Show Inspection Reports
Total health inspections
2
Nebraska average 4.3
Last Health inspection on Apr 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Brookestone Meadows Rehabilitation and
Nursing Home in Nebraska
CMS overall rating
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.
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.
Brookestone Meadows Rehabilitation and
Nursing Home in Nebraska
CMS overall rating
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.
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.
Brookestone Meadows is a rehabilitation and long-term care community located in Elkhorn, Nebraska. It provides comprehensive skilled nursing and rehabilitation services tailored to the needs of seniors. The facility also offers independent living options for those looking to enjoy an active lifestyle without the burdens of home ownership.
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 26th out of 129 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 26th out of 129 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.
4h 59m per day
vs Nebraska avg
+15%
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
140
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
88.6%
Avg. Length of Stay
90 days
Occupancy rate
88.6%
Avg. Length of Stay
90 days
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
63% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
30% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
7% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Voluntary non-profit community
Home revenue
$26.7M
Surplus of revenue
$341.1K
Voluntary non-profit community
Home revenue
$26.7M
Surplus of revenue
$341.1K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$10.0M
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.
$16.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$26.3M
140-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Facility TypeNursing Home
CountyDouglas
CMS Certification Number285276
Certification TypeCertification
Brookestone Meadows Rehabilitation and is administrated by Jason Nitz, Administrator.
Owner NameVSL ELKHORN, LLC
Rehabilitation Services
Skilled Nursing
Fax(402) 289-1090
Spacious Private And Companion Rooms
Wireless Access Throughout The Building
Formal Dining Rooms And All-Season Sun Rooms
Delicious Meals
Snacks And Open Dining Times
Large Main Chapel And Meditation Chapel
Two Coffee Cafés With Soft-Serve Ice Cream
Beauty And Barber Shop Services
Transportation Services
Specific ProgramsSkilled Nursing/Long-Term Care, Short-term Rehab/Sub Acute Care, Specialized Options, Amenities, Testimonials, Videos/Tour, Awards & Achievements, Team, The Villas
Religious ServicesYes
Food DescriptionDelicious meals, snacks and open dining times in our innovative and attractive dining rooms.
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.
Health Inspection History
Inspections
Total health citations
4
Nebraska average 18.2
Citations per inspection
2
Nebraska average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
3 of 4 citations resulted from standard inspections; and 1 of 4 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Nebraska averageNebraska average: 0.2
Serious Health citations
1
1
100% worse than Nebraska averageNebraska average: 0.5
0 critical citations
1 serious citation
3 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 01, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 01, 2025
Corrected
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 01, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 01, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 12, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 12, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 12, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 12, 2024
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.
Compare Nursing Homes around Nebraska The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
Filter by care type
| Brookestone Meadows Rehabilitation and |
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. | Elkhorn | 140 | 88.6% | +26% | 4.99 | -35% | +12% | 0 | 4 | 2.0 | 1 | 125 | - | - | Malloy, Timothy | $26.6M | $10.0M | 37.4% | 285276 | ||||
| Accura HealthCare of Hartington |
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. | Hartington (Precinct 9) | 67 | 63.6% | -10% | 4.13 | -7% | -7% | 0 | 7 | 2.3 | 0 | 31 | - | - | Klaasmeyer, Kenneth | $3.7M | $2.1M | 57.9% | 285088 | ||||
| Accura HealthCare of Tekamah |
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. | Tekamah | 46 | 72.0% | +2% | 3.83 | +19% | -14% | 0 | 12 | 4.0 | 0 | 30 | - | - | Geis, Heather | $3.1M | $2.1M | 66.4% | 285118 | ||||
| Arbor Care Center-Valhaven, LLC |
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. | Valley (Platte Valley Precinct) | 66 | 72.4% | +3% | 4.08 | -2% | -8% | 0 | 18 | 4.5 | 1 | 50 | A+ | - | - | $5.0M | $3.2M | 64% | 285117 | ||||
| Arbor Care Centers – Ord, LLC |
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. | Ord | 60 | 51.8% | -26% | 3.76 | +15% | -16% | 0 | 29 | 7.3 | 1 | 35 | - | - | Luth, Kurt | $2.9M | $1.5M | 52.9% | 285294 |
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Places of interest near Brookestone Meadows Rehabilitation and
0.6 miles from city center
Estimated distance in miles from ELKHORN's city center to Brookestone Meadows Rehabilitation and's address, calculated via Google Maps.
