Bellevue, NE

Hillcrest Health & Rehab

2-star overall rating with 2-star inspections with 8 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

1702 Hillcrest Drive, Bellevue, NE

(402) 291-8500

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

151

Certified beds

Average residents

119

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1993-08-02

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.78

Registered nurse staffing · state 0.71 · national 0.68

LPN hours / resident day

0.59

Licensed practical nurse staffing · state 0.71 · national 0.87

Aide hours / resident day

3.13

Nurse aide staffing · state 2.76 · national 2.35

Total nurse hours

4.49

All reported nurse hours · state 4.17 · national 3.89

Licensed hours

1.37

RN + LPN hours · state 1.41 · national 1.54

Weekend hours

4.09

Weekend nurse staffing · state 3.61 · national 3.43

Weekend RN hours

0.48

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.17

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.78

CMS adjusted RN staffing hours

Adjusted total hours

4.49

CMS adjusted total nurse staffing hours

Case-mix index

1.37

Higher values indicate more complex resident acuity

RN turnover

13%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

42%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,264

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

50.61

Composite VBP score used to determine payment impact.

Payment multiplier

1.0048

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 18.87% · Performance 21.22% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

9.13

Baseline 4.08% · Performance 5.11% · Measure score 9.13 · Achievement 9.13 · Improvement 0

Total nurse turnover

7.18

Baseline 85.71% · Performance 38.96% · Measure score 7.18 · Achievement 6.05 · Improvement 7.18

Adjusted total nurse staffing

3.94

Baseline 4.38 hours · Performance 4.20 hours · Measure score 3.94 · Achievement 3.94 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.78%
10.72%
0.9 pts better
No Different than the National Rate · Eligible stays 884 · Observed rate 9.39% · Lower 95% interval 8.08%
Discharge to community 65.68%
50.57%
15.1 pts better
Better than the National Rate · Eligible stays 896 · Observed rate 60.38% · Lower 95% interval 61.11%
Medicare spending per beneficiary 0.86
1.02
0.2 pts better
Drug regimen review with follow-up 99.67%
95.27%
4.4 pts better
Numerator 606 · Denominator 608
Falls with major injury 0.49%
0.77%
0.3 pts better
Numerator 3 · Denominator 608
Discharge self-care score 56.64%
53.69%
3 pts better
Numerator 273 · Denominator 482
Discharge mobility score 64.11%
50.94%
13.2 pts better
Numerator 309 · Denominator 482
Pressure ulcers or injuries, new or worsened 1.15%
2.29%
1.1 pts better
Numerator 7 · Denominator 608 · Adjusted rate 1.37%
Healthcare-associated infections requiring hospitalization 5.11%
7.12%
2 pts better
Better than the National Rate · Eligible stays 532 · Observed rate 4.14% · Lower 95% interval 3.47%
Staff COVID-19 vaccination coverage 13.02%
8.2%
4.8 pts better
Numerator 28 · Denominator 215
Staff flu vaccination coverage 78.71%
42%
36.7 pts better
Numerator 159 · Denominator 202
Discharge function score 61.41%
56.45%
5 pts better
Numerator 296 · Denominator 482
Transfer of health information to provider 98.68%
95.95%
2.7 pts better
Numerator 149 · Denominator 151
Transfer of health information to patient 99.5%
96.28%
3.2 pts better
Numerator 400 · Denominator 402
Resident COVID-19 vaccinations up to date 23.4%
25.2%
1.8 pts worse
Numerator 77 · Denominator 329

