Federal inspection record · CMS data as of October 1, 2026
Brookestone Meadows Rehabilitation and Care Center
600 Brookestone Meadows Plaza, Elkhorn, NE · (402) 289-2696
- CMS high-performer trophy
- Certified beds
- 140
- Residents per day
- 130
- Ownership
- Non-Profit
- Chain
- Vetter Senior Living
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 20, 2007
1
How this home got 5 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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Nebraska.
-
Staffing
★★★★★no change (already 5)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nebraska homes
Brookestone Meadows Rehabilitation and Care Center carries 2 inspection points. That is fewer than 99% of Nebraska's 178 rated homes.
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
3 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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 Dietary2F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care1D
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspection history
2026-04-09
0 health deficiencies · 6 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2025-04-01
1 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2024-03-12
2 health deficiencies · 7 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 45 min of nursing staff time a day, 45 min of it from a registered nurse.
This home
4 h 45 min
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 34% of nursing staff and 25% 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.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts better | 1.4 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts better | 0.7 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7 pts better | 100.0% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.4 pts better | 100.0% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts better | 3.8% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.9 pts better | 0.5% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.6 pts better | 2.5% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.4 pts better | 10.6% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.1 pts better | 12.6% | 20.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.7 pts better | 15.1% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3 pts better | 16.0% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.3 pts better | 0.0% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts better | 2.1% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.3 pts worse | 33.3% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.9 pts better | 3.1% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.9 pts better | 99.2% | 81.3% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.9 pts better | 4.9% | 10.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.7 pts better | 0.4% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine25.2 pts better | 99.1% | 73.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.9 pts better | 15.2% | 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
| Name | Role | Share | Homes |
|---|---|---|---|
| Vetter Senior Living | 5% Or Greater Direct Ownership Interest · Organization | 100% | 22 facilities |
| Malloy, Timothy | Contracted Managing Employee · Individual | 0% | 3 facilities |
| Malloy, Timothy | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Nitz, Jason | Contracted Managing Employee · Individual | 0% | 1 facilities |
| Nitz, Jason | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Stuhr, Brian | Contracted Managing Employee · Individual | 0% | 23 facilities |
| Stuhr, Brian | Corporate Officer · Individual | 0% | 23 facilities |
| Stuhr, Brian | Operational/Managerial Control · Individual | 0% | 23 facilities |
| Vanekeren, Glenn | Contracted Managing Employee · Individual | 0% | 22 facilities |
| Vanekeren, Glenn | Corporate Officer · Individual | 0% | 22 facilities |
| Vanekeren, Glenn | Operational/Managerial Control · Individual | 0% | 22 facilities |
| Vetter Senior Living | Operational/Managerial Control · Organization | 0% | 22 facilities |
| Vetter, Eldora | Contracted Managing Employee · Individual | 0% | 23 facilities |
| Vetter, Eldora | Corporate Officer · Individual | 0% | 23 facilities |
| Vetter, Eldora | Operational/Managerial Control · Individual | 0% | 23 facilities |
| Vetter, Jack | Contracted Managing Employee · Individual | 0% | 23 facilities |
| Vetter, Jack | Corporate Officer · Individual | 0% | 23 facilities |
| Vetter, Jack | Operational/Managerial Control · Individual | 0% | 23 facilities |
| Vsl Vetter Health Services LLC | Operational/Managerial Control · Organization | 0% | 22 facilities |
·
Fire safety
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems6F
- F
Meet requirements for the use of electrical equipment.
- F
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Have proper medical gas storage and administration areas.
- E
Ensure proper usage of power strips and extension cords.
Egress3F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
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.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke3F
- E
Have an enclosure around a vertical opening shaft.
- F
Install an approved automatic sprinkler system.
- F
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous2F
- E
Have restrictions on the use of highly flammable decorations.
- F
Have restrictions on the use of portable space heaters.
Emergency Preparedness1F
- F
Implement emergency and standby power systems.
·
Other homes nearby
-
Life Care Center of Elkhorn
Elkhorn, NE · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 40 min
- Fines
- $26,857
-
The Lighthouse at Lakeside Village
Omaha, NE · Immanuel
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 23 min
- Fines
- $0
-
Newport House
Omaha, NE · Immanuel
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 3 min
- Fines
- $0