Federal inspection record · CMS data as of October 1, 2026
Brookestone of David City
260 South 10th Street, David City, NE · (402) 367-3144
- Certified beds
- 86
- Residents per day
- 55
- Ownership
- Non-Profit
- Chain
- Vetter Senior Living
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 14, 1986
1
How this home got 4 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Nebraska.
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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.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nebraska homes
Brookestone of David City carries 15 inspection points. That is fewer than 83% 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
7 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
Resident Assessment and Care Planning3D
- D
Assess the resident when there is a significant change in condition
- D
Ensure each resident receives an accurate assessment.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Pharmacy Service1E
- E
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.
Resident Rights1D
- D
Keep residents' personal and medical records private and confidential.
Quality of Life and Care1D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-06-03
3 health deficiencies · 5 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
2025-02-13
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-03-12
1 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 10 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
4 h 10 min
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 31% of nursing staff and 29% of registered nurses left in the past year, along with 1 administrator.
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 days0.1 pts worse | 2.0 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.1 pts better | 99.1% | 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 injury0.2 pts better | 4.3% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.4 pts better | 1.0% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.4 pts better | 3.7% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5 pts worse | 24.0% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication11.5 pts better | 9.2% | 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 worsened0.8 pts worse | 17.6% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.8 pts worse | 27.8% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 1.4% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.7 pts better | 1.0% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.5 pts worse | 31.5% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts better | 2.5% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.1 pts better | 97.4% | 81.3% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.2 pts worse | 11.0% | 10.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts worse | 2.7% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine17 pts better | 90.9% | 73.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.9 pts better | 18.2% | 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 |
| Aldrich, Barbara | Contracted Managing Employee · Individual | 0% | 1 facilities |
| Aldrich, Barbara | 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 |
| Sypal, Joshua | Contracted Managing Employee · Individual | 0% | 1 facilities |
| Sypal, Joshua | Operational/Managerial Control · Individual | 0% | 1 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 |
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Fire safety
11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Install a fire alarm system that can be heard throughout the facility.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems3F
- 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.
- E
Meet requirements for the use of electrical equipment.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
Provide a written emergency evacuation plan.
Services1F
- F
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
St. Joseph's Villa, Inc.
David City, NE · Rural Health Development
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 55 min
- Fines
- $27,115
-
Emerald Nursing & Rehab Columbus
Columbus, NE · Emerald Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 50 min
- Fines
- $0
-
Brookestone Acres
Columbus, NE · Vetter Senior Living
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 28 min
- Fines
- $0