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Hillcrest Shadow Lake
Nursing Home, Memory Care & Skilled Nursing · Papillion, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Exterior view of Hillcrest Shadow Lake facility Well-maintained outdoor space with gazebo and greenery Outdoor space with seating in a landscaped area Common area with reception desk and seating

Hillcrest Shadow Lake

Nursing Home, Memory Care & Skilled Nursing · Papillion, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1507 E Gold Coast Rd, Papillion, NE 68046 View map Calculator: See prices in your area
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Overview of Hillcrest Shadow Lake

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Hillcrest Shadow Lake is a nursing home that offers an inviting atmosphere so that residents can be comfortable and feel a sense of belonging in their new home. Awarded the Best Nursing Home by U.S. News and World Report, residents can trust the high-end quality of care in a nurturing environment. The senior care home is composed of a professional care staff who brings not only excellence to the recovery of every seniors

Hillcrest is an excellent community with a proven exemplary resident-centered community where seniors can thrive while living a lovely life. A senior living community that aims to let its residents live a worry-free lifestyle, they ensure they can do many daily activities; services include medication management, bathing, dressing, housekeeping, and specialized programs.

Facility Direct Line (402) 339-6010
Facility Direct Line (402) 339-6010
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▼ 31.5% Below NE avg. ▼ 31.5% Below NE avg.NE average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▼ 29.8% Below NE avg. ▼ 29.8% Below NE avg.NE average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▼ 39.7% Below NE avg. ▼ 39.7% Below NE avg.NE average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▲ 39.4% Above NE avg. ▲ 39.4% Above NE avg.NE average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Nebraska averages

Rank #89 / 120Nurse hours — State benchmarkedThis home is ranked 89th out of 120 homes in Nebraska for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Nebraska average, with a ranking across 120 Nebraska facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 89th out of 120 homes in Nebraska for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

3h 42m

17% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
20m
−53% State avg: 43m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
23m
−47% State avg: 43m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
2h 44m
Avg State avg: 2h 46m per day · National avg: 2h 21m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
3h 2m
−16% State avg: 3h 37m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
1m
−67% State avg: 3m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
13m
−55% State avg: 29m per day · National avg: 29m per day

5 of 6 metrics below state avg

Bed community size
114-bed community Rank #48 / 226Bed count — State benchmarkedThis home is ranked 48th out of 226 homes in Nebraska for bed count. Shows this facility's certified or reported bed count compared to other Nebraska facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
38 years in operation Rank #15 / 58Years in operation — State benchmarkedThis home is ranked 15th out of 58 homes in Nebraska for years in operation. Shows how long this facility has been in operation compared to other Nebraska facilities. Longer operating histories may benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 58 / 100 Rank #91 / 287Walk Score — State benchmarkedThis home is ranked 91st out of 287 homes in Nebraska for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Nebraska facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
BBB Rating
BBB Rating: A+ (Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Occupancy

Occupancy rate
87%
Rank #43 / 182Occupancy rate — State benchmarkedThis home is ranked 43rd out of 182 homes in Nebraska for occupancy. Shows this facility's occupancy rate versus the Nebraska average, with its Statewide rank out of 182. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Nebraska average: 70.3%
Occupied beds
99 / 114
Average occupied beds in Nebraska homes 54 beds

License Details

Facility TypeNursing Home
CountySarpy

Ownership & Operating Entity

Hillcrest Shadow Lake is legally operated by Hillcrest Shadow Lake LLC, and administered by Barry Emerson.

Type Of Units

Medicaid
114 units
Total beds
114 units

Contact Information

Fax(402) 339-9274

Contact Hillcrest Shadow Lake

Inspection History

In Nebraska, the Department of Health and Human Services, Division of Public Health conducts regular inspections to ensure nursing and assisted living facilities meet state and federal standards.

