Find a nursing home

Home / Nebraska / Papillion

Brookestone of Papillion

610 South Polk Street, Papillion, NE 68046 · Sarpy County · (402) 339-7700

110 certified beds, about 94 residents a day · Non profit - Corporation · Medicare and Medicaid since 2005

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 285268 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 20, 2025, inspectors cited 0 health deficiencies (the Nebraska average is 7.4, the national average 9.2).

None of its 8 health citations since November 2022 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 4.18 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.79 of those hours.

28.7% 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 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
0E
1F
Potential for minimal harm
0A
0B
0C
July 9, 2026Complaint inspection · 1 citation
  1. D
    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
    F627 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · deficient, provider has August 14, 2026
    Inspectors wroteLicensure reference Number 12-006.05Based on record review and interview the facility failed to ensure evidence was in place to support discharge due to being a danger to other residents for 1 (Resident 101) of 1 sampled resident. The facility identified a census of 96.
February 20, 2025Standard inspection · 0 citations
November 19, 2024Complaint inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · 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) December 10, 2024
    Inspectors wroteLicensure Reference Number 175 NAC 12.006.09(H)(iii)(2) Based on observation, interview, and record review; the facility failed to follow practitioner's orders for wound care for 2 (Residents 2 and 3) of 4 residents sampled. The facility census was 92.
September 4, 2024Complaint inspection · 1 citation
  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) September 20, 2024
    Inspectors wroteLicensure Reference Number 175 NAC 12.006.09(I) Based on observation, interview, and record review, the facility staff failed to ensure interventions were implemented to prevent hot liquid burns for 2 (Residents 1 and 2) of 3 sampled residents that had been identified as at risk for injury from hot liquids to prevent potential accidents. The facility census was 89.
November 2, 2023Standard 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) December 4, 2023
    Inspectors wroteLicensure Reference Number 175 NAC 12-007.01A Based on observations, record reviews and interviews; the facility kitchen staff failed to monitor water sanitation level used for cleaning food preparation surfaces and failed to ensure food temperatures were maintained to prevent the potential for food borne illness. This practice had the potential to effect 84 of 84 residents who ate food from the kitchen. The facility staff identified a census of 84.
  2. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 4, 2023
    Inspectors wroteLicensure Reference Number 175 NAC 12.006.05(4). Based on interview and record review, the facility failed to provide bathing according to the resident preferences for 3 residents (Resident #6, #30, and #73) of 3 sampled residents. The facility staff identified a census of 84.
  3. D
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 4, 2023
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.11A Based on observation, record review and interview; the facility kitchen staff failed to follow the recipes when making pureed foods. The facility staff identified 3 residents in the building received puree foods. The facility staff identified a census of 84.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 4, 2023
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.17B Based on observations, record review and interview; the facility staff failed to disinfect a mechanical lift after each use on the 400 hall and failed to maintain a catheter drainage bag in a manner to prevent to potential of cross contamination for 1 (Resident 30) of 1 resident. The facility staff identified a census of 84.
November 8, 2022Standard inspection · 1 citation
  1. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 2, 2022
    Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.09D Based on record review and interview; the facility staff failed to follow up on pharmacy recommendations for 2 (Resident 27 and 64) and failed to have indications for continued use of an antibiotic medication for 1 (Resident 64) of 6 sampled residents. The facility staff identified a census of 79.

Fire safety inspections

21 fire safety citations on file: 6 on November 2, 2023, 15 on November 8, 2022.

