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Brookefield Park

1405 Heritage Drive, St. Paul, NE 68873 · Howard County · (308) 754-5486

70 certified beds, about 64 residents a day · Non profit - Corporation · Medicare and Medicaid since 1998

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 285226 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 14, 2026, inspectors cited 4 health deficiencies (the Nebraska average is 7.4, the national average 9.2).

None of its 10 health citations since November 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.20 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.

22.9% of nursing staff left within the year CMS measured (Nebraska average 48.7%).

CMS links it to Vetter Senior Living, an affiliated group of 22 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
3D
3E
4F
Potential for minimal harm
0A
0B
0C
May 14, 2026Standard inspection · 4 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 1, 2026
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.11(E) Based on observation and interview, the facility failed to ensure surfaces in the kitchen were cleaned at a frequency to prevent the accumulation of soil or residue. This had the potential to affect all of the residents receiving food from the kitchen. The facility census was 62.
  2. 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.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 18, 2026
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.04(G)(ii)Licensure Reference Number 175 NAC 12-006.10(A)(iii) Based on record review and interview the facility failed to ensure that medication aide competency assessments (an evaluation used to verify that a medication aide can safely, accurately, and legally administer medications to residents. It typically includes both a written knowledge test and a practical, hands-on skills demonstration overseen by a licensed healthcare professional) were documented and maintained as required for 1 of 2 medication aides reviewed. The facility census was 62.
  3. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 5, 2026
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.11(D) Based on observation, interview, and record review the facility failed to check the temperature of food items served from the kitchen to ensure they were at a safe and palatable temperature when served for 5 (Resident 4, Resident 17, Resident 55, Resident 7, and Resident 32) sampled residents. The facility census was 62.
  4. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 18, 2026
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(D) Based on record review and interviews, the facility failed to accurately code the Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and helps nursing home staff identify health problems) for 1 (Resident 5) of 5 sampled residents. The facility census was 62.
February 24, 2025Standard inspection · 3 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 28, 2025
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.11(E) Based on observation, record review, and interview the facility failed to ensure that refrigerated foods were maintained within the required temperatures to ensure food safety. This had the potential to affect 58 of 58 residents that ate food prepared by the facility kitchen.
  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.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 28, 2025
    Inspectors wroteLicensure Reference 175 NAC 12-006.04(B)(ii)(1) Based on record reviews and interview, the facility failed to ensure 3 of 5 sampled nursing aides (NA) had at least 12 hours of ongoing training. This had the potential to affect all residents residing at the facility. The facility identified a census of 58. Findings Are: A record review of a Facility Assessment for [NAME] Park with a date of 9/1/24-11/21/24 revealed under nursing staffing plans, staff are provided with the appropriate competencies and skill sets necessary to care for its residents' needs as identified through the assessment which include mental health, dementia and infectious diseases. A record review of an untitled and undated document that included a list of employees, their job titles, department, and hire date revealed the following employee hire dates: -NA-H was hired on 06/02/2021. -NA-G was hired on 03/07/2023. [...]
  3. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 28, 2025
    Inspectors wroteBased on record review and interview the facility failed to complete a Level II Pre-admission Screening and Resident Review (PASRR, a process which requires that all applicants to Medicaid-certified nursing facilities be given a preliminary assessment to determine whether they might have Serious Mental Illness or Intellectual Disability), evaluation for a resident who was identified with a newly diagnosed serious mental illness and psychotropic medication change for 1 (Resident 10) of 1 sampled resident. The facility census was 58. Findings Are: [...]
November 30, 2023Standard inspection · 3 citations
  1. 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.
    F801 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 19, 2023
    Inspectors wroteLicensure Reference Number 175 12-006.04D2 Based on observations, interviews and record review, the facility failed to have employed a Certified Dietary Manager (CDM). This had the potential to affect all the resident who reside in the facility. The facility census was 61.
  2. E
    Have enough outside ventilation via a window or mechanical ventilation, or both.
    F923 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 19, 2023
    Inspectors wroteLicensure Reference Number 175 NAC 12-007.04D Based on observation, interview, and record review the facility failed to ensure adequate mechanical ventilation in resident's bathrooms for five Residents (#5, #12, #31, #38 and #27). The facility stated census of 61.
  3. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 19, 2023
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.18A(1) Based on observation, record review, and interview the facility failed to ensure wheelchairs were clean which affected 3 (Resident 4, 45, and 16) of 3 sampled residents. The facility census was 61.

Fire safety inspections

10 fire safety citations on file: 3 on May 14, 2026, 3 on February 24, 2025, 4 on November 30, 2023.

