Inspection Reports for
Brookestone Gardens
2615 WEST 11TH STREET, KEARNEY, NE, 68845
Back to Facility ProfileNotice — Mar 24, 2025
Capacity: 54
Deficiencies: 0
Date: Mar 24, 2025
Visit Reason
This document serves as a license renewal verification and application for Brookestone Gardens Assisted-Living Facility, confirming licensure through the renewal date and providing related administrative information.
Findings
The documents confirm that Brookestone Gardens meets statutory requirements as an assisted-living facility with a licensed capacity of 54 beds. An occupancy permit was issued on 2025-03-03 by the Nebraska State Fire Marshal, and no inspection deficiencies or complaints are noted.
Report Facts
Total licensed beds: 54
Renewal application date: Mar 24, 2025
Occupancy permit issue date: Mar 3, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andrew Fuston | Administrator | Named as the facility administrator in the renewal application. |
| Glenn Van Ekeren | Authorized Representative | Signed the renewal application on 2025-03-24. |
| Brian Stuhr | Authorized Representative | Named on the renewal application and listed as Treasurer in the corporate officers list. |
| Kyle Woodgate | Deputy State Fire Marshal | Inspected the facility and approved the occupancy permit. |
Document — Mar 24, 2025
Capacity: 54
Deficiencies: 0
Date: Mar 24, 2025
Visit Reason
The documents pertain to the renewal of the nursing home license for Brookestone Gardens, including verification of licensure, renewal application, and occupancy permit.
Findings
No inspection findings or deficiencies are reported. The documents confirm licensure renewal, ownership details, and fire marshal occupancy approval for 54 beds.
Report Facts
Total licensed beds: 54
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andrew Fuston | Administrator | Named on the Nursing Home Licensure Renewal Application. |
| Lacie Frazho | Director of Nursing | Named on the Nursing Home Licensure Renewal Application. |
| Brian Stuhr | Treasurer | Listed as Treasurer in ownership and board documents. |
| Glenn Van Ekeren | President | Listed as President in ownership and board documents and signed renewal application. |
Inspection Report — Mar 31, 2022
Renewal
Capacity: 54
Deficiencies: 0
Date: Mar 31, 2022
Visit Reason
The document is related to the renewal of the nursing home license for Brookestone Gardens, verifying that the SNF/NF Dual Certification is licensed through the indicated expiration date.
Findings
The document certifies that Brookestone Gardens meets statutory requirements for SNF/NF dual certification and includes a temporary occupancy permit with a maximum occupancy of 54 beds.
Report Facts
Total licensed beds: 54
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andy Fuston | Administrator | Named on the Nursing Home Licensure Renewal Application. |
| Danille Samuelson | Director of Nursing | Named on the Nursing Home Licensure Renewal Application. |
| Gary J. Anthone | Chief Medical Officer, Director, Division of Public Health | Signed the certification of statutory requirements. |
| Mark Manchester | Deputy State Fire Marshal | Approved the Nebraska State Fire Marshal Temporary Occupancy Permit. |
Inspection Report — Apr 19, 2021
Renewal
Capacity: 54
Deficiencies: 0
Date: Apr 19, 2021
Visit Reason
This document serves as a renewal licensure verification and application for Brookestone Gardens, a skilled nursing facility, confirming the facility's license status and renewal through the indicated expiration date.
Findings
The document certifies that Brookestone Gardens meets statutory requirements for SNF/NF dual certification and includes renewal application details, ownership information, and occupancy permit data. No deficiencies or inspection findings are reported.
Report Facts
Total licensed beds: 54
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Katelyn Ziebarth | Administrator | Named on the Nursing Home Licensure Renewal Application. |
| Lacie Frazho | Director of Nursing | Named on the Nursing Home Licensure Renewal Application. |
| Brian Stuhr | Authorized Representative | Signed the Nursing Home Licensure Renewal Application. |
| Glenn Van Ekeren | Authorized Representative and President | Signed the Nursing Home Licensure Renewal Application and listed as President on the Board of Directors. |
| Gary J. Anthone | Chief Medical Officer, Director, Division of Public Health | Named on the license renewal card. |
Notice — Oct 22, 2019
Capacity: 54
Deficiencies: 0
Date: Oct 22, 2019
Visit Reason
Notification of acceptance of Brookestone Gardens skilled nursing facility to participate in the Medicare Health Insurance Benefits Program, effective August 21, 2019, and explanation of ongoing unannounced surveys and compliance requirements.
Findings
The letter states that participation is contingent upon favorable compliance determination with Civil Rights requirements and outlines that unannounced surveys will be conducted on an ongoing basis with requirements for plans of correction if deficiencies are cited.
Report Facts
Medicare certified beds: 54
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Connie Vogt | Program Manager | Signed the letter as Program Manager of the Office of LTC Facilities, Licensure Unit, Division of Public Health, DHHS. |
Inspection Report — Aug 20, 2019
Life Safety
Census: 3
Capacity: 54
Deficiencies: 5
Date: Aug 20, 2019
Visit Reason
The inspection was conducted to assess compliance with the 2012 Edition of the Life Safety Code and related Medicare/Medicaid participation requirements.
Findings
The facility was found not in compliance with Life Safety Code requirements due to issues with fire door latching, hazardous area enclosures, fire alarm system maintenance, sprinkler system maintenance, and electrical receptacle testing.
Deficiencies (5)
Fire rated doors in the two-hour fire barrier between the Nursing Home and Assisted Living did not positively latch when auto-closed.
