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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
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.
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.
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.
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.
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.
This home is ranked 89th out of 117 homes in Nebraska.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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 per day | ▼ 53% State avg: 43m per day · National avg: 41m per day |
|
LPN / LVN
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 per day | ▼ 47% State avg: 43m per day · National avg: 52m per day |
|
Nurse Aide
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 per day | ■ Avg State avg: 2h 46m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
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 per day | ▼ 16% State avg: 3h 37m per day · National avg: 3h 26m per day |
|
Physical Therapist
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 per day | ▼ 67% State avg: 3m per day · National avg: 4m per day |
|
RN (Weekend)
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 per day | ▼ 55% State avg: 29m per day · National avg: 29m per day |
Higher than the Nebraska average: 70.3%Hillcrest Shadow Lake is legally operated by Hillcrest Shadow Lake LLC, and administrated by Barry Emerson.
Key information about the people who lead and staff this community.
Housing Options: Private Rooms / Companion Rooms
Building Type: Single-story
Transportation Services
Fitness and Recreation
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.
This scorecard compares key inspection, citation, 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.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 41 | 52 | This facility has 21% fewer total deficiencies than a typical Nebraska assisted living residence (41 vs. NE avg 52).↓ 21% better |
|
Deficiencies per year
Average deficiencies per year since 2016.
| 4.1 | 5.2 | This facility has 21% fewer deficiencies per year than a typical Nebraska assisted living residence (4.1 vs. NE avg 5.2).↓ 21% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on January 20, 2026, identified deficiencies related to the facility’s failure to evaluate, monitor, and implement interventions for pressure ulcer prevention and wound healing, resulting in a 90-day probation starting February 17, 2026. Earlier inspections showed a mixed record, with prior deficiencies mostly involving pressure ulcer monitoring, medication management, fire safety, and care planning issues, while some renewal inspections reported no deficiencies. Complaint investigations were generally unsubstantiated except for a few substantiated issues such as failure to complete neurological checks after falls and delays in abuse reporting. Enforcement actions include the probation order but no fines or license revocations were listed in the available reports. The pattern suggests ongoing challenges with pressure ulcer care and regulatory compliance, with recent findings indicating that some issues have persisted over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsHillcrest Shadow Lake is located in Papillion, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
7.5 miles from city center
Estimated distance in miles from Papillion's city center to Hillcrest Shadow Lake's address, calculated via Google Maps.
— 0.54 miles to nearest hospital (Hy-Vee Pharmacy)
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These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Number of hospitalizations per 1,000 long-stay resident days.
1.31
27% better than Nebraska averageNebraska average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.38
29% better than Nebraska averageNebraska average: 1.95
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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.
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
| Hillcrest Shadow Lake |
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Papillion | 114 | No | 58 | Private Rooms / Companion Rooms | 38 | 86.8% | A+ | Barry Emerson | Hillcrest Shadow Lake LLC | 14 | 5 | 4 | 41 |
| St. Joseph Tower Assisted Living |
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Omaha (Dahlman) | 110 | No | 63 | Private Rooms / Companion Rooms | - | 85.5% | - | Sherry Butler | - | 9 | 4 | 5 | 19 |
| Hillcrest Mable Rose |
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Papillion (Bellevue Second Ii Precinct) | - | No | 21 | Private Rooms / Companion Rooms | 38 | - | A+ | - | - | - | - | - | - |
| Richmont Assisted living and Memory Care |
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Bellevue | - | Yes | 58 | Private Rooms / Companion Rooms | - | - | - | - | - | - | - | - | - |
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Hillcrest Shadow Lake has a walk score of 58. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Hillcrest Shadow Lake's occupancy is 87%.
Barry Emerson is the administrator of Hillcrest Shadow Lake.
Hillcrest Shadow Lake has 114 beds.
(402) 339-6010 will put you in contact with the team at Hillcrest Shadow Lake.
Hillcrest Shadow Lake is in Sarpy County.
Hillcrest Shadow Lake is not currently listed as a CMS-certified provider of Medicare or Medicaid.
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