Every fire safety citation10 citations
  1. F
    Provide properly protected cooking facilities.
    K 324 · May 14, 2026 · Corrected (the home has a date of correction)
  2. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 14, 2026 · Corrected (the home has a date of correction)
  3. E
    Have horizontal exits used in accordance with safety requirements.
    K 226 · May 14, 2026 · Corrected (the home has a date of correction)
  4. E
    Have exits that are accessible at all times.
    K 271 · February 24, 2025 · Corrected (the home has a date of correction)
  5. E
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · February 24, 2025 · Corrected (the home has a date of correction)
  6. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · February 24, 2025 · Corrected (the home has a date of correction)
  7. F
    Implement emergency and standby power systems.
    E 41 · November 30, 2023 · Corrected (the home has a date of correction)
  8. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · November 30, 2023 · Corrected (the home has a date of correction)
  9. F
    Have proper medical gas storage and administration areas.
    K 923 · November 30, 2023 · Corrected (the home has a date of correction)
  10. E
    Have restrictions on the use of portable space heaters.
    K 781 · November 30, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeNebraskaUnited States
All nursing staff (RN, LPN and aides)4.203.983.86
Registered nurses0.640.670.69
All nursing staff on weekends3.383.483.42
Nurse aides2.80
Licensed practical nurses0.76
Nursing staff turnover (share who left in a year)22.9%48.7%45.8%
Registered nurse turnover36.4%44.1%42.9%
Administrators who left0

CMS expects 3.16 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.53 on weekdays and 3.38 on weekends, 25% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.49 in April to June 2025 to 4.20 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.200.644.533.38 0.0%0 of 9064
Oct to Dec 20254.260.674.623.36 0.0%0 of 9262
Jul to Sep 20254.310.714.653.46 0.0%0 of 9261
Apr to Jun 20254.490.774.853.59 0.0%0 of 9161
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Nebraska, Jan to Mar 20264.010.664.213.537.1%1.6% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeNebraskaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
27.519.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.01.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.22.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
7.74.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
6.52.01.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
14.818.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.04.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
17.520.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
16.620.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
0.011.412.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.41.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.81.91.8

Owners and operators

Legal business name: VSL ST PAUL LLC. CMS links this home to Vetter Senior Living, a group of 22 nursing homes averaging 4.3 stars overall.

NameRoleTypeShareSince
Vetter Senior Living5% or greater direct ownership interestOrganization100%12/23/2016
Foxworthy, RobertContracted managing employeeIndividual06/01/2021
Kramer, JaredContracted managing employeeIndividual07/01/2017
Stuhr, BrianContracted managing employeeIndividual07/01/2017
Vanekeren, GlennContracted managing employeeIndividual07/01/2017
Vetter, EldoraContracted managing employeeIndividual07/01/2017
Vetter, JackContracted managing employeeIndividual07/01/2017
Stuhr, BrianCorporate officerIndividual06/15/2017
Vanekeren, GlennCorporate officerIndividual06/15/2017
Vetter, EldoraCorporate officerIndividual06/15/2017
Vetter, JackCorporate officerIndividual06/15/2017
Vetter Senior LivingOperational/managerial controlOrganization12/23/2016
Vsl Vetter Health Services LLCOperational/managerial controlOrganization07/01/2017
Foxworthy, RobertOperational/managerial controlIndividual06/01/2021
Kramer, JaredOperational/managerial controlIndividual07/01/2017
Stuhr, BrianOperational/managerial controlIndividual07/01/2017
Vanekeren, GlennOperational/managerial controlIndividual07/01/2017
Vetter, EldoraOperational/managerial controlIndividual07/01/2017
Vetter, JackOperational/managerial controlIndividual07/01/2017

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on May 14, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  2. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on May 14, 2026: "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."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on May 14, 2026: "Ensure each resident receives an accurate assessment."
  4. Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on November 30, 2023: "Have enough outside ventilation via a window or mechanical ventilation, or both."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.38 hours per resident per day, below the Nebraska average of 3.48.

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Nebraska contacts for a concern about a nursing home

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Common questions

What is Brookefield Park's Medicare star rating?
CMS rates Brookefield Park 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Brookefield Park get at its last inspection?
4 health deficiencies at the standard inspection on May 14, 2026. The Nebraska average is 7.4.
Has Brookefield Park been fined?
CMS lists no fines in the last three years.
Does Brookefield Park accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Brookefield Park?
CMS lists 19 owners and managers, and links the home to Vetter Senior Living. Legal business name: VSL ST PAUL LLC.

Sources

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