Brookestone of David City
260 South 10th Street, David City, NE 68632 · Butler County · (402) 367-3144
86 certified beds, about 57 residents a day · Non profit - Corporation · Medicare and Medicaid since 1986
CMS Care Compare ratings, data as of September 1, 2026 · CCN 285074 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 3, 2026, inspectors cited 3 health deficiencies (the Nebraska average is 7.4, the national average 9.2).
None of its 7 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 4.20 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.58 of those hours.
30.6% 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 7 health citations on file.
June 3, 2026Standard inspection · 3 citations
- E 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.
Inspectors wroteLicense reference number 175 NAC 12-006.12(D)(i)Based on observations, record reviews and interviews, the facility failed to ensure medications were securely stored to prevent potential unauthorized access on the 200 and 300 hallways. This had the potential to affect 14 residents that were independent with ambulation and wheelchair mobility. The facility census was 53.
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.05(S) Based on observations, record reviews and interviews, the facility staff failed to provide privacy during the provision of personal care for 1(Resident 1) of 4 sampled residents. The facility staff identified a census of 53.
- D Assess the resident when there is a significant change in condition
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(C)(ii) Based on interviews and record reviews, the facility failed to complete a Significant Change 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), within 14 days following the determination that a significant change had occurred for two (Residents 5 and 25) of 15 residents sampled. The facility census was 53 at the time of the survey.
February 13, 2025Standard inspection · 3 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09B Based on record review and interview; the facility failed to ensure the Minimum Data Set (MDS-a comprehensive assessment of each resident's functional capabilities used to develop a resident's plan of care) reflected hypoglycemic (medication used to help reduce the amount of sugar present in the blood) medication use for two (Resident 23 and Resident 28) of 15 sampled residents. The facility census was 57.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D3(5) Based on record review and interview; the facility failed to follow the bowel protocol to prevent constipation for two (Resident 23 and 35) of two sampled residents. The facility census was 57.
- D Provide and implement an infection prevention and control program.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.18(B) Licensure Reference Number 175 NAC 12-006.18(D) Based on observation, record review and interviews; the facility failed to ensure hand hygiene (HH-using an alcohol-based hand rub (ABHR) or washing hands with soap and water) was completed in a manner to prevent the potential for cross-contamination during peri-care (washing the genitals and anal area) for one (Resident 19) of one sampled residents for incontinence cares and failed to complete peri-care in a manner to prevent cross-contamination during wound care for one (Resident 15) of one sampled residents for wound care. The facility census was 57.
March 12, 2024Standard inspection · 1 citation
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteLicensure Reference 175 NAC 12-006.09C3a Based on record review and interview, the facility failed to ensure a Discharge Summary including a recapitulation (a short summary) of stay was completed for 1 (Resident 46) of 1 sampled residents upon discharge from the facility. The facility census was 47.
Fire safety inspections
11 fire safety citations on file: 5 on June 3, 2026, 3 on February 13, 2025, 3 on March 12, 2024.
Every fire safety citation11 citations
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Have properly installed electrical wiring and gas equipment.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F Provide a written emergency evacuation plan.
- D Install a fire alarm system that can be heard throughout the facility.
- F Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Meet requirements for the use of electrical equipment.
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 | 0.58 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.59 | 3.48 | 3.42 |
| Nurse aides | 2.92 | ||
| Licensed practical nurses | 0.69 | ||
| Nursing staff turnover (share who left in a year) | 30.6% | 48.7% | 45.8% |
| Registered nurse turnover | 28.6% | 44.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.44 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 4.44 on weekdays and 3.59 on weekends, 19% 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 4.11 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 | 0.58 | 4.44 | 3.59 | 0.0% | 0 of 90 | 57 |
| Oct to Dec 2025 | 4.13 | 0.53 | 4.37 | 3.52 | 0.3% | 0 of 92 | 56 |
| Jul to Sep 2025 | 4.31 | 0.52 | 4.57 | 3.64 | 0.0% | 0 of 92 | 56 |
| Apr to Jun 2025 | 4.11 | 0.48 | 4.37 | 3.47 | 0.0% | 0 of 91 | 57 |
| 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 | 22.5 | 19.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.4 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.5 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.4 | 4.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.5 | 18.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.4 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.3 | 20.7 | 15.4 |
| 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 | 1.6 | 1.9 | 1.8 |
Owners and operators
Legal business name: VSL DAVID CITY 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 |
| Aldrich, Barbara | Contracted managing employee | Individual | 07/01/2017 | |
| Stuhr, Brian | Contracted managing employee | Individual | 07/01/2017 | |
| Sypal, Joshua | Contracted managing employee | Individual | 02/24/2022 | |
| Vanekeren, Glenn | Contracted managing employee | Individual | 06/15/2017 | |
| 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 | |
| Aldrich, Barbara | Operational/managerial control | Individual | 07/01/2017 | |
| Stuhr, Brian | Operational/managerial control | Individual | 07/01/2017 | |
| Sypal, Joshua | Operational/managerial control | Individual | 02/24/2022 | |
| 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.
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on June 3, 2026: "Assess the resident when there is a significant change in condition"
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on June 3, 2026: "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."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on June 3, 2026: "Keep residents' personal and medical records private and confidential."
- 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 February 13, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
Other nursing homes nearby
- St. Joseph's Villa, Inc. David City, 0.8 mi · 2 of 5 stars · 14 citations
- Emerald Nursing & Rehab Columbus Columbus, 19 mi · 1 of 5 stars · 22 citations
- Brookestone Acres Columbus, 19.7 mi · 5 of 5 stars · 14 citations
- Ridgewood Rehabilitation & Care Center Seward, 22.5 mi · 4 of 5 stars · 13 citations
- Good Samaritan Society - Osceola Osceola, 22.7 mi · 5 of 5 stars · 8 citations
- Saunders Medical Center Wahoo, 23.4 mi · 4 of 5 stars · 5 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 of David City's Medicare star rating?
- CMS rates Brookestone of David City 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Brookestone of David City get at its last inspection?
- 3 health deficiencies at the standard inspection on June 3, 2026. The Nebraska average is 7.4.
- Has Brookestone of David City been fined?
- CMS lists no fines in the last three years.
- Does Brookestone of David City 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 of David City?
- CMS lists 19 owners and managers, and links the home to Vetter Senior Living. Legal business name: VSL DAVID CITY 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.