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Brookestone Acres

4715 38th Street, Columbus, NE 68601 · Platte County · (402) 942-9260

80 certified beds, about 75 residents a day · Non profit - Other · Medicare and Medicaid since 2014

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 285291 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 11, 2025, inspectors cited 3 health deficiencies (the Nebraska average is 7.4, the national average 9.2).

None of its 14 health citations since August 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 4.49 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.65 of those hours.

26.3% 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 14 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
1E
0F
Potential for minimal harm
0A
0B
1C
September 11, 2025Standard inspection · 3 citations
  1. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(F)(iii) Based on record review and interviews, the facility failed to complete the care plan (a comprehensive, written document that outlines the personalized healthcare needs, goals, and interventions for a resident, based on a thorough assessment of the medical, functional, and psychosocial status) and to conduct the interdisciplinary care conference on three residents (Resident 1, 21, and 46) out of three residents sampled. The facility census was 74.
  2. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteThe facility failed to ensure physician orders for CPAP ( Continuous Positive Airway Pressure) devices included the required pressure setting for Residents 53 and 60. F695 - Respiratory CareLicensure Reference Number: 175 NAC 12-006.09(H)(vi)(3)(g) Based on observation, interview, and record review the facility failed to ensure that physician orders for Continuous Positive Airway Pressure (CPAP) therapy (a type of non-invasive ventilator that delivers pressurized air through a mask to keep the airway open during sleep) included complete and specific settings (pressure, ramp time, humidity, or other specifications) for 2 of 2 sampled residents (Resident 53 and Resident 60) in a facility census of 74. This failure had the potential to result in inadequate or unsafe respiratory care delivery. [...]
  3. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteBased on observation, record review, and interviews, the facility failed to ensure that the posted Daily Nurse Staffing Form had an accurate census. This had the potential to affect all the residents in the facility. The facility census was 74 at the time of survey.
August 29, 2024Standard inspection, Complaint inspection · 2 citations
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 1, 2024
    Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.09D(l)(i)(3) Based on observations, record review, and interviews; the facility failed to implement, to revise and/or develop new interventions to prevent further falls for 2 (Residents 14 and 41) of 4 sampled residents. The facility census was 75.
  2. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 1, 2024
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D Based on record review and interview; the facility failed to have a diagnosis for the use of an antipsychotic (a drug or substance that affects how the brain works) medication and to attempt a gradual dose reduction (GDR) and/or have a documented contraindication for use of the antipsychotic medication for 1 (Resident 50) of 5 sampled residents. The facility census was 75.
August 3, 2023Standard inspection · 9 citations
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 6, 2023
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.17 Based on observations, record review and interview, the facility failed to wear personal protective equipment (PPE) and clean reusable equipment in accordance with facility policy to prevent the potential spread of Covid-19. The sample size was 22 and the facility census was 57.
  2. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2023
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.09 Based on record review and interview, the facility failed to notify the provider for a condition change for 1 resident (Resident 39). The sample size was 1 and the facility census was 57.
  3. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2023
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.02(1) Based on record review and interview, the facility failed to submit transfer and discharge notifications to the State Ombudsman (an official appointed to investigate individuals' complaints and serves as a consumer advocate) as required for Resident 9. The facility census was 57.
  4. D
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2023
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.05(1) Based on record review and interview, the facility failed to provide Resident 9 or the resident's representative, bed hold information when the resident was transferred to the hospital. The sample size was 22 and the facility census was 57.
  5. 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) September 6, 2023
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.09B1 Based on record review and interview, the facility failed to ensure Resident 4's Minimum Data Set (MDS-federally mandated comprehensive assessment used to develop resident care plans) was coded to reflect the resident's health status. The sample size was 22 and the facility census was 57.
  6. D
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    F661 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2023
    Inspectors wroteLicense Reference Number 175 NAC 12-006.09C3 Based on record review and interview, the facility failed to complete a discharge summary for Resident 56. The sample size was 3 and the facility census was 57 residents at the time of the survey.
  7. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2023
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D7 Based on observation, interview, and record review: the facility failed to implement interventions to protect from a potential burn from a hot liquid spill for Resident 10. The sample size was 5 and the facility census was 57.
  8. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2023
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D Based on record review and interview, the facility failed to ensure Resident 9's antipsychotic (medication that works by altering brain chemistry to help reduce psychotic symptoms like hallucinations (seeing things not present), delusions (fixed and firm belief not supported by evidence), and disordered thinking) medication had an appropriate indication for use. The sample size was 5 and the facility census was 57.
  9. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2023
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.10B1 Based on observation, record review and interview the facility failed to ensure 1 resident (Resident 13's) medications were properly secured. The sample size was 1 and the facility census was 57.

Fire safety inspections

20 fire safety citations on file: 15 on September 11, 2025, 2 on August 29, 2024, 3 on August 3, 2023.