Since 2016 · 10 years of data 41 deficiencies 14 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Nebraska state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2016 vs. Nebraska state average
Overall vs. NE average 0 Worse No metrics in this bucket. 2 Better Metrics better than Nebraska average:
• Total deficiencies (21% below)
• Deficiencies per inspection (28% below)

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityNE Averagevs. NE Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 4152 This facility has 21% fewer total deficiencies than a typical Nebraska nursing home (41 vs. NE avg 52).↓ 21% better
Deficiencies per inspection Info Average deficiencies per inspection. 2.94 This facility has 28% fewer deficiencies per inspection than a typical Nebraska nursing home (2.9 vs. NE avg 4).↓ 28% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityNE Averagevs. NE Avg
Total inspections Info Combined count of all inspections conducted at this facility. 1413 This facility has had 8% more total inspections than the Nebraska average (14 vs. NE avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↑ 8% more
Show Inspection Reports

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

Long-stay resident measures
Significantly above average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.31
27% better than Nebraska average

Nebraska average: 1.80

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.38
29% better than Nebraska average

Nebraska average: 1.95

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

This home is administered by Barry Emerson.

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 2.8E+300

Show certification details

What does this home offer?

Pets allowed icon
Pets allowed icon

No pets allowed

Housing options icon
Housing options icon

Housing Options: Private Rooms / Companion Rooms

Building type icon
Building type icon

Building Type: Single-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Places of interest near Hillcrest Shadow Lake

Address 1.1 miles from city center Info Estimated distance in miles from Papillion's city center to Hillcrest Shadow Lake's address, calculated via Google Maps.

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Financial Assistance for
Nursing Home in Nebraska

Hillcrest Shadow Lake is located in Papillion, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.

Get Financial aid guidance

Aged and Disabled Waiver

Nebraska Medicaid A&D Waiver

Age 65+ or disabled
General Nebraska resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $4,000 individual, higher than most states
NE

Higher asset limit; rural access focus.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Nebraska Respite Network

NE Respite Network

Age Caregiver of someone 60+
General Nebraska resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
NE

Lifespan respite focus; limited funding.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Personal Assistance Services (PAS)

Nebraska Personal Assistance Services

Age 19+ (65+ for seniors focus)
General Nebraska resident, Medicaid-eligible, needs help with 1+ ADL (e.g., bathing, dressing).
Income Limits (2025) ~$1,255/month (100% FPL, individual); spenddown allowed.
Asset Limits $4,000 (individual), $6,000 (couple) (excludes home up to $688,000, car).
NE

Family can be paid caregivers; statewide via DHHS.

Benefits
Personal care (4-6 hours/day) Limited homemaker services Respite (~200 hours/year)

Program of All-Inclusive Care for the Elderly (PACE)

Nebraska PACE (Immanuel Pathways)

Age 55+
General Nebraska resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $4,000 (individual), $6,000 (couple).
NE

Only in Douglas, Sarpy, parts of Cass/Pottawattamie/Washington Counties.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

Medicare Savings Program (MSP)

Nebraska Medicare Savings Program

Age 65+ or disabled
General Nebraska resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
NE

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

VA Aid and Attendance (A&A) and Housebound Benefits

Nebraska VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Nebraska resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
NE

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Frequently Asked Questions about Hillcrest Shadow Lake

Is Hillcrest Shadow Lake in a walkable area?

Hillcrest Shadow Lake has a walk score of 58. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at Hillcrest Shadow Lake?

Hillcrest Shadow Lake's occupancy is 87%.

How long has Hillcrest Shadow Lake been in business?

Hillcrest Shadow Lake has been operating for approximately 38 years, based on available licensing and registration records.

Are pets allowed at Hillcrest Shadow Lake?

No, Hillcrest Shadow Lake has a no-pet policy.

Does Hillcrest Shadow Lake operate as a for-profit or non-profit?

Hillcrest Shadow Lake is registered as a for-profit in NE.

Who is the administrator of Hillcrest Shadow Lake?

Barry Emerson is the administrator of Hillcrest Shadow Lake.

How many beds does Hillcrest Shadow Lake have?

Hillcrest Shadow Lake has 114 beds.

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