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

Southlake Village Rehabilitation & Care Center

9401 Andermatt Drive, Lincoln, NE · (402) 327-6300

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
126
Residents per day
118
Ownership
Non-Profit
Chain
Vetter Senior Living
Medicare / Medicaid
Medicare + Medicaid
Certified since
May 7, 1998

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.

  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

    +1 star

    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

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Nebraska homes

Southlake Village Rehabilitation & Care Center carries 27 inspection points. That is fewer than 70% of Nebraska's 178 rated homes.

5★4★3★2★1★+6 homes above 174.505102550100inspection points → fewer is better on the leftThis home · 27 pts · 4★

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

6 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 4 4 pts
E 1 8 pts
F 1 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 Dietary2E
  1. E

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    November 25, 2025 · Standard · F803 · Corrected December 23, 2025

  2. D

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

    November 25, 2025 · Standard · F812 · Corrected December 23, 2025

Nursing and Physician Services1F
  1. F

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

    November 25, 2025 · Standard · F947 · Corrected December 23, 2025

Resident Rights1D
  1. D

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    November 25, 2025 · Standard · F578 · Corrected December 23, 2025

Environmental1D
  1. D

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

    November 25, 2025 · Standard · F923 · Corrected December 23, 2025

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    August 3, 2023 · Standard · F880 · Corrected September 1, 2023

Inspection history

  1. 2025-11-25

    5 health deficiencies · 3 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

  2. 2024-08-13

    0 health deficiencies · 7 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

  3. 2023-08-03

    1 health deficiencies · 7 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 4 h 44 min of nursing staff time a day, 34 min of it from a registered nurse.

This home

4 h 44 min

Nebraska average

4 h 7 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 28% of nursing staff and 13% 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 days0.2 pts better1.51.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better1.01.91.7
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 vaccine4.4 pts better100.0%95.6%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts better2.8%4.5%3.2%
Percentage of long-stay residents who have depressive symptoms2.9 pts better1.5%4.4%13.5%
Percentage of long-stay residents who lose too much weight1.7 pts better3.4%5.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication2.5 pts better16.5%19.0%19.5%
Percentage of long-stay residents who received an antipsychotic medication10.6 pts better10.1%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 worsened4.6 pts worse21.4%16.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.3 pts better17.7%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 infection0.7 pts better2.0%2.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.7 pts worse30.7%25.0%18.3%
Percentage of long-stay residents with pressure ulcers1.4 pts better2.6%4.0%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine18.4 pts better99.7%81.3%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit3.7 pts better7.1%10.8%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better1.7%2.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine25.7 pts better99.6%73.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission3.4 pts worse24.5%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
Bergmann, DavidContracted Managing Employee · Individual0%1 facilities
Bergmann, DavidOperational/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
Triggs, TedContracted Managing Employee · Individual0%1 facilities
Triggs, TedOperational/Managerial Control · Individual0%1 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

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

Gas, Vacuum, and Electrical Systems8F
  1. F

    Ensure that testing and maintenance of electrical equipment is performed.

    November 25, 2025 · K921 · Corrected December 10, 2025

  2. F

    Ensure proper usage of power strips and extension cords.

    August 13, 2024 · K920 · Corrected September 1, 2024

  3. F

    Ensure that testing and maintenance of electrical equipment is performed.

    August 13, 2024 · K921 · Corrected September 1, 2024

  4. F

    Meet requirements for the use and maintenance of medical gas equipment.

    August 13, 2024 · K922 · Corrected September 1, 2024

  5. F

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

    August 3, 2023 · K918 · Corrected September 7, 2023

  6. E

    Meet requirements for the use of electrical equipment.

    August 3, 2023 · K919 · Corrected September 7, 2023

  7. E

    Ensure proper usage of power strips and extension cords.

    August 3, 2023 · K920 · Corrected September 7, 2023

  8. E

    Meet requirements for the use and maintenance of medical gas equipment.

    August 3, 2023 · K922 · Corrected September 7, 2023

Smoke5F
  1. F

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

    November 25, 2025 · K321 · Corrected December 10, 2025

  2. F

    Install corridor and hallway doors that block smoke.

    November 25, 2025 · K363 · Corrected December 10, 2025

  3. F

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

    August 13, 2024 · K321 · Corrected September 1, 2024

  4. F

    Install corridor and hallway doors that block smoke.

    August 13, 2024 · K363 · Corrected September 1, 2024

  5. F

    Install corridor and hallway doors that block smoke.

    August 3, 2023 · K363 · Corrected September 7, 2023

Services2F
  1. F

    Meet other general requirements that are deficient.

    August 13, 2024 · K500 · Corrected September 1, 2024

  2. F

    Have properly installed electrical wiring and gas equipment.

    August 3, 2023 · K511 · Corrected September 7, 2023

Construction1E
  1. E

    Meet other general requirements.

    August 13, 2024 · K100 · Corrected September 1, 2024

Emergency Preparedness1F
  1. F

    Implement emergency and standby power systems.

    August 3, 2023 · E41 · Corrected September 7, 2023

·

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