Southlake Village Rehabilitation & Care Center
9401 Andermatt Drive, Lincoln, NE 68526 · Lancaster County · (402) 327-6300
126 certified beds, about 119 residents a day · Non profit - Corporation · Medicare and Medicaid since 1998
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 285219 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on November 25, 2025, inspectors cited 5 health deficiencies (the Nebraska average is 7.4, the national average 9.2).
None of its 6 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 4.72 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.
34.0% 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.
108/23
008/24
511/25
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 6 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
1E
1F
Potential for minimal harm
0A
0B
0C
November 25, 2025Standard inspection · 5 citations
- F Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.04(B)(ii)1Based on record review and interviews, the facility failed to ensure 1 out of 5 Nursing Assistant (NA) sampled nurse aides had completed at least 12 hours ongoing training, including abuse prevention and dementia management training annually based upon their employment date as required and the facility failed to ensure 1 (NA) out of 5 sampled NA's had a performance review at least once every 12 months as required. This had the potential to affect all residents who reside within the facility. The facility had a census of 123 at the time of survey.
- E 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.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.11 Based on observations, record reviews and interviews, the facility failed to follow the menu when preparing food for residents on pureed diet. This had the potential to affect 6 residents who receive a pureed diet. The facility census was 123. A record review of residents receiving pureed diets revealed that there are six residents receiving pureed diets. A record review of the recipe for Pureed Beef Stroganoff Casserole revealed: A recipe for 5 servings:Beef, Stroganoff entree, 1 quart 2 cups, Beef Broth 2 cupsPlace prepared stroganoff casserole and broth in a food processor, blend until smooth. Add any food thickener as needed. Portion size 2- #8 scoops. A observation on 9/29/25 at 7:00 AM revealed that the Production [NAME] (PC) was preparing pureed Beef Stroganoff Casserole. [...]
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteLicensure Reference Number: 175 NAC 12-006.05(H)(vi)(3)(g)Based on record review and interview, the facility failed to ensure that valid and appropriate Power of Attorney (POA - a legal document that allows someone to act on another person's behalf) and advance directive documentation (a legal document that states a person's wishes about medical care if they can no longer make decisions) were maintained for Resident 9, who had severe cognitive impairment (a condition where thinking, memory, and decision-making abilities are significantly reduced). This affected 1 of 4 sampled residents. The facility census was 123.
- D 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 12-006.11(E) Based on observations, record reviews and interviews, the facility failed to contain hair while preparing meals for the residents. This had the potential to affect all residents in the facility. The facility census was 123. An observation on 9/24/25 at 8:00 AM in the kitchen revealed that Production cook (PC) was wearing a skull cap. PC had bangs hanging out of skull cap, and hair hanging on both ears and hair hanging out of the skull cap down to the neckline. PC was preparing the lunch meal. An observation on 9/25/25 at 9:30 AM revealed that PC was wearing a skull cap. PC had bangs hanging out of skull cap, and hair hanging on both ears and hair hanging out of the skull cap down to the neckline. PC was preparing the lunch meal. An observation on 9/29/25 at 7:00 AM revealed that PC was preparing pureed Beef Stroganoff Casserole. [...]
- D 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 six resident rooms (rooms 302, 309, 312, 313, 316, and 418) out of 30 rooms surveyed. The facility census was 123.
August 13, 2024Standard inspection · 0 citations
August 3, 2023Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.17D Based on observation, interviews, and record review, the facility failed to ensure that staff performed hand hygiene (sanitizing)using hand sanitizer or wash hands with soap and water for at least 20 seconds during resident treatment to prevent cross contamination for 1(Resident 17 )of 4 sampled resident. The facility census was 116.
Fire safety inspections
17 fire safety citations on file: 3 on November 25, 2025, 7 on August 13, 2024, 7 on August 3, 2023.
Every fire safety citation17 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 Install corridor and hallway doors that block smoke.
- F Ensure that testing and maintenance of electrical equipment is performed.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Install corridor and hallway doors that block smoke.
- F Meet other general requirements that are deficient.
- F Ensure proper usage of power strips and extension cords.
- F Ensure that testing and maintenance of electrical equipment is performed.
- F Meet requirements for the use and maintenance of medical gas equipment.
- E Meet other general requirements.
- F Implement emergency and standby power systems.
- F Install corridor and hallway doors that block smoke.
- F Have properly installed electrical wiring and gas equipment.
- F Have generator or other power source capable of supplying service within 10 seconds.
- 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
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) | 4.72 | 3.98 | 3.86 |
| Registered nurses | 0.59 | 0.67 | 0.69 |
| All nursing staff on weekends | 4.36 | 3.48 | 3.42 |
| Nurse aides | 3.16 | ||
| Licensed practical nurses | 0.97 | ||
| Nursing staff turnover (share who left in a year) | 34.0% | 48.7% | 45.8% |
| Registered nurse turnover | 6.7% | 44.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.59 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 4.86 on weekdays and 4.36 on weekends, 10% 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 4.74 in April to June 2025 to 4.72 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 | 4.72 | 0.59 | 4.86 | 4.36 | 0.0% | 0 of 90 | 119 |
| Oct to Dec 2025 | 4.72 | 0.60 | 4.87 | 4.33 | 0.0% | 0 of 92 | 118 |
| Jul to Sep 2025 | 4.66 | 0.61 | 4.83 | 4.22 | 0.0% | 0 of 92 | 120 |
| Apr to Jun 2025 | 4.74 | 0.60 | 4.93 | 4.26 | 0.0% | 0 of 91 | 119 |
| 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 | 17.3 | 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 | 2.3 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.2 | 4.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.9 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.4 | 18.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.8 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.6 | 20.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.7 | 20.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.5 | 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 | 0.9 | 1.9 | 1.8 |
Owners and operators
Legal business name: VSL LINCOLN SOUTHLAKE 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 |
| Bergmann, David | Contracted managing employee | Individual | 05/09/2018 | |
| Stuhr, Brian | Contracted managing employee | Individual | 07/01/2017 | |
| Triggs, Ted | Contracted managing employee | Individual | 10/01/2018 | |
| 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 | |
| Bergmann, David | Operational/managerial control | Individual | 05/09/2018 | |
| Stuhr, Brian | Operational/managerial control | Individual | 07/01/2017 | |
| Triggs, Ted | Operational/managerial control | Individual | 10/01/2018 | |
| 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 November 25, 2025: "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."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on November 25, 2025: "Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention."
- 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 November 25, 2025: "Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive."
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on November 25, 2025: "Have enough outside ventilation via a window or mechanical ventilation, or both."
Other nursing homes nearby
- Hillcrest Firethorn Lincoln, 3.1 mi · 4 of 5 stars · 12 citations
- Emerald Nursing & Rehab Brookside LLC Lincoln, 3.7 mi · 1 of 5 stars · 44 citations
- Eventide Williamsburg Lincoln, 4.4 mi · 5 of 5 stars · 8 citations
- Holmes Lake Rehabilitation & Care Center Lincoln, 4.6 mi · 2 of 5 stars · 24 citations
- St. Jane De Chantal Lincoln, 5 mi · 4 of 5 stars · 11 citations
- Ambassador Health of Lincoln Lincoln, 5.3 mi · 2 of 5 stars · 16 citations
- Heartland Ridge Care Center Lincoln, 5.9 mi · 2 of 5 stars · 21 citations
- Eastmont Lincoln, 6 mi · 3 of 5 stars · 8 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 Southlake Village Rehabilitation & Care Center's Medicare star rating?
- CMS rates Southlake Village Rehabilitation & Care Center 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 Southlake Village Rehabilitation & Care Center get at its last inspection?
- 5 health deficiencies at the standard inspection on November 25, 2025. The Nebraska average is 7.4.
- Has Southlake Village Rehabilitation & Care Center been fined?
- CMS lists no fines in the last three years.
- Does Southlake Village Rehabilitation & 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 Southlake Village Rehabilitation & Care Center?
- CMS lists 19 owners and managers, and links the home to Vetter Senior Living. Legal business name: VSL LINCOLN SOUTHLAKE 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.