Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
3/5
Health inspection rating (on-site)
inspected Sep 3, 2025
1
Serious findings on record
most recent Jun 12, 2024
$8,659
Fines, last 3 years
4.33
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · Jun 12, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jul 27, 2024 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 9 inspection findings. Open the full record below to read every finding.
F · Potential for more than minimal harm, widespread
The facility did not follow the rules about disclosing who owns it, or did not tell the state agency about changes in ownership or key administrative staff. · from a complaintF-0844
D · Potential for more than minimal harm, isolated
The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaintF-0697
E · Potential for more than minimal harm, pattern
The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both. F-0923
View all 9 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
Date
Severity
What the facility was cited for
Dec 23, 2025
F · Potential for more than minimal harm, widespread
The facility did not follow the rules about disclosing who owns it, or did not tell the state agency about changes in ownership or key administrative staff. · from a complaint · F-0844
Sep 18, 2025
D · Potential for more than minimal harm, isolated
The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint · F-0697
Sep 3, 2025
E · Potential for more than minimal harm, pattern
The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both. · F-0923
Sep 3, 2025
D · Potential for more than minimal harm, isolated
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. · F-0880
Jun 12, 2024
▲ G · Actual harm, isolated
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 · F-0689
Jun 12, 2024
D · Potential for more than minimal harm, isolated
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Jun 12, 2024
D · Potential for more than minimal harm, isolated
The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655
Jun 12, 2024
D · Potential for more than minimal harm, isolated
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Jun 12, 2024
D · Potential for more than minimal harm, isolated
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. · F-0880
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 2).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2024
All citations:
5
Serious citations (G–L):
1
2025
All citations:
4
Serious citations (G–L):
0
All bars start at zero. Exact values and supporting details remain below.
Year
Citations
Serious (G–L)
Worst severity that year
2024
5
1
G ▲
2025
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.
1 fine totaling $8,659, plus 1 Medicare payment denial period.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
Date
Type
Amount / length
Jun 12, 2024
Fine
$8,659
Jun 12, 2024
Payment Denial
18 days from Jul 9, 2024
Nurse staffing (from payroll records, adjusted for how much care residents need)
Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityNebraska averageU.S. average
Total nurse staffing (hours per resident per day)
This facility:
4.33
Nebraska average:
4.33
U.S. average:
3.95
Registered Nurse hours
This facility:
0.75
Nebraska average:
0.72
U.S. average:
0.69
Weekend total nurse staffing
This facility:
3.75
Nebraska average:
3.79
U.S. average:
3.50
All bars start at zero. Exact values and supporting details remain below.
Measure
This facility
Nebraska avg
U.S. avg
Where it stands
Total nurse staffing (hours per resident per day)
4.33
4.33
3.95
top 49% in Nebraska; top 28% in the U.S.
Registered Nurse hours
0.75
0.72
0.69
top 40% in Nebraska; top 31% in the U.S.
Weekend total nurse staffing
3.75
3.79
3.50
top 47% in Nebraska; top 31% in the U.S.
Weekend RN hours (not acuity-adjusted)
0.63
0.47
0.48
top 21% in Nebraska; top 21% in the U.S.
Total nursing staff turnover (%)
64.3
48.7
45.8
bottom 20% in Nebraska; bottom 11% in the U.S.
RN turnover (%)
50.0
44.1
42.9
bottom 43% in Nebraska; bottom 39% in the U.S.
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 4.69, RN 0.82, weekend 4.07.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.69 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
No verified facility-specific private-pay price is available in our data for Gateway Vista. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
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Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
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Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
CMS records place this facility in Lancaster, NE — 14 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.