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
Nursing Home · Kearney, NE
CMS overall rating
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 Gardens
Nursing Home · Kearney, NE
CMS overall rating
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 Gardens accepts Medicaid, Medicare, and private pay.
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
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 15th 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.
This home is ranked 15th 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.
5h 10m per day
Rank #15 / 117Nurse hours — State benchmarkedThis home is ranked 15th out of 117 homes in Nebraska. Shows adjusted nurse hours per resident per day benchmarked to the Nebraska average, with a ranking across 117 Nebraska SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Nebraska avg
+19%
Standout metric
Physical Therapist is +267% above state avg
| 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.
| 1h 15m per day | ▲ 74% 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.
| 23m per day | ▼ 47% 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.
| 3h 22m per day | ▲ 22% 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.
| 4h 1m per day | ▲ 11% 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.
| 11m per day | ▲ 267% 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.
| 55m per day | ▲ 90% State avg: 29m per day · National avg: 28m per day |
Capacity and availability
Avg. Length of Stay
181 days
54-bed community Rank #151 / 231Bed count — State benchmarkedThis home is ranked 151st out of 231 homes in Nebraska. Shows this facility's certified or reported bed count compared to other Nebraska SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score: 89 / 100 Rank #1 / 298Walk Score — State benchmarkedThis home is ranked 1st out of 298 homes in Nebraska. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Nebraska SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
About this community
Facility TypeAssisted Living Facilities
StatusActive
CountyBuffalo
License NumberALF381
CMS Certification Number285305
AccreditationsMedicaid and Medicare certified
Brookestone Gardens is administrated by Administrator Andrew Wismer.
Owner NameVsl Kearney, LLC
Accept Medicaid
Accept Medicare
Rehabilitation Services
Short-Term Rehab
Fax(308) 234-1707
Specific ProgramsShort-Term Rehab / Sub-Acute Care, Skilled Nursing / Long-Term Care
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.
Since 2019 · 7 years of data
5 deficiencies
Inspection Scorecard
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.
Since 2019 vs. Nebraska state average
Overall vs. NE average
0 Worse
No metrics in this bucket.
2 Better
Metrics better than Nebraska average:
• Total deficiencies (90% below)
• Deficiencies per year (91% below)
• Total deficiencies (90% below)
• Deficiencies per year (91% below)
Latest Inspection
March 24, 2025
Deficiencies
| This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 5 | 52 | This facility has 90% fewer total deficiencies than a typical Nebraska nursing home (5 vs. NE avg 52).↓ 90% better |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 0.7 | 7.4 | This facility has 91% fewer deficiencies per year than a typical Nebraska nursing home (0.7 vs. NE avg 7.4).↓ 91% better |
Inspection Reports Summary
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on March 24, 2025, found no deficiencies at Brookestone Gardens Assisted-Living Facility. Earlier inspections generally showed compliance with regulatory requirements, with one exception in August 2019 when life safety code deficiencies were cited related to fire door latching, hazardous area enclosures, fire alarm and sprinkler system maintenance, and electrical receptacle testing. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. Complaint investigations were not noted in the records, indicating no substantiated complaints during the reviewed period. The facility appears to have addressed prior issues, as more recent inspections have been free of deficiencies.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsHealth Inspection History
Inspections
Total health citations
10
Rank #28 / 122Health citations — State benchmarkedThis home is ranked 28th out of 122 homes in Nebraska. Shows this facility's total health deficiency citations benchmarked to the Nebraska State average, with a ranking across all 122 NE SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Nebraska average 18.2
Citations per inspection
5
Rank #91 / 122Citations per inspection — State benchmarkedThis home is ranked 91st out of 122 homes in Nebraska. Shows average deficiency citations per CMS inspection for this facility versus the Nebraska mean across 122 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Nebraska average 4.19
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 4 years)
Critical health citations
0
100% better than Nebraska averageNebraska average: 0.2
Serious health citations
0
100% better than Nebraska averageNebraska average: 0.5
Citations history (last 4 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
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
100
Employees
86
Contractors
14
Staff to resident ratio
1.89:1
7% worse than Nebraska average
Avg staff/day
41
Average shift
7.2 hours
8% worse than Nebraska average
Total staff hours (quarter)
27,069
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
12
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
39
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
7%
1,902 contractor hours this quarter
Respiratory Therapy Technician: 5