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.4
1.8
0.4 pts better
1.9
0.5 pts better
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.8 · Expected 2.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.3
2.0
0.7 pts better
1.8
0.5 pts better
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.4 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
92.8%
7.2 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.4%
96.1%
2.3 pts better
95.5%
2.9 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.4%
Percentage of long-stay residents experiencing one or more falls with major injury 6.3%
4.5%
1.8 pts worse
3.3%
3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 6.9% · Q3 6.6% · Q4 8.5% · 4Q avg 6.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 1.8%
4.4%
2.6 pts better
11.4%
9.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 7.5% · 4Q avg 1.8%
Percentage of long-stay residents who lose too much weight 3.9%
5.3%
1.4 pts better
5.4%
1.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 7.8% · Q3 3.9% · Q4 0.0% · 4Q avg 3.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.7%
19.5%
3.2 pts worse
19.6%
3.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 21.6% · Q3 24.1% · Q4 25.5% · 4Q avg 22.7%
Percentage of long-stay residents who received an antipsychotic medication 22.3%
21.6%
0.7 pts worse
16.7%
5.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 18.6% · Q3 25.0% · Q4 25.6% · 4Q avg 22.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.3%
0.3 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 38.2%
20.4%
17.8 pts worse
16.3%
21.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 42.6% · Q2 38.8% · Q3 34.6% · Q4 36.9% · 4Q avg 38.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 31.3%
19.9%
11.4 pts worse
14.9%
16.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 31.2% · Q3 28.0% · Q4 32.7% · 4Q avg 31.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.6%
1.6 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.3%
2.9%
1.6 pts better
1.7%
0.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.7% · Q3 1.7% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 28.2%
26.6%
1.6 pts worse
19.8%
8.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 31.4% · Q3 27.7% · Q4 26.4% · 4Q avg 28.2%
Percentage of long-stay residents with pressure ulcers 6.0%
4.3%
1.7 pts worse
5.1%
0.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 2.8% · Q3 8.1% · Q4 8.2% · 4Q avg 6.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.9%
80.5%
13.4 pts better
81.7%
12.2 pts better
Short Stay · 2024Q4-2025Q3 · Q1 91.4% · Q2 91.9% · Q3 94.0% · Q4 98.0% · 4Q avg 93.9%
Percentage of short-stay residents who had an outpatient emergency department visit 15.1%
11.6%
3.5 pts worse
12.0%
3.1 pts worse
Short Stay · 20240701-20250630 · Adjusted 15.1% · Observed 14.4% · Expected 10.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.8%
2.4%
1.6 pts better
1.6%
0.8 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.1% · Q3 0.5% · Q4 0.8% · 4Q avg 0.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 80.5%
75.9%
4.6 pts better
79.7%
0.8 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 80.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 26.4%
20.9%
5.5 pts worse
23.9%
2.5 pts worse
Short Stay · 20240701-20250630 · Adjusted 26.4% · Observed 23.5% · Expected 21.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-17 · Fire 2024-12-17

8 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

11 fire-safety deficiencies

Top issue: Miscellaneous (4 deficiencies)

Cycle 2 Health 2023-10-17 · Fire 2023-10-17

3 health deficiencies

Top issue: Environmental (1 deficiency)

5 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 3 Health 2022-09-20 · Fire 2022-09-20

8 health deficiencies

Top issue: Infection Control (4 deficiencies)

17 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (5 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-12-17

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2025-01-30

F · Potential for more than minimal harm 2024-12-17

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-01-30

F · Potential for more than minimal harm 2024-12-17

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2025-01-30

F · Potential for more than minimal harm 2024-12-17

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-01-30

F · Potential for more than minimal harm 2024-12-17

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-01-30

E · Potential for more than minimal harm 2024-12-17

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2025-01-30

E · Potential for more than minimal harm 2024-12-17

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-01-30

E · Potential for more than minimal harm 2024-12-17

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2025-01-30

E · Potential for more than minimal harm 2024-12-17

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2025-01-30

E · Potential for more than minimal harm 2024-12-17

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-01-30

E · Potential for more than minimal harm 2024-12-17

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-01-30

F · Potential for more than minimal harm 2023-10-17

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-11-28

F · Potential for more than minimal harm 2023-10-17

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-11-28

E · Potential for more than minimal harm 2023-10-17

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2023-11-28

E · Potential for more than minimal harm 2023-10-17

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-11-28

E · Potential for more than minimal harm 2023-10-17

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-11-28

F · Potential for more than minimal harm 2022-09-20

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2022-10-19

F · Potential for more than minimal harm 2022-09-20

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2022-10-19

F · Potential for more than minimal harm 2022-09-20

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-10-19

F · Potential for more than minimal harm 2022-09-20

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2022-10-19

F · Potential for more than minimal harm 2022-09-20

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2022-10-19

F · Potential for more than minimal harm 2022-09-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-10-19

