Gateway Vista
225 North 56th Street, Lincoln, NE 68504 · Lancaster County · 80 certified beds · avg 73 residents/day · certified since Mar 1, 2005
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · 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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jul 27, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (9)
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 |
|---|---|---|
| Dec 23, 2025 | F · Potential for harm, facility-wide | 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 |
| Sep 18, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Sep 3, 2025 | E · Potential for harm, repeated | The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both. |
| Sep 3, 2025 | D · Potential for harm, one-off | 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. |
| Jun 12, 2024 | ▲ G · Actual 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 |
| Jun 12, 2024 | 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. |
| Jun 12, 2024 | D · Potential for harm, one-off | 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. |
| Jun 12, 2024 | D · Potential for harm, one-off | 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. |
| Jun 12, 2024 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 2).
| 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.
Fines and enforcement (last 3 years)
1 fine totaling $8,659, plus 1 Medicare payment denial period.
| 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)
| 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, 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. Staffing rating: 3/5.
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: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Peterson, Jennifer | Individual | 5% or Greater Direct Ownership Interest | 50% | 05/01/2006 |
| Peterson, Russell | Individual | 5% or Greater Direct Ownership Interest | 50% | 05/01/2006 |
| Ardley, Mikel | Individual | Contracted Managing Employee | NOT APPLICABLE | 03/01/2022 |
| Paragon Management Services INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/22/2006 |
| Peterson, Jennifer | Individual | Corporate Director | NOT APPLICABLE | 05/03/2006 |
| Peterson, Russell | Individual | Corporate Director | NOT APPLICABLE | 05/03/2006 |
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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who owns this facility, and has ownership or top management changed recently?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "How is fresh air circulated through the building, and how is the ventilation system maintained?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "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 |
|---|---|---|---|---|---|
| Eastmont | 0.7 mi | Lincoln, NE | ★★☆☆☆ | 3/5 | |
| Eventide Lincoln Care Center | 0.8 mi | Lincoln, NE | ★☆☆☆☆ | 1/5 | |
| St. Jane de Chantal | 1.7 mi | Lincoln, NE | ★★★★☆ | 3/5 | |
| Holmes Lake Rehabilitation & Care Center | 1.9 mi | Lincoln, NE | ★★☆☆☆ | 3/5 | |
| Ambassador Health of Lincoln | 1.9 mi | Lincoln, NE | ★★☆☆☆ | 2/5 | |
| Sumner Place | 2.9 mi | Lincoln, NE | ★★★★☆ | 4/5 | |
| Emerald Nursing & Rehab Brookside LLC | 3.4 mi | Lincoln, NE | ★☆☆☆☆ | 1/5 | |
| Emerald Nursing & Rehab Lancaster LLC | 3.6 mi | Lincoln, NE | ★☆☆☆☆ | 1/5 | SFF |
| Hillcrest Firethorn | 3.7 mi | Lincoln, NE | ★★★★☆ | 3/5 | |
| Eventide Williamsburg | 4.5 mi | Lincoln, NE | ★★★★★ | 4/5 | |
| Heartland Ridge Care Center | 4.8 mi | Lincoln, NE | ★★☆☆☆ | 2/5 | |
| Southlake Village Rehabilitation & Care Center | 6.3 mi | Lincoln, NE | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 285266.