Show Inspection Reports
Total health inspections
2
Nebraska average 4.3
Last Health inspection on Oct 2024
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Brookestone Gardens
Assisted Living Home
Brookestone Gardens
Assisted Living Home
Brookestone Gardens is a senior living community located in Kearney, Nebraska. It offers a continuum of care including independent living, assisted living, short-term rehabilitation, and skilled nursing care. The facility is certified with both Medicaid and Medicare.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
54
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
90.2%
Residents per day (avg)
52
Occupancy rate
90.2%
Residents per day (avg)
52
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
49% of new residents, usually for short-term rehab.
Typical stay
28 days
Private pay
35% of new residents, often for short stays.
Typical stay
7 - 8 months
Medicaid
16% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Voluntary non-profit home
Other
Home revenue
$9.7M
Operating deficit
-$1.8M
Voluntary non-profit home
Other
Home revenue
$9,732,957.00
Operating deficit
$-1,838,523.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.6M
54-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
License Status
ActiveFacility Type
ASSISTED LIVING FACILITIES
Additional licensing details
License number:
ALF381
CMS Certification Number:
285305
County:
BUFFALO
Accreditations:
Medicaid and Medicare certified
Ownership & operating entity
Brookestone Gardens is administrated by ANDREW WISMER, ADMINISTRATOR.
Owner name:
VSL KEARNEY, LLC
Care Services
Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
Short-Term Rehab
All Levels of Care
Contact Information
Fax:
(308) 234-1707
Programs & Activities
Specific Programs
Independent Living, Assisted Living, Short-Term Rehab / Sub-Acute Care, Skilled Nursing / Long-Term Care
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Inspection History
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.
8 visits/inspections
1 routine inspections
Results
0 with issues
8 without issues
Latest inspection
Date:March 24, 2025
Compare Assisted Living around Kearney
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
Broadwell Senior Living Kearney
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Kearney
90
Yes
4
-
-
-
-
-
-
-
-
-
-
Studio / 1 Bed / 2 Bed
Brookestone Gardens
+14%
+16%
+28%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NE 68845
56
No
-
GHOSH, ANIRBAN
90.2%
$9,727,253.00
$4,641,875.00
47.7%
52.30
5.1590
10
+14%+16%+28%-
Kinship Pointe Kearney Northridge
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
Kearney
55
Yes
12
-
-
-
-
-
-
-
-
-
-
Studio / 1 Bed
Brookdale Kearney Northridge
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-
-
No
86
-
-
-
-
-
-
-
-
-
-
-
Kearney Manor
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Kearney
-
Yes
59
-
-
-
-
-
-
-
-
-
-
-
Brookestone Gardens
Type of care:
SNF
AL
Community:
NE 68845
Bed Count:
56
Pets Allowed:
No
Operator:
GHOSH, ANIRBAN
CCN:
285305
Occupancy:
90.2%
Home Revenue:
$9,727,253.00
Payroll Costs:
$4,641,875.00
Payroll %:
47.7%
Avg Residents/Day:
52.30
Overall Rating:
Adj Nurse Hours:
5.1590
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
10
RN share vs State Avg:
+14%
+14%
Staffing vs State Avg:
+16%
+16%
Occupancy vs State Avg:
+28%
+28%Places of interest near Brookestone Gardens
0.0 miles from city center
KEARNEY, NE 68845
Calculate Travel Distance to Brookestone Gardens
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
100
Total Staff
81
Employees
19
Contractors
26,806
Total Hours (Quarter)
40
Avg Staff/Day
7.4
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 11 | 9.4 | No |
| Licensed Practical Nurse | 7 | 7.9 | No |
| Certified Nursing Assistant | 30 | 7.1 | No |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
70 staff
7.7hs shift avg
Physicians & Practitioners ⓘ
4 staff
8hs shift avg
Therapy Services ⓘ
12 staff
4.7hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
7 staff
3.4hs shift avg
Dietary Services ⓘ
5 staff
7.8hs shift avg
Other Services ⓘ
1 staff
7.3hs shift avg
Contractor Analysis
6.5%
of total hours from contractors
1,743 contractor hours this quarter
Physical Therapy Aide: 2
Physical Therapy Assistant: 1
Speech Language Pathologist: 3
Qualified Social Worker: 7
Respiratory Therapy Technician: 6
