Starfile / Nebraska

Hillcrest Shadow Lake LLC

1507 E Gold Coast Road, Papillion, NE 68046 · CCN 28E299

Inspection history vs Nebraska & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Inspection citations (32)2 actual harm

1. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2026-01-20 · Health

   Potential for more than minimal harm

2. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2026-01-20 · Health

   Actual harm

3. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-05-21 · Health · corrected 2025-06-24

   Potential for more than minimal harm

4. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-04-22 · Health · corrected 2025-06-03

   Potential for more than minimal harm

5. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-04-22 · Health · corrected 2025-06-03

   Potential for more than minimal harm

6. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-22 · Health · corrected 2025-06-03

   Potential for more than minimal harm

7. DF0880Provide and implement an infection prevention and control program.2025-04-22 · Health · corrected 2025-06-03

   Potential for more than minimal harm

8. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-20 · Health · corrected 2025-01-02

   Potential for more than minimal harm

9. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-20 · Health · corrected 2025-01-02

   Potential for more than minimal harm

10. EF0584Honor 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.2024-04-04 · Health · corrected 2024-05-01

    Potential for more than minimal harm

11. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-04-04 · Health · corrected 2024-05-01

    Potential for more than minimal harm

12. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-04 · Health · corrected 2024-05-01

    Potential for more than minimal harm

13. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-04 · Health · corrected 2024-05-01

    Potential for more than minimal harm

14. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-04 · Health · corrected 2024-05-01

    Actual harm

15. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-04-04 · Health · corrected 2024-05-01

    Potential for more than minimal harm

16. DF0699Provide care or services that was trauma informed and/or culturally competent.2024-04-04 · Health · corrected 2024-05-01

    Potential for more than minimal harm

17. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-04-04 · Health · corrected 2024-05-01

    Potential for more than minimal harm

18. EF0758Implement 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.2024-04-04 · Health · corrected 2024-05-01

    Potential for more than minimal harm

19. EF0761Ensure 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.2024-04-04 · Health · corrected 2024-05-01

    Potential for more than minimal harm

20. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-04 · Health · corrected 2024-05-01

    Potential for more than minimal harm

21. FF0880Provide and implement an infection prevention and control program.2024-04-04 · Health · corrected 2024-05-01

    Potential for more than minimal harm

22. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-12-06 · Health · corrected 2024-01-17

    Potential for more than minimal harm

23. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-12-06 · Health · corrected 2024-01-17

    Potential for more than minimal harm

24. FF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-12-06 · Health · corrected 2024-01-17

    Potential for more than minimal harm

25. EF0584Honor 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.2023-02-14 · Health · corrected 2023-03-29

    Potential for more than minimal harm

26. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-02-14 · Health · corrected 2023-03-29

    Potential for more than minimal harm

27. DF0625Notify 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.2023-02-14 · Health · corrected 2023-03-29

    Potential for more than minimal harm

28. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-02-14 · Health · corrected 2023-03-29

    Potential for more than minimal harm

29. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-02-14 · Health · corrected 2023-03-29

    Potential for more than minimal harm

30. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-02-14 · Health · corrected 2023-03-29

    Potential for more than minimal harm

31. DF0761Ensure 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.2023-02-14 · Health · corrected 2023-03-29

    Potential for more than minimal harm

32. EF0880Provide and implement an infection prevention and control program.2023-02-14 · Health · corrected 2023-03-29

    Potential for more than minimal harm

Ownership

No ownership records.

Other facilities in Papillion

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.