F · Potential for more than minimal harm 2022-09-20

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2022-10-19

E · Potential for more than minimal harm 2022-09-20

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2022-10-19

E · Potential for more than minimal harm 2022-09-20

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-10-19

E · Potential for more than minimal harm 2022-09-20

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-10-19

E · Potential for more than minimal harm 2022-09-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-10-19

E · Potential for more than minimal harm 2022-09-20

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-10-19

E · Potential for more than minimal harm 2022-09-20

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-10-19

E · Potential for more than minimal harm 2022-09-20

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2022-10-19

E · Potential for more than minimal harm 2022-09-20

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2022-10-19

E · Potential for more than minimal harm 2022-09-20

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-10-19

E · Potential for more than minimal harm 2022-09-20

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-10-19

Inspection history

Recent health citations

G · Actual harm 2025-12-30

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2026-01-28

E · Potential for more than minimal harm 2025-12-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-28

D · Potential for more than minimal harm 2025-12-30

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-01-28

D · Potential for more than minimal harm 2025-12-30

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-01-28

G · Actual harm 2025-09-03

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Not marked corrected

G · Actual harm 2025-03-11

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-03-21

D · Potential for more than minimal harm 2024-12-17

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-01-30

C · Minimal harm 2024-12-17

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-01-30

F · Potential for more than minimal harm 2023-10-17

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-11-28

E · Potential for more than minimal harm 2023-10-17

F923 · Environmental Deficiencies

Health

Have enough outside ventilation via a window or mechanical ventilation, or both.

Corrected 2023-11-28

D · Potential for more than minimal harm 2023-10-17

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-11-28

E · Potential for more than minimal harm 2023-03-16

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-04-26

D · Potential for more than minimal harm 2023-03-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-04-26

F · Potential for more than minimal harm 2022-09-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-10-19

F · Potential for more than minimal harm 2022-09-20

F886 · Infection Control Deficiencies

Health

Perform COVID19 testing on residents and staff.

Corrected 2022-10-19

F · Potential for more than minimal harm 2022-09-20

F888 · Infection Control Deficiencies

Health

Ensure staff are vaccinated for COVID-19

Corrected 2022-10-19

D · Potential for more than minimal harm 2022-09-20

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-10-19

D · Potential for more than minimal harm 2022-09-20

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-10-19

D · Potential for more than minimal harm 2022-09-20

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2022-10-19

Penalties and ownership

What sits behind the stars

Ownership

Janicki, James

5% Or Greater Direct Ownership Interest · Individual

25% 4 facilities 2023-06-30
Mulhearn, Kevin

5% Or Greater Direct Ownership Interest · Individual

25% 4 facilities 2023-06-30
Oestmann, Matthew

5% Or Greater Direct Ownership Interest · Individual

25% 4 facilities 2023-06-30
Ripple, Reggie

5% Or Greater Direct Ownership Interest · Individual

25% 2 facilities 2023-06-30
Aswege-Mezenberg, Debra

Operational/Managerial Control · Individual

0% 4 facilities 2023-07-01
Hillcrest Health Systems Inc

Operational/Managerial Control · Organization

0% 4 facilities 2015-06-01
Janicki, James

Operational/Managerial Control · Individual

0% 4 facilities 2024-01-01
Janicki, James

Corporate Officer · Individual

0% 4 facilities 2024-01-01
Mulhearn, Kevin

Operational/Managerial Control · Individual

0% 4 facilities 2024-01-01
Mulhearn, Kevin

Corporate Officer · Individual

0% 4 facilities 2024-01-01
Oestmann, Matthew

Operational/Managerial Control · Individual

0% 4 facilities 2024-01-01
Oestmann, Matthew

Corporate Officer · Individual

0% 4 facilities 2024-01-01
Ripple, Reggie

Operational/Managerial Control · Individual

0% 2 facilities 2024-01-01
Weston, Tammy

W-2 Managing Employee · Individual

0% 1 facilities 2018-04-30

Nearby options

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2-star overall rating with 2-star inspections with $13,000 in total fines with 9 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
4 / 5
Fines
$13,000
#2

Omaha Nursing and Rehabilitation Center

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1-star overall rating with 1-star inspections with $154,118 in total fines with 21 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
2 / 5
Fines
$154,118
#3

Hillcrest Shadow Lake LLC

Papillion, NE

3-star overall rating with 2-star inspections with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
2 / 5
Staffing
2 / 5
Fines
$0

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