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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Brookestone View is a 60-bed nursing home at 850 Laurel Parkway Drive, Broken Bow, Custer County, Nebraska, administered by Veronica Boeser (Assistant Administrator) and owned by VSL Broken Bow, LLC. The facility provides long-term, short-term, and rehabilitation services, accepting both Medicare and Medicaid.
Staffing shows mixed performance. Registered nurses provide 39 minutes per resident per day, 9 percent below the Nebraska average of 43 minutes. Licensed practical nurses deliver 54 minutes per day, 26 percent above the state average of 43 minutes—notably strong. Nurse aides work 2 hours 35 minutes per day, 7 percent below the Nebraska average of 2 hours 46 minutes. Weekend total nursing hours reach 3 hours 38 minutes per day, matching the state average of 3 hours 37 minutes. Weekend registered nurse coverage is 25 minutes per day, 14 percent below the state average of 29 minutes. Physical therapy is a strength at 4 minutes per resident per day, 33 percent above the state average of 3 minutes. Occupancy runs at 97 percent with 58 residents in 60 beds, significantly above the Nebraska state average of 70.3 percent and indicating exceptional demand with minimal available capacity.
Brookestone View’s inspection record documents serious historical concerns followed by recent improvement. The Nebraska Department of Health and Human Services, Division of Public Health, conducted 17 visits and inspections. The most recent inspection on March 13, 2025, showed no deficiencies and confirmed licensure renewal and occupancy permit status. Earlier inspections identified deficiencies centered on resident care monitoring, medication management, infection control, and fire safety compliance. Notable issues included failure to notify physicians of resident condition changes and inadequate supervision. A substantiated complaint from 2019 involved inadequate monitoring and notification that contributed to a resident’s death. Most other complaint investigations were unsubstantiated. The absence of deficiencies in the most recent reports indicates improvement compared to prior years.
The facility’s history includes a documented fatal incident from inadequate monitoring and the prior pattern of deficiencies in supervision and notification.
Despite recent compliance improvement, families should ask about physician notification protocols, resident monitoring practices, staffing supervision systems, and corrective measures implemented following the 2019 incident.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 21st out of 117 homes in Nebraska. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 39m per day | ▼ 9% State avg: 43m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 54m per day | ▲ 26% State avg: 43m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 35m per day | ▼ 7% State avg: 2h 46m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 41m per day | ■ Avg State avg: 3h 37m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▲ 33% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 25m per day | ▼ 14% State avg: 29m per day · National avg: 28m per day |
Higher than the Nebraska average: 70.3%Brookestone View is administrated by Assistant Administrator Veronica Boeser.
In Nebraska, the Department of Health and Human Services, Division of Public Health conducts regular inspections to ensure nursing and assisted living facilities meet state and federal standards.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Nebraska state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 56 | 52 | This facility has 8% more total deficiencies than a typical Nebraska nursing home (56 vs. NE avg 52).↑ 8% worse |
|
Deficiencies per year
Average deficiencies per year since 2010.
| 3.5 | 3.3 | This facility has 6% more deficiencies per year than a typical Nebraska nursing home (3.5 vs. NE avg 3.3).↑ 6% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection-related documents for Brookestone View, dated March 13, 2025, showed no deficiencies and confirmed the facility’s licensure renewal and occupancy permit status. Earlier inspections, including complaint investigations and annual surveys, identified various deficiencies primarily related to resident care monitoring, medication management, infection control, and life safety code compliance. Notable issues included failure to notify physicians of changes in residents’ conditions, inadequate supervision resulting in a substantiated complaint with serious outcomes, and fire safety door deficiencies. Complaint investigations were mostly unsubstantiated except for one substantiated case in 2019 involving inadequate monitoring and notification that contributed to a resident’s death. The absence of deficiencies in the most recent reports suggests improvement in compliance compared to prior years.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNebraska average 4.3
Last Health inspection on Feb 2025
Nebraska average 18.2
Nebraska average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 12 citations resulted from standard inspections.
