Brookefield Park
1405 Heritage Drive, St Paul, NE 68873 · Howard County · 70 certified beds · avg 64 residents/day · certified since Mar 1, 1998
Part of chain: VETTER SENIOR LIVING (22 facilities, chain avg rating 4.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (10)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 14, 2026 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 14, 2026 | E · Potential for harm, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| May 14, 2026 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| May 14, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Feb 24, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 24, 2025 | F · Potential for harm, facility-wide | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. |
| Feb 24, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Nov 30, 2023 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Nov 30, 2023 | E · Potential for harm, repeated | The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both. |
| Nov 30, 2023 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | F |
| 2025 | 3 | 0 | F |
| 2026 | 4 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Nebraska avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.10 | 4.33 | 3.95 | top 17% in Nebraska; top 12% in the U.S. |
| Registered Nurse hours | 0.78 | 0.72 | 0.69 | top 38% in Nebraska; top 29% in the U.S. |
| Weekend total nurse staffing | 4.11 | 3.79 | 3.50 | top 32% in Nebraska; top 20% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.40 | 0.47 | 0.48 | bottom 49% in Nebraska; top 48% in the U.S. |
| Total nursing staff turnover (%) | 22.9 | 48.7 | 45.8 | top 3% in Nebraska; top 5% in the U.S. |
| RN turnover (%) | 36.4 | 44.1 | 42.9 | top 43% in Nebraska; top 40% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.20, RN 0.64, weekend 3.38. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Vetter Senior Living | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/23/2016 |
| Foxworthy, Robert | Individual | Contracted Managing Employee | NOT APPLICABLE | 06/01/2021 |
| Foxworthy, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2021 |
| Kramer, Jared | Individual | Contracted Managing Employee | NOT APPLICABLE | 07/01/2017 |
| Kramer, Jared | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
| Stuhr, Brian | Individual | Contracted Managing Employee | NOT APPLICABLE | 07/01/2017 |
| Stuhr, Brian | Individual | Corporate Officer | NOT APPLICABLE | 06/15/2017 |
| Stuhr, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
| Vanekeren, Glenn | Individual | Contracted Managing Employee | NOT APPLICABLE | 07/01/2017 |
| Vanekeren, Glenn | Individual | Corporate Officer | NOT APPLICABLE | 06/15/2017 |
| Vanekeren, Glenn | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
| Vetter Senior Living | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/23/2016 |
| Vetter, Eldora | Individual | Contracted Managing Employee | NOT APPLICABLE | 07/01/2017 |
| Vetter, Eldora | Individual | Corporate Officer | NOT APPLICABLE | 06/15/2017 |
| Vetter, Eldora | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
| Vetter, Jack | Individual | Contracted Managing Employee | NOT APPLICABLE | 07/01/2017 |
| Vetter, Jack | Individual | Corporate Officer | NOT APPLICABLE | 06/15/2017 |
| Vetter, Jack | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
| VSL Vetter Health Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "How is fresh air circulated through the building, and how is the ventilation system maintained?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
No other Medicare-certified nursing homes within 20 miles in the current records.
Facility data as of CMS processing date 2026-08-01. CCN 285226.