Federal inspection record · CMS data as of October 1, 2026

Brookefield Park

1405 Heritage Drive, ST Paul, NE · (308) 754-5486

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
70
Residents per day
64
Ownership
Non-Profit
Chain
Vetter Senior Living
Medicare / Medicaid
Medicare + Medicaid
Certified since
March 1, 1998

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Nebraska.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Nebraska homes

Brookefield Park carries 36 inspection points. That is fewer than 61% of Nebraska's 178 rated homes.

5★4★3★2★1★+6 homes above 174.505102550100inspection points → fewer is better on the leftThis home · 36 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Nebraska: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–9 pts
  • 4★ 9–31 pts
  • 3★ 31–50 pts
  • 2★ 50–94.25 pts
  • 1★ over 94.25 pts

Bars show every rated home in Nebraska by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

10 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 3 4 pts
E 3 8 pts
F 4 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Nutrition and Dietary4F
  1. F

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

    May 14, 2026 · Standard · F812 · Corrected June 1, 2026

  2. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    May 14, 2026 · Standard · F804 · Corrected June 5, 2026

  3. F

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

    February 24, 2025 · Standard · F812 · Corrected March 28, 2025

  4. F

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    November 30, 2023 · Standard · F801 · Corrected December 19, 2023

Nursing and Physician Services2F
  1. E

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    May 14, 2026 · Standard · F726 · Corrected June 18, 2026

  2. F

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    February 24, 2025 · Standard · F947 · Corrected March 28, 2025

Resident Assessment and Care Planning2D
  1. D

    Ensure each resident receives an accurate assessment.

    May 14, 2026 · Standard · F641 · Corrected May 18, 2026

  2. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    February 24, 2025 · Standard · F644 · Corrected March 28, 2025

Environmental1E
  1. E

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

    November 30, 2023 · Standard · F923 · Corrected December 19, 2023

Resident Rights1D
  1. D

    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.

    November 30, 2023 · Standard · F584 · Corrected December 19, 2023

Inspection history

  1. 2026-05-14

    4 health deficiencies · 3 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

  2. 2025-02-24

    3 health deficiencies · 3 fire-safety deficiencies

    Top issue: Nursing and Physician Services (1 deficiency)

  3. 2023-11-30

    3 health deficiencies · 4 fire-safety deficiencies

    Top issue: Environmental (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 4 h 3 min of nursing staff time a day, 38 min of it from a registered nurse.

This home

4 h 3 min

Nebraska average

4 h 7 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 25% of nursing staff and 33% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.4 pts better1.31.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better1.51.91.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7 pts better100.0%93.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.8 pts better98.4%95.6%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury4 pts worse8.5%4.5%3.2%
Percentage of long-stay residents who have depressive symptoms4 pts better0.4%4.4%13.5%
Percentage of long-stay residents who lose too much weight3.6 pts better1.5%5.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication7.5 pts better11.5%19.0%19.5%
Percentage of long-stay residents who received an antipsychotic medication4 pts better16.7%20.7%15.4%
Percentage of long-stay residents who were physically restrained0.3 pts better0.0%0.3%0.1%
Percentage of long-stay residents whose ability to walk independently worsened2.6 pts better14.2%16.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased5.4 pts worse24.4%19.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.3 pts better0.0%1.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.1 pts better2.6%2.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.9 pts better23.1%25.0%18.3%
Percentage of long-stay residents with pressure ulcers1.7 pts worse5.7%4.0%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.6 pts better97.9%81.3%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit10.8 pts better0.0%10.8%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts worse2.6%2.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine17.8 pts better91.7%73.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.9 pts better15.2%21.1%23.4%

·

Who owns and runs it

19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Vetter Senior Living5% Or Greater Direct Ownership Interest · Organization100%22 facilities
Foxworthy, RobertContracted Managing Employee · Individual0%1 facilities
Foxworthy, RobertOperational/Managerial Control · Individual0%1 facilities
Kramer, JaredContracted Managing Employee · Individual0%1 facilities
Kramer, JaredOperational/Managerial Control · Individual0%1 facilities
Stuhr, BrianContracted Managing Employee · Individual0%23 facilities
Stuhr, BrianCorporate Officer · Individual0%23 facilities
Stuhr, BrianOperational/Managerial Control · Individual0%23 facilities
Vanekeren, GlennContracted Managing Employee · Individual0%22 facilities
Vanekeren, GlennCorporate Officer · Individual0%22 facilities
Vanekeren, GlennOperational/Managerial Control · Individual0%22 facilities
Vetter Senior LivingOperational/Managerial Control · Organization0%22 facilities
Vetter, EldoraContracted Managing Employee · Individual0%23 facilities
Vetter, EldoraCorporate Officer · Individual0%23 facilities
Vetter, EldoraOperational/Managerial Control · Individual0%23 facilities
Vetter, JackContracted Managing Employee · Individual0%23 facilities
Vetter, JackCorporate Officer · Individual0%23 facilities
Vetter, JackOperational/Managerial Control · Individual0%23 facilities
Vsl Vetter Health Services LLCOperational/Managerial Control · Organization0%22 facilities

·

Fire safety

10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke3F
  1. F

    Provide properly protected cooking facilities.

    May 14, 2026 · K324 · Corrected June 5, 2026

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    May 14, 2026 · K353 · Corrected June 5, 2026

  3. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    February 24, 2025 · K374 · Corrected March 28, 2025

Egress3E
  1. E

    Have horizontal exits used in accordance with safety requirements.

    May 14, 2026 · K226 · Corrected June 5, 2026

  2. E

    Have exits that are accessible at all times.

    February 24, 2025 · K271 · Corrected March 28, 2025

  3. E

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

    February 24, 2025 · K291 · Corrected March 28, 2025

Gas, Vacuum, and Electrical Systems2F
  1. F

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

    November 30, 2023 · K918 · Corrected December 20, 2023

  2. F

    Have proper medical gas storage and administration areas.

    November 30, 2023 · K923 · Corrected December 20, 2023

Emergency Preparedness1F
  1. F

    Implement emergency and standby power systems.

    November 30, 2023 · E41 · Corrected December 20, 2023

Miscellaneous1E
  1. E

    Have restrictions on the use of portable space heaters.

    November 30, 2023 · K781 · Corrected December 20, 2023

·

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