Hillcrest Shadow Lake
Hillcrest Shadow Lake Information
| Facility Name | Hillcrest Shadow Lake |
| Location | 1507 E Gold Coast Road, Papillion, NE 68046 |
| County (SSA Code) | Sarpy (760) |
| Phone Number | 402-339-6010 |
| Certification(s) | Medicaid |
| Number of Beds | 115 |
| Average Number of Residents | 87.8 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | Legal Business Name Not Available |
| Ownership Type | For profit - Corporation |
| Date First Approved | 2016-09-23 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.05334 |
| Reported LPN Staffing Hours per Resident per Day | 0.6173 |
| Reported RN Staffing - Hours per Resident per Day | 0.50763 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.12494 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.17828 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.00587 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.13762 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.63173 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.27228 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.04162 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.33143 |
| Total Weighted Health Survey Score for three cycles | 20.667 |
| Rating cycle 1 Standard Survey Health Date | 2020-01-30 |
| Rating cycle 1 - Total Health Inspection Score | 20 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-10-17 |
| Rating cycle 2 - Health Deficiency Score | 20 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-08-14 |
| Rating cycle 3 - Health Deficiency Score | 84 |
| Rating cycle 3 - Total Health Inspection Score | 84 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |