Gateway Vista
225 North 56th Street, Lincoln, NE 68504 · Lancaster County · (402) 464-6371
80 certified beds, about 73 residents a day · For profit - Corporation · Medicare and Medicaid since 2005
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 285266 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 3, 2025, inspectors cited 2 health deficiencies (the Nebraska average is 7.4, the national average 9.2).
Of 9 health citations since July 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,659 in the last three years; the largest was $8,659, and the latest is dated June 12, 2024.
Nurses and nurse aides worked 4.69 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.82 of those hours.
64.3% of nursing staff left within the year CMS measured (Nebraska average 48.7%).
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.
007/23
506/24
209/25
109/25
112/25
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 9 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
6D
1E
1F
Potential for minimal harm
0A
0B
0C
December 23, 2025Complaint inspection · 1 citation
- F Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.04 (E)Based on record review and interview, the facility failed to notify the State Agency within five working days of a change in Director of Nursing. This had the potential to affect all residents who resided at the facility. The facility census was 68. A record review of the Change of Administrator or Director of Nursing Notification Form revealed that the Director of Nursing (DON) was changed on 9/13/25. A record review of the facility faxed letter sent to Dept. of Health and Human Services (DHHS) revealed a fax date of 9/29/25. An interview on 12/23/25 at 1:30 PM with the Administrator confirmed that the Change of Administrator or Director of Nursing Notification form was not submitted to DHHS within the required the five working days and it should of been submitted to DHHS within 5 working days.
September 18, 2025Complaint inspection · 1 citation
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H)Based on record review and interview, the facility failed to implement, monitor, and revise interventions to manage pain for 1 (Resident 1) out of 3 sampled residents for pain control. The facility census was 76 at the time of survey.
September 3, 2025Standard inspection · 2 citations
- E Have enough outside ventilation via a window or mechanical ventilation, or both.
Inspectors wroteLicensure Reference Number 175 NAC 12.007.04(D) ventilation systemBased on observation, interview, and record review, the facility failed to have functional bathroom ventilation in 15 resident rooms (rooms 105, 110, 111, 112, 114, 201, 205, 206, 216, 218, 311, 312, 313, 318, and 413) out of 77 rooms surveyed. The facility census was 77.
- D Provide and implement an infection prevention and control program.
Inspectors wroteLicensure Reference Number 175 NAC 1-005.06(F)Licensure Reference Number 175 NAC 12-006.18(B)Based on record review, observations, and interviews, the facility failed to ensure that staff followed principles of infection control and prevention related cleaning of respiratory equipment for Resident 46. This affected 1 of 2 Residents sampled for respiratory care, The facility 77.
June 12, 2024Standard inspection, Complaint inspection · 5 citations · risk-based survey (a shorter visit CMS gives only to higher performing homes)
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review and interview; the facility staff failed to implement assessed interventions to prevent significant injury for 1(Resident 35) of 4 sampled residents. The facility staff identified a census of 68.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the accuracy of 1 (Resident 42) of 7 sampled resident's Minimum Data Set (MDS, a comprehensive resident assessment of a person's functional, medical, and mental function). The facility census was 68.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on observation, record review and interview; the facility staff failed develop a Basline Care Plan (BLC,a plan of care that is developed to meet the residents basic needs until a comprehensive care plan can be established) for 1 (Resident 109) of 1 residents. The facility staff identified a census of 68.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure Plasmapheresis (a process of removing the blood from the body, separating it into plasma and cells, and transfusing the cells back into the bloodstream) and the arteriovenous (AV) fistula (a surgical connection between an artery and a vein that creates a stronger entry point for needles necessary for residents that require Dialysis or Plasmapheresis) were identified on 1 (Resident 42) of 7 sampled resident's Care Plan. The facility census was 68.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review and interview, the facility staff failed to utilize hand hygiene and gloving, failed to ensure clean surface for treatment supplies,failed to clean scissors prior to wound care and failed to perform wound care in a manor to prevent potential cross contamination for 1 (resident 109) of 1 sampled resident. The facility staff identified a census of 68.
July 13, 2023Standard inspection · 0 citations
Fire safety inspections
43 fire safety citations on file: 16 on September 3, 2025, 9 on June 12, 2024, 18 on July 13, 2023.
Every fire safety citation43 citations
- F Implement emergency and standby power systems.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have properly located and lighted "Exit" signs.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Meet other general requirements that are deficient.
- F Have simulated fire drills held at unexpected times.
- 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.
- 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 Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install an approved automatic sprinkler system.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Install corridor and hallway doors that block smoke.
- E Meet requirements for the use of electrical equipment.
- E Meet requirements for the use and maintenance of medical gas equipment.
- F Meet other general requirements that are deficient.
- F Have simulated fire drills held at unexpected times.
- E Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
- 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 corridors or aisles that are unobstructed and are at least 8 feet in width.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure proper usage of power strips and extension cords.
- E Have proper medical gas storage and administration areas.
- F Implement emergency and standby power systems.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Meet other general requirements that are deficient.
- F Provide a written emergency evacuation plan.
- F Have simulated fire drills held at unexpected times.
- F Have power receptacles that are properly grounded.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- 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 corridors or aisles that are unobstructed and are at least 8 feet in width.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Have restrictions on the use of portable space heaters.
- E Meet requirements for the use of electrical equipment.
- E Ensure proper usage of power strips and extension cords.
- E Meet requirements for the use and maintenance of medical gas equipment.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 12, 2024 | Fine | $8,659 |
| June 12, 2024 | Payment Denial | 18 days from July 9, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 4.69 | 3.98 | 3.86 |
| Registered nurses | 0.82 | 0.67 | 0.69 |
| All nursing staff on weekends | 4.07 | 3.48 | 3.42 |
| Nurse aides | 2.42 | ||
| Licensed practical nurses | 1.46 | ||
| Nursing staff turnover (share who left in a year) | 64.3% | 48.7% | 45.8% |
| Registered nurse turnover | 50.0% | 44.1% | 42.9% |
| Administrators who left | 2 |
CMS expects 4.16 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 4.95 on weekdays and 4.07 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 15.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.79 in April to June 2025 to 4.69 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 | 4.69 | 0.82 | 4.95 | 4.07 | 15.7% | 0 of 90 | 73 |
| Oct to Dec 2025 | 4.57 | 0.82 | 4.80 | 3.97 | 14.0% | 0 of 92 | 72 |
| Jul to Sep 2025 | 4.69 | 0.86 | 4.95 | 4.03 | 15.7% | 0 of 92 | 75 |
| Apr to Jun 2025 | 4.79 | 0.76 | 5.04 | 4.19 | 23.5% | 0 of 91 | 67 |
| 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 | 14.4 | 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 | 0.7 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.3 | 4.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.5 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.3 | 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 | 13.9 | 20.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.0 | 20.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.9 | 11.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 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: GATEWAY PROPERTIES, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Peterson, Jennifer | 5% or greater direct ownership interest | Individual | 50% | 05/01/2006 |
| Peterson, Russell | 5% or greater direct ownership interest | Individual | 50% | 05/01/2006 |
| Ardley, Mikel | Contracted managing employee | Individual | 03/01/2022 | |
| Peterson, Jennifer | Corporate director | Individual | 05/03/2006 | |
| Peterson, Russell | Corporate director | Individual | 05/03/2006 | |
| Paragon Management Services Inc | Operational/managerial control | Organization | 02/22/2006 |
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 12, 2024: "Ensure each resident receives an accurate assessment."
- 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 September 18, 2025: "Provide safe, appropriate pain management for a resident who requires such services."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on September 3, 2025: "Provide and implement an infection prevention and control program."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on December 23, 2025: "Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel."
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Eastmont Lincoln, 0.7 mi · 3 of 5 stars · 8 citations
- Eventide Lincoln Care Center Lincoln, 0.8 mi · 1 of 5 stars · 28 citations
- St. Jane De Chantal Lincoln, 1.7 mi · 4 of 5 stars · 11 citations
- Holmes Lake Rehabilitation & Care Center Lincoln, 1.9 mi · 2 of 5 stars · 24 citations
- Ambassador Health of Lincoln Lincoln, 1.9 mi · 2 of 5 stars · 16 citations
- Sumner Place Lincoln, 2.9 mi · 4 of 5 stars · 6 citations
- Emerald Nursing & Rehab Brookside LLC Lincoln, 3.4 mi · 1 of 5 stars · 44 citations
- Emerald Nursing & Rehab Lancaster LLC Lincoln, 3.6 mi · not rated · 48 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 Gateway Vista's Medicare star rating?
- CMS rates Gateway Vista 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Gateway Vista get at its last inspection?
- 2 health deficiencies at the standard inspection on September 3, 2025. The Nebraska average is 7.4.
- Has Gateway Vista been fined?
- Yes. CMS lists 1 fine totaling $8,659 in the last three years.
- Does Gateway Vista 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 Gateway Vista?
- CMS lists 6 owners and managers. Legal business name: GATEWAY PROPERTIES, INC..
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.