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Hillcrest Shadow Lake Llc

1507 E Gold Coast Road, Papillion, NE 68046
4023396010
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Overall CMS Rating

3.0/5

vs State Average: 2.9 stars

2.0/5

Health Inspections

vs State Average: 2.8/5

2.0/5

Staffing Level

vs State Average: 3.4/5

5.0/5

Quality Measures

vs State Average: 3/5

0 penalties in last 3 years
Penalties
vs State Average: 0.6 penalties

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Ratings Deep Dive

Score
2.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
Citation Date Description Severity
May 21, 2025 Ensure each resident’s drug regimen must be free from unnecessary drugs. D
Apr 22, 2025 Provide safe and appropriate respiratory care for a resident when needed. D
Apr 22, 2025 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E
Apr 22, 2025 Provide and implement an infection prevention and control program. D
Apr 22, 2025 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D
Score
2.0
State Average
3.4
National Average
2.9
0.3 RN Hours / Resident / Day
3.5 Total Nurse Hours / Resident / Day
45.5% RN Turnover Rate
Score
5.0
State Average
3.0
National Average
3.6
5.0 Long-Stay QM Rating
Short-Stay QM Rating
105.3 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
Ownership Data Not Available
Recent Penalties

No penalty records found.

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