Brookestone Acres
4715 38th Street, Columbus, NE 68601 · Platte County · 80 certified beds · avg 75 residents/day · certified since Sep 18, 2014
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: ★★★★★5/5 · CMS overall rating: 5/5
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 (14)
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 |
|---|---|---|
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Sep 11, 2025 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Aug 29, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 29, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Aug 3, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 3, 2023 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Aug 3, 2023 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Aug 3, 2023 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Aug 3, 2023 | 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. |
| Aug 3, 2023 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| Aug 3, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 3, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Aug 3, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 9 | 0 | E |
| 2024 | 2 | 0 | D |
| 2025 | 3 | 0 | D |
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) | 4.98 | 4.33 | 3.95 | top 19% in Nebraska; top 13% in the U.S. |
| Registered Nurse hours | 0.72 | 0.72 | 0.69 | top 44% in Nebraska; top 35% in the U.S. |
| Weekend total nurse staffing | 4.14 | 3.79 | 3.50 | top 31% in Nebraska; top 19% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.32 | 0.47 | 0.48 | bottom 30% in Nebraska; bottom 35% in the U.S. |
| Total nursing staff turnover (%) | 26.3 | 48.7 | 45.8 | top 7% in Nebraska; top 9% in the U.S. |
| RN turnover (%) | 20.0 | 44.1 | 42.9 | top 18% in Nebraska; top 13% 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 4.49, RN 0.65, weekend 3.73. 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: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Vetter Senior Living | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/23/2016 |
| Schmid, Raven | Individual | Contracted Managing Employee | NOT APPLICABLE | 09/20/2021 |
| Schmid, Raven | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/20/2021 |
| 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 |
| Zaruba, Dale | Individual | Contracted Managing Employee | NOT APPLICABLE | 07/01/2017 |
| Zaruba, Dale | Individual | 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.
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "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)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Emerald Nursing & Rehab Columbus | 0.7 mi | Columbus, NE | ★☆☆☆☆ | 3/5 | |
| Genoa Community Hospital/Ltc | 18.0 mi | Genoa, NE | ★★☆☆☆ | 3/5 | |
| St. Joseph's Villa, INC. | 19.0 mi | David City, NE | ★★☆☆☆ | 2/5 | |
| Brookestone of David City | 19.7 mi | David City, NE | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 285291.