Every fire safety citation20 citations
  1. F
    Implement emergency and standby power systems.
    E 41 · September 11, 2025 · Corrected (the home has a date of correction)
  2. F
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · September 11, 2025 · Corrected (the home has a date of correction)
  3. F
    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.
    K 222 · September 11, 2025 · Corrected (the home has a date of correction)
  4. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · September 11, 2025 · Corrected (the home has a date of correction)
  5. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · September 11, 2025 · Corrected (the home has a date of correction)
  6. F
    Provide properly protected cooking facilities.
    K 324 · September 11, 2025 · Corrected (the home has a date of correction)
  7. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · September 11, 2025 · Corrected (the home has a date of correction)
  8. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 11, 2025 · Corrected (the home has a date of correction)
  9. F
    Provide a written emergency evacuation plan.
    K 711 · September 11, 2025 · Corrected (the home has a date of correction)
  10. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · September 11, 2025 · Corrected (the home has a date of correction)
  11. F
    Meet requirements for the use of electrical equipment.
    K 919 · September 11, 2025 · Corrected (the home has a date of correction)
  12. E
    Install corridor and hallway doors that block smoke.
    K 363 · September 11, 2025 · Corrected (the home has a date of correction)
  13. E
    Ensure proper usage of power strips and extension cords.
    K 920 · September 11, 2025 · Corrected (the home has a date of correction)
  14. E
    Meet requirements for the use and maintenance of medical gas equipment.
    K 922 · September 11, 2025 · Corrected (the home has a date of correction)
  15. E
    Have proper medical gas storage and administration areas.
    K 923 · September 11, 2025 · Corrected (the home has a date of correction)
  16. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 29, 2024 · Corrected (the home has a date of correction)
  17. E
    Install corridor and hallway doors that block smoke.
    K 363 · August 29, 2024 · Corrected (the home has a date of correction)
  18. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · August 3, 2023 · Corrected (the home has a date of correction)
  19. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 3, 2023 · Corrected (the home has a date of correction)
  20. E
    Have simulated fire drills held at unexpected times.
    K 712 · August 3, 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)4.493.983.86
Registered nurses0.650.670.69
All nursing staff on weekends3.733.483.42
Nurse aides3.16
Licensed practical nurses0.68
Nursing staff turnover (share who left in a year)26.3%48.7%45.8%
Registered nurse turnover20.0%44.1%42.9%
Administrators who left0

CMS expects 3.45 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 4.80 on weekdays and 3.73 on weekends, 22% 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 4.69 in April to June 2025 to 4.49 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.490.654.803.73 0.0%0 of 9075
Oct to Dec 20254.620.604.933.82 0.0%0 of 9274
Jul to Sep 20254.540.594.793.91 0.0%0 of 9275
Apr to Jun 20254.690.494.954.01 0.0%0 of 9174
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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Nebraska

JobMedianMiddle halfEmployed
Nebraska, all employers
CNAs (nursing assistants)$19.23$18.29 to $22.3116,450
LPNs and LVNs$30.13$28.41 to $34.554,580
Registered nurses$40.74$38.09 to $47.9024,720
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Brookestone Acres. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

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
17.819.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.61.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.72.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.14.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.42.01.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
22.718.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.34.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
14.920.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
16.820.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
14.811.412.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.11.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.61.91.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Brookestone Acres's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (63.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

63.8% this home

Better than the national rate

US median of homes 51.5% · Nebraska: 17 better, 24 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 216 eligible stays.

Potentially preventable readmissions

8.3% this home

No different from the national rate

US median of homes 10.7% · Nebraska: 2 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 229 eligible stays.

Infections that led to a hospital stay

6.8% this home

No different from the national rate

US median of homes 7.1% · Nebraska: 2 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 157 eligible stays.

Self-care and mobility at discharge

65.6% this home

Median of homes: Nebraska50.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 93 residents counted.

Falls with major injury

1.0% this home

Median of homes: Nebraska0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 103 residents counted.

New or worsened pressure ulcers

15.3% this home

Median of homes: Nebraska2.2% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 103 residents counted.

Medication list given at discharge

98.3% this home

Median of homes: Nebraska100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 58 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: VSL COLUMBUS 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
Schmid, RavenContracted managing employeeIndividual09/20/2021
Stuhr, BrianContracted managing employeeIndividual07/01/2017
Vanekeren, GlennContracted managing employeeIndividual07/01/2017
Vetter, EldoraContracted managing employeeIndividual07/01/2017
Vetter, JackContracted managing employeeIndividual07/01/2017
Zaruba, DaleContracted 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
Schmid, RavenOperational/managerial controlIndividual09/20/2021
Stuhr, BrianOperational/managerial controlIndividual07/01/2017
Vanekeren, GlennOperational/managerial controlIndividual07/01/2017
Vetter, EldoraOperational/managerial controlIndividual07/01/2017
Vetter, JackOperational/managerial controlIndividual07/01/2017
Zaruba, DaleOperational/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. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on September 11, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on September 11, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on August 29, 2024: "Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on August 3, 2023: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."

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Common questions

What is Brookestone Acres's Medicare star rating?
CMS rates Brookestone Acres 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Brookestone Acres get at its last inspection?
3 health deficiencies at the standard inspection on September 11, 2025. The Nebraska average is 7.4.
Has Brookestone Acres been fined?
CMS lists no fines in the last three years.
Does Brookestone Acres 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 Brookestone Acres?
CMS lists 19 owners and managers, and links the home to Vetter Senior Living. Legal business name: VSL COLUMBUS LLC.

Sources

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