Physical Therapy Assistant: 2
Qualified Social Worker: 2
Speech Language Pathologist: 2
Physical Therapy Aide: 2
Medical Director: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 39 | 0 | 39 | 9,558 | 92 | 100% | 6.8 |
| Medication Aide/Technician | 21 | 0 | 21 | 6,062 | 92 | 100% | 7.9 |
| Registered Nurse | 12 | 0 | 12 | 4,261 | 92 | 100% | 8.9 |
| Licensed Practical Nurse | 5 | 0 | 5 | 1,486 | 87 | 95% | 7.8 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,375 | 79 | 86% | 8.1 |
| Other Dietary Services Staff | 3 | 0 | 3 | 895 | 80 | 87% | 7.6 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 857 | 73 | 79% | 4.3 |
| RN Director of Nursing | 1 | 0 | 1 | 533 | 78 | 85% | 6.8 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 470 | 60 | 65% | 7.8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 368 | 65 | 71% | 5.7 |
| Physical Therapy Aide | 0 | 2 | 2 | 303 | 50 | 54% | 5.7 |
| Qualified Social Worker | 0 | 2 | 2 | 177 | 55 | 60% | 3.1 |
| Speech Language Pathologist | 0 | 2 | 2 | 158 | 39 | 42% | 3.7 |
| Medical Director | 0 | 1 | 1 | 39 | 26 | 28% | 1.5 |
39 Certified Nursing Assistant
% of Days
100%
21 Medication Aide/Technician
% of Days
100%
12 Registered Nurse
% of Days
100%
5 Licensed Practical Nurse
% of Days
95%
3 Clinical Nurse Specialist
% of Days
86%
3 Other Dietary Services Staff
% of Days
87%
5 Respiratory Therapy Technician
% of Days
79%
1 RN Director of Nursing
% of Days
85%
1 Administrator
% of Days
72%
1 Dental Services Staff
% of Days
65%
2 Physical Therapy Assistant
% of Days
71%
2 Physical Therapy Aide
% of Days
54%
2 Qualified Social Worker
% of Days
60%
2 Speech Language Pathologist
% of Days
42%
1 Medical Director
% of Days
28%
Penalties and fines
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.
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.42
Number of hospitalizations per 1,000 long-stay resident days.
1.42
21% better than Nebraska averageNebraska average: 1.80
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.78
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.78
60% better than Nebraska averageNebraska average: 1.95
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
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%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
3.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
3.0%
86% better than Nebraska averageNebraska average: 20.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
9.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.1%
22% better than Nebraska averageNebraska average: 11.6%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
2.5%
Percentage of SNF residents who experience falls with major injury during their stay.
2.5%
225% worse than Nebraska averageNebraska average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
35.3%
Percentage of residents at or above expected ability to care for themselves at discharge.
35.3%
34% worse than Nebraska averageNebraska average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
47.3%
Rate of successful return to home or community from a skilled nursing facility.
47.3%
6% 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.
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
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
53
Medicare
2
3.8% of residents
Medicaid
25
47.2% of residents
Private pay or other
26
49.1% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
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
-$1.8M
↓ ~$415.5K vs 2022
Total Payroll
$6.9M
↑ ~$965.1K vs 2022
Profit Margin
-18.9%
↓ 3.4pp vs 2022
Finances and operations
Voluntary non-profit community
Home revenue
$9.7M
Operating deficit
-$1.8M
Voluntary non-profit community
Home revenue
$9.7M Rank #33 / 120Revenue — State benchmarkedThis home is ranked 33rd out of 120 homes in Nebraska. Shows this facility's annual revenue compared to the Nebraska SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating deficit
-$1.8M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #15 / 120Payroll — State benchmarkedThis home is ranked 15th 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.
$6.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #15 / 120Payroll — State benchmarkedThis home is ranked 15th 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.6M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Brookestone Gardens
0.0 miles from city center
Estimated distance in miles from Kearney's city center to Brookestone Gardens's address, calculated via Google Maps.
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Financial Assistance for
Nursing Home in Nebraska
Brookestone Gardens is located in KEARNEY, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
Frequently Asked Questions about Brookestone Gardens
Who is the owner of Brookestone Gardens?
The legal owner and operator of Brookestone Gardens is Vsl Kearney, Llc.
Is Brookestone Gardens in a walkable area?
Brookestone Gardens has a walk score of 89. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
What is the license number of Brookestone Gardens?
According to NE state health department records, Brookestone Gardens's license number is ALF381.
Who is the administrator of Brookestone Gardens?
Administrator Andrew Wismer is the administrator of Brookestone Gardens.
How many beds does Brookestone Gardens have?
Brookestone Gardens has 54 beds.
Are there photos of Brookestone Gardens?
Yes — there are 3 photos of Brookestone Gardens in the photo gallery on this page.
What is the address of Brookestone Gardens?
Brookestone Gardens is located at 2615 WEST 11TH STREET.
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