Mechanical Room and Maintenance Office doors did not positively latch when self-closed; penetrations in Communication Room ceiling and walls were not sealed to resist smoke passage.
Heat detector in Laundry Room had a protective cap installed, impairing function.
Fire sprinkler in Nursing Storage Room had a protective cap installed, impairing function.
Facility failed to test all hospital-grade patient bed electrical receptacles after initial installation and per manufacturer specifications.
Report Facts
Facility capacity: 54
Facility census: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance A | Confirmed fire door latching issues, heat detector and sprinkler protective caps, and hazardous area enclosure deficiencies. | |
| Maintenance Director | Responsible for corrective actions and monitoring of fire door latching, hazardous area enclosure, sprinkler and heat detector protective caps, and electrical receptacle testing. |
Inspection Report — Jul 11, 2019
Routine
Deficiencies: 0
Date: Jul 11, 2019
Visit Reason
The inspection was a Compliance Inspection conducted to assess the facility's adherence to regulations governing licensure of skilled nursing facilities, nursing facilities, and intermediate care facilities.
Findings
The facility was found in compliance with the applicable regulations, and the results of the Compliance Inspection were commendable.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Connie Vogt | Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed the letter acknowledging the inspection results |
Inspection Report — Jul 11, 2019
Renewal
Capacity: 54
Deficiencies: 0
Date: Jul 11, 2019
Visit Reason
The document is related to the issuance and renewal of the Skilled Nursing Facility license for Brookestone Gardens, confirming the facility meets statutory requirements and is licensed for 54 beds effective July 11, 2019.
Findings
The facility Brookestone Gardens has met the requirements for a Nebraska Skilled Nursing Facility license and is licensed for 54 beds. The license is valid through March 31, 2020.
Report Facts
Licensed beds: 54
License effective date: Jul 11, 2019
License expiration date: Mar 31, 2020
Maximum occupancy: 54
Subdivision acreage: 28.53
Subdivision road width: 36
Water main cost estimate: 178665
Sanitary sewer cost estimate: 176901.5
Paving and storm sewer cost estimate: 329016
Storm water detention cost estimate: 15000
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jack D. Vetter | Chairman of the Board and CEO | Named in ownership and subdivision agreement documents |
| Bo Botelho | Interim CEO, Interim Director of Public Health | Signed license issuance and renewal documents |
| Stacie Brueggeman | Administrator | Named as facility administrator in licensing documents |
| Lauren Brandt | Deputy City Clerk | Signed annexation and subdivision approval documents |
| Stanley A. Clouse | President of the Council and Ex-Officio Mayor | Signed annexation and subdivision approval documents |
| Christine M. O'Reilly | Notary Public | Notarized signatures on subdivision agreement documents |
Inspection Report — Jun 19, 2019
Routine
Deficiencies: 0
Date: Jun 19, 2019
Visit Reason
The inspection was a Compliance Inspection conducted at the assisted-living facility to assess compliance with 175 NAC 4 – Regulations Governing Licensure of Assisted-Living Facilities.
Findings
The facility was found in compliance with the applicable regulations, and the results of the Compliance Inspection were commendable.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Connie Vogt | Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed the letter acknowledging the inspection results |
Document — APP2019
Capacity: 54
Deficiencies: 0
Date: APP2019
Visit Reason
The documents collectively serve to establish and verify the licensing, annexation, subdivision, occupancy permit, and capacity details for Brookestone Gardens Assisted Living facility.
Findings
The documents confirm the issuance of an assisted living facility license for 54 beds, approval of annexation and subdivision plans, issuance of occupancy permit for 54 beds, and detailed facility capacity worksheets showing room types and bed counts. No inspection findings or deficiencies are reported.
Report Facts
Licensed bed capacity: 54
Occupancy permit date: Jun 10, 2019
License issuance date: Jul 10, 2019
Annexation approval date: Jun 13, 2017
Bed count: 54
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jack D. Vetter | Chairman of the Board and CEO | Named as authorized representative and signatory on subdivision agreement and ownership documents. |
| Bo Botelho | Interim Director of Public Health | Signed licensing and renewal documents for the assisted living facility. |
| Stacie Breuggeman | Administrator | Named as facility administrator in licensing documents. |
| Lauren Brandt | Deputy City Clerk | Signed city council annexation approval documents. |
| Stanley A. Clouse | President of the Council and Ex-Officio Mayor | Signed city council annexation approval documents. |
Notice — APP2020
Capacity: 54
Deficiencies: 0
Date: APP2020
Visit Reason
This document serves as a renewal application and verification of licensure for the assisted-living facility Brookestone Gardens, including renewal fees and occupancy permit details.
Findings
The documents confirm that Brookestone Gardens is licensed as an assisted-living facility with a maximum occupancy of 54 beds, and includes ownership information, facility floor plans, and a fire marshal occupancy permit.
Report Facts
Renewal Licensure Fees: 1950
Total Number of Beds: 54
Occupancy Permit Maximum Occupancy: 54
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jack D. Vetter | Chairman of the Board and CEO | Named as authorized representative and board member in ownership and corporate documents |
| Glenn Van Ekeren | President | Named as authorized representative and board member in ownership and corporate documents |
| Stacie Brueggeman | Administrator | Named as facility administrator on renewal application |
Report — December 16, 2025
December 16, 2025
Report — October 31, 2024
October 31, 2024
Report — October 17, 2023
October 17, 2023
Viewing
Loading inspection reports...
