Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Brookestone Of Papillion during CMS and state inspections, most recent first.
A resident with hemiplegia/hemiparesis after CVA, DM2 with neuropathy, morbid obesity, a cerebral aneurysm, anemia, and anxiety made threats to kill a roommate and then to kill self. The DON/administrator notified APS, police, and the guardian, and the resident was briefly placed on 1:1 supervision before being moved to a private room. However, the record lacked physician documentation or other evidence supporting the discharge for danger to others, and the discharge form did not include the reason for discharge.
The facility failed to follow practitioner's wound care orders for two residents. One resident's wet to dry dressing was improperly applied, as the gauze remained moist due to a transparent dressing. Another resident's wound care order was incomplete due to a transcription error, omitting a step involving skin prep application. These deficiencies were confirmed by facility staff.
Two residents at risk for hot liquid burns were served coffee at unsafe temperatures without necessary precautions, such as cooling or using lids, despite facility guidelines. Staff interviews revealed a lack of understanding and implementation of safety protocols, and the facility's administrator acknowledged the oversight.
Discharge Without Supporting Evidence of Danger
Penalty
Summary
The facility failed to ensure evidence was in place to support the discharge of a resident who was discharged for being a danger to other residents. The resident was admitted with hemiplegia and hemiparesis following a cerebral infarction, type II diabetes mellitus with diabetic polyneuropathy, morbid obesity, a non-ruptured cerebral aneurysm, anemia, and an anxiety disorder. On 7/16/25, a CNA reported that the resident stated, "I am going to kill my roommate," and then said, "Then I'll just kill myself!" The administrator was notified, and Adult Protective Services and police were notified. The former administrator verbally notified the resident's guardian of the possibility of a 30-day discharge and arranged 1:1 supervision overnight for the resident and roommate. The investigation report stated police interviewed the resident and roommate and determined the resident was not an immediate threat, after which 1:1 monitoring was stopped and the resident was moved to a private room because the facility did not have a private room available for the resident. The resident was allowed to move freely in a wheelchair to the dining room and activities from the day after the incident until discharge, and the former administrator stated frequent checks were done but there was no documentation showing how often or that the checks occurred. The record contained no other incidents of threats to self or others, no physician documentation that the resident was a danger to self or others, and the discharge communication form did not include the reason for discharge or evidence supporting danger to self or others.
Failure to Follow Wound Care Orders for Two Residents
Penalty
Summary
The facility failed to adhere to practitioner's orders for wound care for two residents. Resident 2, who had undergone abdominal hernia surgery and was receiving surgical wound treatments, was observed to have a wet to dry dressing order for their abdominal wound. However, during an observation, it was found that the wound nurse used a transparent dressing that did not allow the gauze to dry, thus not fulfilling the wet to dry dressing order. The wound nurse confirmed that the gauze was moist and not dry, which was contrary to the practitioner's orders. Resident 3, who required maximal assistance with personal hygiene and had a surgical wound, had a treatment order for the left pelvis that included cleansing, applying xeroform, and covering with an ABD dressing. However, a step involving painting the periwound with skin prep was omitted from the Medication Administration Record (MAR) due to a transcription error. This omission was confirmed by the nurse supervisor, indicating that staff would not have known to perform this step, leading to a failure in following the practitioner's wound care orders.
Failure to Implement Hot Liquid Safety Measures
Penalty
Summary
The facility staff failed to implement necessary interventions to prevent hot liquid burns for two residents identified as at risk for injury from hot liquids. The facility's Hot Liquid Management Guidelines indicated that hot liquids should be maintained at a safe temperature to prevent burns, and residents at high risk should not be left unsupervised with hot liquids. However, observations revealed that hot coffee was served to these residents at temperatures that could cause burns, without the necessary precautions such as cooling the liquids or using lids. Resident 1, who had a history of conditions such as transient cerebral ischemic attack, syncope, and dysphagia, was observed receiving steaming hot coffee at 163 degrees Fahrenheit without a lid or a towel on their lap, despite their care plan indicating the need for such precautions. The resident confirmed that they were regularly served hot coffee without these safety measures. Similarly, Resident 2, who had diagnoses including cerebral infarction and dementia, was also served hot coffee at the same temperature without the required cooling or lid, contrary to their care plan instructions. Interviews with the facility staff, including culinary assistants, revealed a lack of understanding and implementation of the facility's guidelines for managing hot liquids. The staff admitted to not cooling the coffee as required and were unaware of the safe temperature to prevent burns. The facility's administrator acknowledged that the coffee temperature was too high for at-risk residents, indicating a failure in staff training and adherence to safety protocols.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 416 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Papillion
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hillcrest Shadow Lake Llc | 1 mi | ★★★★★ | 4 | 0 |
| Hillcrest Country Estates-cottages | 2.4 mi | ★★★★★ | 0 | 0 |
| Good Samaritan Society - Millard | 5 mi | ★★★★★ | 24 | 0 |
| Omaha Nursing And Rehabilitation Center | 5.1 mi | ★★★★★ | 1 | 0 |
| Emerald Nursing & Rehab Omaha | 5.8 mi | ★★★★★ | 36 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.