How to file a complaint about care →

No fines or payment denials in the published 3-year window.

What these staffing numbers mean →

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 4.34, RN 0.48, weekend 3.64.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.34 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Non profit - Other

All 19 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Vetter Senior Living — 22 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

• Manor at Elfindale, the — Springfield, MO · overall 4/5
• Brookefield Park — St Paul, NE · overall 4/5
• Brookestone Acres — Columbus, NE · overall 5/5
• Brookestone Gardens — Kearney, NE · overall 5/5
• Brookestone Meadows Rehabilitation and Care Center — Elkhorn, NE · overall 5/5
• Brookestone of David City — David City, NE · overall 5/5
• Brookestone of Papillion — Papillion, NE · overall 5/5
• Brookestone View — Broken Bow, NE · overall 4/5

Listed by state, then facility name — not a ranking. Showing 8 of the 21 others, continuing from this facility's own place in that list.

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

• "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
• "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
• "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
• "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
• "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
• "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
• "What exactly do you hand off to the next provider when a resident is discharged, and how do you confirm they received it?"
• "What is your current medication error rate, and what have you changed to bring errors down?"

Also worth asking anywhere

• "Your weekend nurse staffing is reported below the Nebraska midpoint — how does the weekend schedule differ from a weekday?"
• "Can I see the plan of correction for the findings in your most recent state inspection?"
• "CMS reports 32% total nursing staff turnover here — who on the care team has been with you longest?"
• "The ownership record on file lists 19 owning or managing parties — who makes the decisions about staffing levels?"
• "Can I visit again unannounced, at a mealtime or on a weekend?"

Compare this facility with the 3 closest →

All facilities in Grand Island →