Every fire safety citation21 citations
  1. F
    Implement emergency and standby power systems.
    E 41 · November 2, 2023 · Corrected (the home has a date of correction)
  2. 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 · November 2, 2023 · Corrected (the home has a date of correction)
  3. F
    Properly provide smoke detection systems in areas open to corridors.
    K 347 · November 2, 2023 · Corrected (the home has a date of correction)
  4. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · November 2, 2023 · Corrected (the home has a date of correction)
  5. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · November 2, 2023 · Corrected (the home has a date of correction)
  6. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · November 2, 2023 · Corrected (the home has a date of correction)
  7. F
    Use approved construction type or materials.
    K 161 · November 8, 2022 · Corrected (the home has a date of correction)
  8. 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 · November 8, 2022 · Corrected (the home has a date of correction)
  9. F
    Have properly located and lighted "Exit" signs.
    K 293 · November 8, 2022 · Corrected (the home has a date of correction)
  10. 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 · November 8, 2022 · Corrected (the home has a date of correction)
  11. F
    Provide properly protected cooking facilities.
    K 324 · November 8, 2022 · Corrected (the home has a date of correction)
  12. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · November 8, 2022 · Corrected (the home has a date of correction)
  13. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · November 8, 2022 · Corrected (the home has a date of correction)
  14. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · November 8, 2022 · Corrected (the home has a date of correction)
  15. F
    Install corridor and hallway doors that block smoke.
    K 363 · November 8, 2022 · Corrected (the home has a date of correction)
  16. F
    Have simulated fire drills held at unexpected times.
    K 712 · November 8, 2022 · Corrected (the home has a date of correction)
  17. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · November 8, 2022 · Corrected (the home has a date of correction)
  18. F
    Meet requirements for the use of electrical equipment.
    K 919 · November 8, 2022 · Corrected (the home has a date of correction)
  19. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · November 8, 2022 · Corrected (the home has a date of correction)
  20. E
    Ensure proper usage of power strips and extension cords.
    K 920 · November 8, 2022 · Corrected (the home has a date of correction)
  21. E
    Meet requirements for the use and maintenance of medical gas equipment.
    K 922 · November 8, 2022 · 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)4.183.983.86
Registered nurses0.790.670.69
All nursing staff on weekends3.653.483.42
Nurse aides2.68
Licensed practical nurses0.71
Nursing staff turnover (share who left in a year)28.7%48.7%45.8%
Registered nurse turnover10.5%44.1%42.9%
Administrators who left0

CMS expects 3.53 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 4.40 on weekdays and 3.65 on weekends, 17% 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 4.19 in April to June 2025 to 4.18 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.180.794.403.65 0.0%0 of 9094
Oct to Dec 20254.430.874.703.75 0.0%0 of 9294
Jul to Sep 20254.300.824.553.67 0.0%0 of 9297
Apr to Jun 20254.190.894.463.52 0.0%0 of 9197
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
19.019.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.81.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.82.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.64.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.02.01.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
25.418.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.04.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
13.620.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
26.020.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.211.412.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.21.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.01.91.8

Owners and operators

Legal business name: VSL PAPILLION 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
Harris, JohnContracted managing employeeIndividual02/15/2019
Stuhr, BrianContracted managing employeeIndividual07/01/2017
Vanekeren, GlennContracted managing employeeIndividual07/01/2017
Vetter, EldoraContracted managing employeeIndividual07/01/2017
Vetter, JackContracted managing employeeIndividual07/01/2017
Walters, AshleyContracted managing employeeIndividual09/13/2021
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
Harris, JohnOperational/managerial controlIndividual02/15/2019
Stuhr, BrianOperational/managerial controlIndividual07/01/2017
Vanekeren, GlennOperational/managerial controlIndividual07/01/2017
Vetter, EldoraOperational/managerial controlIndividual07/01/2017
Vetter, JackOperational/managerial controlIndividual07/01/2017
Walters, AshleyOperational/managerial controlIndividual09/13/2021

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. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on July 9, 2026: "Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on November 19, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  3. 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 November 2, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on November 2, 2023: "Provide and implement an infection prevention and control program."

Other nursing homes nearby

Nebraska contacts for a concern about a nursing home

These are the official offices in Nebraska. NursingHomeClear cannot take or act on complaints.

Common questions

What is Brookestone of Papillion's Medicare star rating?
CMS rates Brookestone of Papillion 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 Papillion get at its last inspection?
0 health deficiencies at the standard inspection on February 20, 2025. The Nebraska average is 7.4.
Has Brookestone of Papillion been fined?
CMS lists no fines in the last three years.
Does Brookestone of Papillion 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 Papillion?
CMS lists 19 owners and managers, and links the home to Vetter Senior Living. Legal business name: VSL PAPILLION LLC.

Sources

Find a nursing home Read an inspection