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
269
Employees
245
Contractors
24
Staff to resident ratio
2.10:1
0% compared with Nebraska averageNebraska average ratio: 2.15:1
Avg staff/day
101
Average shift
7.6 hours
0% compared with Nebraska averageNebraska average: 7.8 hours
Total staff hours (quarter)
70,074
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
24
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
155
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
8.4%
5,864 contractor hours this quarter
Physical Therapy Assistant: 8
Speech Language Pathologist: 7
Respiratory Therapy Technician: 7
Qualified Social Worker: 2
Staff by category
| Certified Nursing Assistant | 155 | 0 | 155 | 34,514 | 91 | 100% | 7.2 |
| Licensed Practical Nurse | 24 | 0 | 24 | 9,333 | 91 | 100% | 9.9 |
| Registered Nurse | 17 | 0 | 17 | 5,717 | 91 | 100% | 9.2 |
| Medication Aide/Technician | 26 | 0 | 26 | 3,934 | 91 | 100% | 7.4 |
| Dental Services Staff | 9 | 0 | 9 | 3,673 | 85 | 93% | 7.9 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 3,240 | 83 | 91% | 8.1 |
| Physical Therapy Assistant | 0 | 8 | 8 | 2,766 | 78 | 86% | 7 |
| Other Dietary Services Staff | 5 | 0 | 5 | 2,240 | 89 | 98% | 8.1 |
| Speech Language Pathologist | 0 | 7 | 7 | 1,465 | 72 | 79% | 6.1 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 888 | 83 | 91% | 5.2 |
| Qualified Social Worker | 0 | 2 | 2 | 745 | 69 | 76% | 6.3 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
155 Certified Nursing Assistant
% of Days
100%
24 Licensed Practical Nurse
% of Days
100%
17 Registered Nurse
% of Days
100%
26 Medication Aide/Technician
% of Days
100%
9 Dental Services Staff
% of Days
93%
6 Clinical Nurse Specialist
% of Days
91%
8 Physical Therapy Assistant
% of Days
86%
5 Other Dietary Services Staff
% of Days
98%
7 Speech Language Pathologist
% of Days
79%
7 Respiratory Therapy Technician
% of Days
91%
2 Qualified Social Worker
% of Days
76%
1 Administrator
% of Days
71%
1 Nurse Practitioner
% of Days
71%
1 Occupational Therapy Aide
% of Days
71%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
128
Medicare
36
28.1% of residents
Medicaid
44
34.4% of residents
Private pay or other
48
37.5% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, 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.
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.
8.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.4
25% better than Nebraska averageNebraska average: 11.3
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.8
7% better than 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
17.2%
Percent of long-stay residents whose need for help with daily activities has increased
17.2%
17% better than Nebraska averageNebraska average: 20.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
15.5%
Percent of long-stay residents whose ability to move independently worsened
15.5%
30% better 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
32.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.5%
21% worse than Nebraska averageNebraska average: 26.9%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.7%
Percent of long-stay residents experiencing one or more falls with major injury
3.7%
19% better than Nebraska averageNebraska average: 4.5%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.1%
Percent of long-stay high risk residents with pressure ulcers
3.1%
28% better than Nebraska averageNebraska average: 4.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.6%
Percent of long-stay residents with a urinary tract infection
2.6%
17% better than Nebraska averageNebraska average: 3.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.7%
Percent of long-stay residents who lose too much weight
2.7%
51% better than Nebraska averageNebraska average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.8%
Percent of long-stay residents who have depressive symptoms
2.8%
37% better than Nebraska averageNebraska average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
17.8%
Percent of long-stay residents who received an antipsychotic medication
17.8%
10% better than Nebraska averageNebraska average: 19.8%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
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
99.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
23% better than Nebraska averageNebraska average: 80.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
49% 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 Meadows Rehabilitation and based on CMS SNF Cost Reports.
Occupancy Rate
88.6%
↑ 3.4pp vs 2023
Net Income
$341.1K
↓ ~$370.3K vs 2023
Total Payroll
$15.3M
↑ ~$512.2K vs 2023
Profit Margin
1.3%
↓ 1.4pp vs 2023
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