Hillcrest Shadow Lake Llc - 3-Star Rehab Facility in Papillion, NE | Placet0.33h
RN HOURS
per resident/day
3/5
CMS STARS
overall rating
3.9★
TRUST INDEX
Placet score
—
BOUNCE BACK
30-day readmission
Clinical Quality Indicators
Long-stay residents — lower is better
Antipsychotic medication use 19.35%Falls causing major injury 5.06%Pressure ulcers (high-risk) 8.59%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
Last inspected: May 2025 (333 days ago)🔍 Health Inspection
2/5
★★☆☆☆
📊 Quality Measures
5/5
★★★★★
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Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 43 min · US avg: 41 min
Total Nurse / Resident / Day
3h 27m
State avg: 4h 10m · US avg: 3h 53m
1 min
State avg: 3 min · US avg: 4 min
64 per 100
State avg: 49 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
73%above avg
US avg: 64%
Total Nurse Weekend
3h 54m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: May 21, 2025(3 citations)
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
Survey: April 22, 2025(12 citations)
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for Harm
Survey: November 20, 2024(6 citations)
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
Survey: April 4, 2024(36 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
Survey: December 6, 2023(9 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmEnvironmental DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
+ 2 more survey(s) not shown in snapshot
N/A
State avg: 20.9 · US avg: 23.9
N/A
State avg: 11.6 · US avg: 12.0
5.1 per 100
State avg: 4.5 · US avg: 3.3
8.6 per 100
State avg: 4.3 · US avg: 5.1
4.5 per 100
State avg: 2.4 · US avg: 1.6
44.4 per 100
State avg: 75.9 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
Healthcare-Assoc. Infections
N/A
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
N/A
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
Nutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for Harm
Quality of Life and Care Deficiencies
Complaint
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟠 Actual HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟠 Actual HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟠 Actual HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmNursing and Physician Services DeficienciesComplaint
🟡 Potential for Harm
Environmental Deficiencies
Complaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmEnvironmental DeficienciesComplaint