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
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.
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.
May 14, 2026Standard inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
- 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.
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.
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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.
- D Ensure each resident receives an accurate assessment.
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
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
- F Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
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. [...]
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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
- 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.
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.
- E Have enough outside ventilation via a window or mechanical ventilation, or both.
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.
- 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.
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
- F Provide properly protected cooking facilities.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Have horizontal exits used in accordance with safety requirements.
- E Have exits that are accessible at all times.
- E Install emergency lighting that can last at least 1 1/2 hours.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F Implement emergency and standby power systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Have proper medical gas storage and administration areas.
- E Have restrictions on the use of portable space heaters.
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.
| Measure | This home | Nebraska | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.20 | 3.98 | 3.86 |
| Registered nurses | 0.64 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.38 | 3.48 | 3.42 |
| Nurse aides | 2.80 | ||
| Licensed practical nurses | 0.76 | ||
| Nursing staff turnover (share who left in a year) | 22.9% | 48.7% | 45.8% |
| Registered nurse turnover | 36.4% | 44.1% | 42.9% |
| Administrators who left | 0 |
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.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.20 | 0.64 | 4.53 | 3.38 | 0.0% | 0 of 90 | 64 |
| Oct to Dec 2025 | 4.26 | 0.67 | 4.62 | 3.36 | 0.0% | 0 of 92 | 62 |
| Jul to Sep 2025 | 4.31 | 0.71 | 4.65 | 3.46 | 0.0% | 0 of 92 | 61 |
| Apr to Jun 2025 | 4.49 | 0.77 | 4.85 | 3.59 | 0.0% | 0 of 91 | 61 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Nebraska, Jan to Mar 2026 | 4.01 | 0.66 | 4.21 | 3.53 | 7.1% | 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.
| Measure | This home | Nebraska | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 27.5 | 19.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.2 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.7 | 4.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 6.5 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.8 | 18.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.0 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.5 | 20.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 16.6 | 20.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 0.0 | 11.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.9 | 1.8 |
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.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Vetter Senior Living | 5% or greater direct ownership interest | Organization | 100% | 12/23/2016 |
| Foxworthy, Robert | Contracted managing employee | Individual | 06/01/2021 | |
| Kramer, Jared | Contracted managing employee | Individual | 07/01/2017 | |
| Stuhr, Brian | Contracted managing employee | Individual | 07/01/2017 | |
| Vanekeren, Glenn | Contracted managing employee | Individual | 07/01/2017 | |
| Vetter, Eldora | Contracted managing employee | Individual | 07/01/2017 | |
| Vetter, Jack | Contracted managing employee | Individual | 07/01/2017 | |
| Stuhr, Brian | Corporate officer | Individual | 06/15/2017 | |
| Vanekeren, Glenn | Corporate officer | Individual | 06/15/2017 | |
| Vetter, Eldora | Corporate officer | Individual | 06/15/2017 | |
| Vetter, Jack | Corporate officer | Individual | 06/15/2017 | |
| Vetter Senior Living | Operational/managerial control | Organization | 12/23/2016 | |
| Vsl Vetter Health Services LLC | Operational/managerial control | Organization | 07/01/2017 | |
| Foxworthy, Robert | Operational/managerial control | Individual | 06/01/2021 | |
| Kramer, Jared | Operational/managerial control | Individual | 07/01/2017 | |
| Stuhr, Brian | Operational/managerial control | Individual | 07/01/2017 | |
| Vanekeren, Glenn | Operational/managerial control | Individual | 07/01/2017 | |
| Vetter, Eldora | Operational/managerial control | Individual | 07/01/2017 | |
| Vetter, Jack | Operational/managerial control | Individual | 07/01/2017 |
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.
- 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."
- 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."
- 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."
- 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."
- 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.
Other nursing homes nearby
- Good Samaritan Society - Grand Island Village Grand Island, 20.9 mi · 1 of 5 stars · 23 citations
- Tiffany Square Grand Island, 21 mi · 2 of 5 stars · 18 citations
- Adept Nursing & Rehab of Grand Island Grand Island, 21.1 mi · 1 of 5 stars · 33 citations
- Chi Health St. Francis Grand Island, 21.2 mi · 3 of 5 stars · 7 citations
- Eventide Prairie Commons Care Center Grand Island, 23.5 mi · 1 of 5 stars · 16 citations
- Emerald Nursing & Rehab Lakeview Grand Island, 23.8 mi · 1 of 5 stars · 22 citations
Nebraska contacts for a concern about a nursing home
These are the official offices in Nebraska. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Nebraska Department of Health and Human Services, Licensure Unit, Long Term Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Nebraska Long-Term Care Ombudsman Program, (800) 942-7830. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
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
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.