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 30 | 0 | 30 | 7,756 | 91 | 100% | 7.1 |
| Medication Aide/Technician | 22 | 0 | 22 | 7,530 | 91 | 100% | 7.7 |
| Registered Nurse | 11 | 0 | 11 | 3,904 | 91 | 100% | 9.4 |
| Licensed Practical Nurse | 7 | 0 | 7 | 2,354 | 90 | 99% | 7.9 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,027 | 70 | 77% | 8 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,006 | 80 | 88% | 7.8 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 792 | 68 | 75% | 4.5 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 445 | 61 | 67% | 7.3 |
| Physical Therapy Assistant | 0 | 1 | 1 | 317 | 64 | 70% | 4.9 |
| Physical Therapy Aide | 0 | 2 | 2 | 241 | 41 | 45% | 5.6 |
| Speech Language Pathologist | 0 | 3 | 3 | 200 | 44 | 48% | 4.1 |
| Qualified Social Worker | 0 | 7 | 7 | 194 | 55 | 60% | 3.4 |
Health Inspection History
Inspections
Total health citations
10
Citations per inspection
5
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 10 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Nebraska averageNebraska average: 0.2
Serious Health citations
0
0
100% better than Nebraska averageNebraska average: 0.5
0 critical citations
0 serious citations
10 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Oct 31, 2024
Corrected
Pharmacy moderate citation
Oct 31, 2024
Corrected
Quality of Care moderate citation
Oct 31, 2024
Corrected
Infection Control moderate citation
Sep 15, 2022
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: Non-Profit Corporation
Part of: Vetter Senior Living
Resident Census by Payment Source
53
Total Residents
Medicare
2
(3.8%)
ⓘ
Medicaid
25
(47.2%)
ⓘ
Private Pay/Other
26
(49.1%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.9
In line with Nebraska averageNebraska average: 11.3
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.3
In line with Nebraska averageNebraska average: 23.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
18.3%
Percent of long-stay residents whose need for help with daily activities has increased
18.3%
12% better than Nebraska averageNebraska average: 20.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
27.2%
Percent of long-stay residents whose ability to move independently worsened
27.2%
23% worse than Nebraska averageNebraska average: 22.1%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.4%
10% better than Nebraska averageNebraska average: 26.9%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
31% better than Nebraska averageNebraska average: 4.5%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.5%
Percent of long-stay high risk residents with pressure ulcers
6.5%
51% worse than Nebraska averageNebraska average: 4.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.7%
Percent of long-stay residents with a urinary tract infection
3.7%
22% worse than Nebraska averageNebraska average: 3.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.2%
Percent of long-stay residents who lose too much weight
4.2%
23% better than Nebraska averageNebraska average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.1%
Percent of long-stay residents who have depressive symptoms
1.1%
75% better than Nebraska averageNebraska average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
10.3%
Percent of long-stay residents who received an antipsychotic medication
10.3%
48% better than Nebraska averageNebraska average: 19.8%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than Nebraska averageNebraska average: 93.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Nebraska averageNebraska average: 96.1%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.9%
23% better than Nebraska averageNebraska average: 80.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Nebraska averageNebraska average: 2.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
32% better than Nebraska averageNebraska average: 75.9%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Brookestone Gardens based on CMS SNF Cost Reports.
Occupancy Rate
90.2%
↑ 3.5pp vs 2022
Net Income
-$1,838,523
↓ ~$416K vs 2022
Total Payroll
$6,884,411
↑ ~$965K vs 2022
Profit Margin
-18.9%
↓ 3.4pp vs 2022
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Guides for Better Senior Living
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Financial Aid for Nebraska Seniors
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