was found in the violations cited at Hillcrest Shadow Lake LLC?
CMS lists 34 health-inspection deficiencies for Hillcrest Shadow Lake LLC since 2023-02-14, 26 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-05-07.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-07 | F0692 | Provide enough food/fluids to maintain a resident's health. | D |
| 2026-01-20 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2026-01-20 | F0684, F0880 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide and implement an infection prevention and control program. | D |
| 2025-05-21 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D |
| 2025-04-22 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-04-22 | F0609, F0695, F0880 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide safe and appropriate respiratory care for a resident when needed. / Provide and implement an infection prevention and control program. | D |
| 2024-11-20 | F0684, F0689 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-04-04 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-04-04 | F0812, F0880 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | F |
| 2024-04-04 | F0584, F0600, F0726, F0758, F0761 | 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / 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. / 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. / 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. | E |
| 2024-04-04 | F0657, F0684, F0695, F0699 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Provide care or services that was trauma informed and/or culturally competent. | D |
| 2023-12-06 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | F |
| 2023-12-06 | F0580, F0686 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2023-02-14 | F0584, F0880 | 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. / Provide and implement an infection prevention and control program. | E |
| 2023-02-14 | F0623, F0625, F0684, F0689, F0698, F0761 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. | D |
How is Hillcrest Shadow Lake LLC staffed relative to the NE average?
| Measure | This facility | NE average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.51217 | 3.97992 |
| Total nursing staff turnover (%) | 62.2 | 48.7 |
| Average number of residents per day | 95.2 | 55.3 |
Who owns Hillcrest Shadow Lake LLC?
Hillcrest Shadow Lake LLC is registered with CMS as For profit - Limited Liability company.
Were you or a family member harmed at Hillcrest Shadow Lake LLC?