5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Managed by Anirban Ghosh, Brookestone Gardens operates a 54-bed nursing home on West 11th Street in Kearney, Nebraska. The business office works with several financial frameworks, processing Medicaid, Medicare, and private pay. For visitors, the surrounding neighborhood is highly pedestrian-friendly with a walkability score of 89 out of 100, which means family members can easily complete errands or reach local spots on foot without needing a personal vehicle.
Residents at this location stay an average of 181 days, a timeline that reflects an operational focus on short-term medical rehabilitation alongside standard long-term residential placement. The office coordinates billing across standard channels like Medicare, Medicaid, and private pay. For visitors, the surrounding neighborhood is highly walkable, scoring 89 out of 100, so family members can easily run errands or walk to nearby spots without needing a car.
Stays here average 181 days, reflecting a mix of short-term rehab therapy and standard long-term residential care. Daily routines are backed by an average of 5 hours and 10 minutes of total nursing care per resident each day. Registered nurses handle about 1 hour and 15 minutes of that daily coverage, working alongside licensed practical nurses and nurse aides to manage medical needs and daily physical support.
Prospective residents have access to tailored physical therapy layouts, sub-acute medical care routines, and continuous skilled nursing monitoring. The daily schedule integrates essential health tracking with standard laundry and housekeeping services. This routine coordinates structured physical conditioning with communal dining options and open visiting windows for family members.
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 17th out of 130 homes in Nebraska for nurse hours. 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.
| 1h 12m per day | ▲ 68% 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.
| 26m per day | ▼ 40% 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 20m per day | ▲ 21% 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 15m per day | ▲ 17% 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.
| 59m per day | ▲ 102% State avg: 29m per day · National avg: 28m per day |
Brookestone Gardens is administered by Administrator Andrew Wismer.
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, deficiency, 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.
| 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 |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Nebraska average 4.3
Last Health inspection on Oct 2024
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 10 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.
7% fewer staff per resident than Nebraska average
8% worse than Nebraska average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 12 RN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursAssists with medical care and medications.
All 5 LPN Staff are full-time employees. No contractors work on this role.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursHelps with daily care and mobility.
All 39 CNA Staff are full-time employees. No contractors work on this role.
39
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,902 contractor hours this quarter
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 |
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.
11.9
In line with Nebraska averageNebraska average: 11.3
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
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
18.3%
12% better than Nebraska averageNebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
27.2%
23% worse than Nebraska averageNebraska average: 22.1%
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%
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
31% better than Nebraska averageNebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
6.5%
51% worse than Nebraska averageNebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
3.7%
22% worse than Nebraska averageNebraska average: 3.1%
Percent of long-stay residents who lose too much weight
4.2%
23% better than Nebraska averageNebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
1.1%
75% better than Nebraska averageNebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
10.3%
48% 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.
1.42
21% better than Nebraska averageNebraska average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.78
60% 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
98.9%
23% 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
100.0%
32% better than Nebraska averageNebraska average: 75.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
3.0%
86% better than Nebraska averageNebraska average: 20.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.1%
22% better than Nebraska averageNebraska average: 11.6%
Percentage of SNF residents who experience falls with major injury during their stay.
2.5%
225% worse than Nebraska averageNebraska average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
35.3%
34% worse than Nebraska averageNebraska average: 53.7%
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.
49% of new residents, usually for short-term rehab.
35% of new residents, often for short stays.
16% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
53Residents meet regularly to discuss policies, care quality, and activities
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 Gardens from 2019–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #19 / 133Payroll — State benchmarkedThis home is ranked 19th out of 133 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.Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #26 / 133Payroll % — State benchmarkedThis home is ranked 26th out of 133 homes in Nebraska. Shows payroll as a percentage of revenue versus the Nebraska average. Well-run Nebraska facilities typically land around 66–74% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (49% of admissions), and a typical Medicare stay runs around 28 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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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The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
| Brookestone Gardens | NH AL IL | Kearney | 54
Facility
54
NE AVG
82
Rank
#150 / 228 | - | - | 5.16
Facility
5.16
NE AVG
4.45
Rank
#17 / 130 | +25% | +16% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 135 | 10
Facility
10
NE AVG
18.2
Rank
#31 / 135 | 5.0
Facility
5.0
NE AVG
4.2
Rank
#104 / 135 | - | 3 | - |
89
Facility
89
NE AVG
46
Rank
#1 / 298 | Anirban Ghosh | $8.9M
Facility
$8.9M
NE AVG
$7.6M
Rank
#40 / 133 | $5.8M
Facility
$5.8M
NE AVG
$3.5M
Rank
#19 / 133 | 65.2%
Facility
65.2%
NE AVG
49.4%
Rank
#26 / 133 | 285305 | ||||
| Mount Carmel Home | NH MC | Kearney (West 18Th Street) | 75
Facility
75
NE AVG
82
Rank
#92 / 228 |
78.1%
Facility
78.1%
NE AVG
70.3%
Rank
#99 / 196 | +11% | 6.51
Facility
6.51
NE AVG
4.45
Rank
#3 / 130 | -11% | +46% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 135 | 1
Facility
1
NE AVG
18.2
Rank
#1 / 135 | 1.0
Facility
1.0
NE AVG
4.2
Rank
#1 / 135 | - | 60 | - |
73
Facility
73
NE AVG
46
Rank
#35 / 298 | Mary Blavet | $7.0M
Facility
$7.0M
NE AVG
$7.6M
Rank
#57 / 133 | $4.9M
Facility
$4.9M
NE AVG
$3.5M
Rank
#46 / 133 | 69.5%
Facility
69.5%
NE AVG
49.4%
Rank
#42 / 133 | 285216 | ||||
| Chrisoma West | NH AL HC MC | Holdrege | 60
Facility
60
NE AVG
82
Rank
#133 / 228 |
100.0%
Facility
100.0%
NE AVG
70.3%
Rank
#1 / 196 | +42% | 3.98
Facility
3.98
NE AVG
4.45
Rank
#76 / 130 | -15% | -11% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 135 | 19
Facility
19
NE AVG
18.2
Rank
#77 / 135 | 3.2
Facility
3.2
NE AVG
4.2
Rank
#35 / 135 | - | 72 | - |
2
Facility
2
NE AVG
46
Rank
#287 / 298 | Midwest District Of The Evangelical Free Church Of America | $7.9M
Facility
$7.9M
NE AVG
$7.6M
Rank
#34 / 133 | $4.9M
Facility
$4.9M
NE AVG
$3.5M
Rank
#45 / 133 | 61.6%
Facility
61.6%
NE AVG
49.4%
Rank
#108 / 133 | 285246 | ||||
| Mother Hull Home | NH | Kearney | 58
Facility
58
NE AVG
82
Rank
#143 / 228 |
89.7%
Facility
89.7%
NE AVG
70.3%
Rank
#39 / 196 | +28% | 6.05
Facility
6.05
NE AVG
4.45
Rank
#5 / 130 | -46% | +36% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 135 | 14
Facility
14
NE AVG
18.2
Rank
#52 / 135 | 4.7
Facility
4.7
NE AVG
4.2
Rank
#92 / 135 | - | 45 | - |
87
Facility
87
NE AVG
46
Rank
#4 / 298 | Sieg Brauer | $4.9M
Facility
$4.9M
NE AVG
$7.6M
Rank
#87 / 133 | $3.7M
Facility
$3.7M
NE AVG
$3.5M
Rank
#68 / 133 | 76.3%
Facility
76.3%
NE AVG
49.4%
Rank
#18 / 133 | 285254 | ||||
| Bethany Home | NH AL MC NC | Minden | 64
Facility
64
NE AVG
82
Rank
#123 / 228 |
79.7%
Facility
79.7%
NE AVG
70.3%
Rank
#90 / 196 | +13% | 4.75
Facility
4.75
NE AVG
4.45
Rank
#39 / 130 | +53% | +7% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 135 | 19
Facility
19
NE AVG
18.2
Rank
#77 / 135 | 6.3
Facility
6.3
NE AVG
4.2
Rank
#120 / 135 | - | 59 | - |
47
Facility
47
NE AVG
46
Rank
#155 / 298 | Bethany Home Inc | $8.2M
Facility
$8.2M
NE AVG
$7.6M
Rank
#48 / 133 | $5.0M
Facility
$5.0M
NE AVG
$3.5M
Rank
#40 / 133 | 60.9%
Facility
60.9%
NE AVG
49.4%
Rank
#61 / 133 | 285270 |
Brookestone Gardens is located in KEARNEY, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
Brookestone Gardens is legally operated by Vsl Kearney, Llc, and administered by Administrator Andrew Wismer.
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.
According to NE state health department records, Brookestone Gardens's license number is ALF381.
Brookestone Gardens's occupancy is 90.2%.
Brookestone Gardens is registered as a non-profit in NE.
Administrator Andrew Wismer is the administrator of Brookestone Gardens.
Brookestone Gardens has 54 beds.
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