Hillcrest Shadow Lake
About Hillcrest Shadow Lake
Hillcrest Shadow Lake is a 114-bed for-profit nursing home in Papillion, NE. Medicare rates it 1 out of 5 stars overall (much below average); the average in Nebraska is 2.8. At its last full inspection (Apr 2025), inspectors found 8 problems, close to the Nebraska average of 7.4. 1 citation in its recent inspections was for residents being harmed or put in immediate danger. Nurses and aides spend about 3 hr 31 min a day with each resident, less than the Nebraska average of 3 hr 59 min. About 62% of its nursing staff left in the past year. It has had no federal fines in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
1 strength and 4 things to ask about in Medicare's inspection, fine and staffing records for this home.
Strengths
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
About average
- Health citations at last inspection8 (Apr 2025)Nebraska average: 7.4. Most citations are minor and corrected within weeks.About average
Things to ask about
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- Serious health citations1 for actual harmCitations where inspectors found residents were harmed or put in immediate danger, most recently in Jan 2026 (within the past year). All 1 were later corrected.Ask about this
- Nurse staffing per resident3 hr 31 min a dayNebraska average: 3 hr 59 minWorse than state average
- Registered nurse time per resident14 min a dayNebraska average: 40 minWorse than state average
- Nursing staff turnover62% a yearNebraska average: 49%Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Nebraska average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Newly given antipsychotic drugs0.0%State average: 2.0%Better than average
Physical therapist time: about 1 minute per resident a day. That is less than the state average of 3 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury5.2%State average: 4.5%About average
- Pressure sores (bedsores)4.3%State average: 4.0%About average
- Given antipsychotic drugs17.4%State average: 20.7%About average
- Hospital stays per 1,000 resident days2.1State average: 1.8About average
Source: Medicare (CMS) quality measures, compared with the Nebraska average. Lower is better for every rate shown.
Ratings over time
Its overall Medicare rating is 1 star now, down from 2 stars in January 2019. It has ranged from 1 to 5 stars and changed 18 times.
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 2 | 2 | 3 | 4 | 3.1 |
| Jan 2020 | 3 | 3 | 3 | 3 | 3.1 |
| Jan 2021 | 5 | 4 | 3 | 5 | 3.0 |
| Jan 2022 | 5 | 5 | 3 | 3 | 2.8 |
| Jan 2023 | 4 | 4 | 1 | 5 | 2.9 |
| Jan 2024 | 3 | 3 | 2 | 3 | 3.7 |
| Feb 2025 | 1 | 1 | 2 | 3 | 3.4 |
| Feb 2026 | 3 | 2 | 2 | 5 | 3.5 |
| Sep 2026 | 1 | 2 | 1 | 4 | 3.5 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
Other nursing homes near Papillion
Looking at more than one home? Here are other facilities from the directory in Papillion and the nearby area.
Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.