Hillcrest Shadow Lake LLC
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 24 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low staffing rating (2/5 stars)
- Above-median deficiencies (7 vs median 5)
- High staff turnover (64%)
Above average in NE · Critically understaffed (RN) · No penalties on record
What this means for your family
While some families have reported positive experiences in the past, recent reviews consistently highlight serious concerns regarding cleanliness and staffing levels. We strongly recommend conducting an unannounced visit during a weekend or evening shift to personally observe the level of care and environment before making a decision.
Google Reviews
Google Reviews
24 reviews on Google“Hillcrest Shadow Lake LLC receives highly polarized feedback, with recent reviews highlighting significant concerns regarding cleanliness, staffing levels, and communication. While some long-term family members praise the management and care team, multiple recent reports describe a facility that is understaffed, unresponsive to medical needs, and failing to maintain basic hygiene standards.”
Quality Themes
Tap a score for detailsStrengths
- Friendly management team
- Compassionate nursing staff (noted by some)
- Visible efforts toward facility improvement
Concerns
- Chronic understaffing leading to poor patient care (mentioned by 5 reviewers)
- Lack of cleanliness and unpleasant odors (mentioned by 3 reviewers)
- Poor communication with family members (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 26 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1I noticed the facility is currently working on improvements; what specific changes have you implemented recently to enhance the overall cleanliness and environment for residents?
- 2Given the current staffing levels, how does the team ensure that every resident receives timely assistance with their daily personal care needs?
- 3I see that management is active in responding to feedback; what is your standard process for keeping families updated and involved in their loved one's care plan?
- 4Could you walk me through how the nursing team coordinates with local hospitals or specialists when a resident experiences a sudden change in their medical condition?
- 5What does the daily activity schedule look like, and how do you ensure residents who may need extra support are encouraged to participate and stay engaged?
- 6With the recent focus on facility upgrades, what steps are being taken to improve the dining experience and nutritional variety for residents?
Personalized based on this facility's data
Key Review Excerpts
“My mother has repeatedly fallen while under their care and it took me and her POA getting upset with the staff before they would x-ray her to make sure nothing was broken, although for TWO days she cried in pain!!!”
“It is not clean, bathroom accidents on the floor are left (4 weeks) and carpet isn't cleaned. Staff is unprofessional and disrespectful.”
“My wife was in HSL about 5 years until her recent passing. No place is perfect, but the staff at HSL was loving and caring to my wife and myself and I have no regrets about her being there.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
5
measures
10
measures
2
measures
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaints triggering 12 deficiencies, including recent serious issues in pressure ulcer care and treatment quality that remain uncorrected as of January 2026. The facility shows recurring problems with resident safety, medication management, and infection control across multiple surveys. While most deficiencies have correction dates, the pattern of repeated violations in core care areas and unresolved recent complaints raises significant concerns about care quality.
Jan 20, 2026Complaint3
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
May 21, 2025Complaint1
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Apr 22, 2025Routine6
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Apr 22, 2025Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nov 20, 2024Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 4, 2024Routine14
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Resident Rights Deficiencies
Honor 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.
Pharmacy Service Deficiencies
Implement 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.
Pharmacy Service Deficiencies
Ensure 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.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use and maintenance of medical gas equipment.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Ownership & Operations
Who Operates This Facility
Hillcrest Shadow Lake LLC
for profit
Ownership & Management
Owners
Undisclosed
Ownership Data Not Available · Organization
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
24 reviews from families & visitors
Official Website
Visit hillcresthealth.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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