100% better than Nebraska averageNebraska average: 0.2
100% better than Nebraska averageNebraska average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
30% worse than Nebraska average
0% compared with Nebraska average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,471 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 27 | 0 | 27 | 7,130 | 92 | 100% | 7.9 |
| Medication Aide/Technician | 19 | 0 | 19 | 6,263 | 92 | 100% | 8.5 |
| Licensed Practical Nurse | 11 | 0 | 11 | 4,537 | 92 | 100% | 9.7 |
| Registered Nurse | 5 | 0 | 5 | 1,556 | 88 | 96% | 9.2 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,012 | 80 | 87% | 7.3 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 987 | 72 | 78% | 8.7 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 486 | 62 | 67% | 7.8 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 407 | 65 | 71% | 6.3 |
| Physical Therapy Assistant | 0 | 3 | 3 | 396 | 57 | 62% | 6.5 |
| Speech Language Pathologist | 0 | 2 | 2 | 386 | 63 | 68% | 5.8 |
| Physical Therapy Aide | 0 | 1 | 1 | 194 | 27 | 29% | 7.2 |
| Qualified Social Worker | 0 | 2 | 2 | 75 | 30 | 33% | 2.5 |
| Medical Director | 0 | 1 | 1 | 13 | 26 | 28% | 0.5 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.4
17% better than Nebraska averageNebraska average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.2
9% better than Nebraska averageNebraska average: 23.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
17.3%
17% better than Nebraska averageNebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
21.3%
In line with Nebraska averageNebraska average: 22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.0%
7% better than Nebraska averageNebraska average: 26.9%
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
56% better than Nebraska averageNebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
4.1%
In line with Nebraska averageNebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
0.5%
84% better than Nebraska averageNebraska average: 3.1%
Percent of long-stay residents who lose too much weight
2.3%
58% better than Nebraska averageNebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
0.6%
87% better than Nebraska averageNebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
8.1%
59% better than Nebraska averageNebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than Nebraska averageNebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Nebraska averageNebraska average: 96.1%
Number of hospitalizations per 1,000 long-stay resident days.
1.89
5% worse than Nebraska averageNebraska average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.74
11% better than Nebraska averageNebraska average: 1.95
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.1%
22% better than Nebraska averageNebraska average: 80.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Nebraska averageNebraska average: 2.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.6%
19% better than Nebraska averageNebraska average: 75.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.4%
7% worse than Nebraska averageNebraska average: 20.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
3.3%
72% better than Nebraska averageNebraska average: 11.6%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Nebraska averageNebraska average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
56.1%
In line with Nebraska averageNebraska average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
41.8%
17% worse than Nebraska averageNebraska average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
51% of new residents, usually for short-term rehab.
31% of new residents, often for short stays.
18% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
56Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Brookestone View based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #31 / 120Payroll — State benchmarkedThis home is ranked 31st out of 120 homes in Nebraska. Shows total annual staff payroll benchmarked to the Nebraska average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
1434.6 miles from city center
Estimated distance in miles from Broken Bow's city center to Brookestone View's address, calculated via Google Maps.
Add your location
Brookestone View is located in BROKEN BOW, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
| Brookestone View |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Broken Bow | 60 | 96.7% | +38% | 5.03 | -35% | +13% | $0 | 12 | 4.0 | - | 58 | - | 63 | Madison Guthrie | $6.9M | $5.1M | 74.6% | 285297 | ||||
| Tabitha Nursing and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Lincoln (Witherbee) | 208 | 81.7% | +16% | 5.76 | -20% | +29% | $13.0k | 18 | 4.5 | - | 170 | A+ | 59 | Tabitha, Inc. | $71.9M | $39.2M | 54.5% | 285057 | ||||
| Nye Pointe |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Fremont (Laverna Street) | 43 | 100.0% | +42% | 3.95 | +25% | -11% | $0 | 8 | 2.7 | - | 43 | A+ | 36 | Russell Peterson | $7.3M | $2.2M | 29.5% | 285235 | ||||
| Emerald Columbus |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Columbus (40Th Avenue) | 145 | 56.6% | -20% | 3.78 | -37% | -15% | $0 | 20 | 3.3 | - | 82 | A+ | 57 | Columbus Operations LLC | $11.3M | $6.1M | 54% | 285092 | ||||
| Holmes Lake Rehabilitation & Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Lincoln (Normal Boulevard) | 97 | 62.9% | -11% | 3.51 | -25% | -21% | $3.2k | 32 | 4.0 | - | 61 | A+ | 21 | Holmes Lake Operations LLC | $5.2M | $2.8M | 53.9% | 285164 |
The legal owner and operator of Brookestone View is Vsl Broken Bow, Llc.
Brookestone View has a walk score of 63. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Brookestone View's occupancy is 97%.
Assistant Administrator Veronica Boeser is the administrator of Brookestone View.
Brookestone View has 60 beds.
Yes — there is 1 photo of Brookestone View in the photo gallery on this page.
Brookestone View is located at 850 Laurel Parkway Drive.
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