Brookestone Meadows Rehabilitation and Care Center
600 Brookestone Meadows Plaza, Elkhorn, NE 68022 · Douglas County · (402) 289-2696
140 certified beds, about 132 residents a day · Non profit - Corporation · Medicare and Medicaid since 2007
CMS Care Compare ratings, data as of September 1, 2026 · CCN 285276 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 9, 2026, inspectors cited 0 health deficiencies (the Nebraska average is 7.4, the national average 9.2).
None of its 3 health citations since March 2024 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 4.66 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.81 of those hours.
31.9% 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 3 health citations on file.
April 9, 2026Standard inspection · 0 citations · risk-based survey (a shorter visit CMS gives only to higher performing homes)
April 1, 2025Standard inspection · 1 citation
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteLicensure Reference Number 12 NAC 12-006.11(E) 2017 Nebraska Food Code 2-301.14 Based on observations, interviews, and record reviews; the facility failed to implement hand hygiene practices between glove changes during meal service to prevent the potential for food borne illness. This had the potential to affect 31 residents who ate foods from the neighborhood satellite kitchen. The facility identified a census of 128.
March 12, 2024Standard inspection · 2 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 12.006.11E Based on observation, interview and record review, the facility failed to ensure beard restraints were used during meal preparation and service to prevent food borne illness. This had the ability to affect 127 of the 129 residents that reside at the facility. The facility census was 129.
- D Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D6 Based on observation, record review and interviews, the facility failed to aspirate to determine patency of a peripherally inserted central catheter (PICC) for 1 (Resident 178) of 3 sampled residents. The facility identified a census of 129.
Fire safety inspections
15 fire safety citations on file: 6 on April 9, 2026, 2 on April 1, 2025, 7 on March 12, 2024.
Every fire safety citation15 citations
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Meet requirements for the use of electrical equipment.
- F Ensure proper usage of power strips and extension cords.
- E 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.
- E Have an enclosure around a vertical opening shaft.
- E Have restrictions on the use of highly flammable decorations.
- F Install an approved automatic sprinkler system.
- F Have restrictions on the use of portable space heaters.
- F Implement emergency and standby power systems.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Inspect, test, and maintain automatic sprinkler systems.
- 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.
- F Have proper medical gas storage and administration areas.
- E Ensure proper usage of power strips and extension cords.
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) | 4.66 | 3.98 | 3.86 |
| Registered nurses | 0.81 | 0.67 | 0.69 |
| All nursing staff on weekends | 4.23 | 3.48 | 3.42 |
| Nurse aides | 3.04 | ||
| Licensed practical nurses | 0.81 | ||
| Nursing staff turnover (share who left in a year) | 31.9% | 48.7% | 45.8% |
| Registered nurse turnover | 21.7% | 44.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.79 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 4.83 on weekdays and 4.23 on weekends, 12% 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 5.03 in April to June 2025 to 4.66 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 | 4.66 | 0.81 | 4.83 | 4.23 | 0.0% | 0 of 90 | 132 |
| Oct to Dec 2025 | 4.72 | 0.91 | 4.90 | 4.26 | 0.0% | 0 of 92 | 132 |
| Jul to Sep 2025 | 4.94 | 0.88 | 5.15 | 4.41 | 0.0% | 0 of 92 | 127 |
| Apr to Jun 2025 | 5.03 | 0.83 | 5.23 | 4.52 | 0.0% | 0 of 91 | 125 |
| 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.
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.
Official wage estimates for Nebraska
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Nebraska, all employers | |||
| CNAs (nursing assistants) | $19.23 | $18.29 to $22.31 | 16,450 |
| LPNs and LVNs | $30.13 | $28.41 to $34.55 | 4,580 |
| Registered nurses | $40.74 | $38.09 to $47.90 | 24,720 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
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 | 14.9 | 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 | 1.3 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.0 | 4.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.6 | 18.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.7 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.7 | 20.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 15.2 | 20.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.2 | 11.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.9 | 1.8 |
Owners and operators
Legal business name: VSL ELKHORN 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 |
| Malloy, Timothy | Contracted managing employee | Individual | 07/01/2017 | |
| Nitz, Jason | Contracted managing employee | Individual | 01/04/2021 | |
| 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 | |
| Malloy, Timothy | Operational/managerial control | Individual | 07/01/2017 | |
| Nitz, Jason | Operational/managerial control | Individual | 01/04/2021 | |
| 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 2 problems in this area, most recently on April 1, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on March 12, 2024: "Provide for the safe, appropriate administration of IV fluids for a resident when needed."
Other nursing homes nearby
- Life Care Center of Elkhorn Elkhorn, 2.5 mi · 1 of 5 stars · 42 citations
- The Lighthouse at Lakeside Village Omaha, 2.5 mi · 4 of 5 stars · 13 citations
- Newport House Omaha, 5 mi · 5 of 5 stars · 9 citations
- Brookestone Village Omaha, 5.4 mi · 5 of 5 stars · 9 citations
- The Banyan at Montclair Omaha, 5.7 mi · 1 of 5 stars · 61 citations
- Rose Blumkin Jewish Home Omaha, 5.8 mi · 5 of 5 stars · 8 citations
- Hillcrest Millard LLC Omaha, 6 mi · 1 of 5 stars · 28 citations
- Good Samaritan Society - Millard Omaha, 6.9 mi · 1 of 5 stars · 24 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 Brookestone Meadows Rehabilitation and Care Center's Medicare star rating?
- CMS rates Brookestone Meadows Rehabilitation and Care Center 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Brookestone Meadows Rehabilitation and Care Center get at its last inspection?
- 0 health deficiencies at the standard inspection on April 9, 2026. The Nebraska average is 7.4.
- Has Brookestone Meadows Rehabilitation and Care Center been fined?
- CMS lists no fines in the last three years.
- Does Brookestone Meadows Rehabilitation and Care Center 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 Meadows Rehabilitation and Care Center?
- CMS lists 19 owners and managers, and links the home to Vetter Senior Living. Legal business name: VSL ELKHORN 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.