Brookestone Meadows Rehabilitation and
Nursing Home, Home Care, Hospice Care, Independent Living & Nursing Care · Nebraska, NE
CMS overall rating Info 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.

Brookestone Meadows Rehabilitation and

Nursing Home, Home Care, Hospice Care, Independent Living & Nursing Care · Nebraska, NE
CMS overall rating Info 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.
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Brookestone Meadows Rehabilitation and accepts Medicare, Medicaid, and private pay.

Overview of Brookestone Meadows Rehabilitation And

Owned by Timothy Malloy, Brookestone Meadows Rehabilitation And Care Center is a 140-bed nursing home in Elkhorn, Nebraska. The facility offers skilled nursing with a strong rehabilitation focus, serving both residents on longer-term care plans and those recovering from acute events in its short-term subacute program. It accepts Medicare, Medicaid, and private pay, offering multiple ways for families to manage immediate post-hospital recovery and ongoing nursing care needs. The home has an occupancy rate of 91%, with an average resident stay of 90 days.

The facility’s daily staffing is hands-on. Total nursing staffing averages 4 hours and 59 minutes per resident each day. Registered nurses provide 53 minutes, nursing aides provide 3 hours and 13 minutes, and licensed practical nurses provide 51 minutes. This consistency supports the complex medical needs typical of post-acute rehabilitation and skilled nursing populations.

The community is located in a car-dependent area near Elkhorn. Most errands require transportation, but the facility offers transportation services for residents and families. There are spacious private and companion rooms, wireless access throughout the building, formal dining areas, and all-season sunrooms where residents can gather. Dining focuses on meal quality and openness; meals and snacks are served throughout the day, allowing residents to decide when they eat.

Beyond the main care spaces, the community has a main chapel and a meditation chapel, two coffee cafés with soft-serve ice cream, and beauty and barber shop services. There are also activities supported by the facility’s structured rehabilitation and nursing focus. The setting balances medical sophistication with resident comfort. It’s a practical option for families seeking skilled rehabilitation or long-term nursing care in a facility designed around those core functions.

State inspection history includes deficiencies in clinical protocols and operational practices involving food safety, resident care, and other facility practices. Families touring the home should ask how the facility strengthens these areas and ensures protocols are followed consistently.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 71.2% Above NE avg. ▲ 71.2% Above NE avg.NE average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 40.5% Above NE avg. ▲ 40.5% Above NE avg.NE average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 50.8% Above NE avg. ▲ 50.8% Above NE avg.NE average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 74.2% Above NE avg. ▲ 74.2% Above NE avg.NE average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Nebraska state averages

Total nursing care / resident Info This home is ranked 23rd 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.
4h 59m per day
Rank #23 / 130Nurse hours — State benchmarkedThis home is ranked 23rd out of 130 homes in Nebraska. Shows adjusted nurse hours per resident per day benchmarked to the Nebraska average, with a ranking across 130 Nebraska facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.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.
This facility Nebraska avg (4h 27m per day)
vs Nebraska avg
+12%

0 of 6 metrics below state avg

Standout metric Weekend RN is +47% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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. 54m per day ▲ 27% State avg: 43m per day · National avg: 41m per day
LPN / LVN Info 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. 44m per day ▲ 3% State avg: 43m per day · National avg: 52m per day
Nurse Aide Info 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 5m per day ▲ 11% State avg: 2h 46m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 16m per day ▲ 18% State avg: 3h 37m per day · National avg: 3h 26m per day
Physical Therapist Info 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. 4m per day ▲ 34% State avg: 3m per day · National avg: 4m per day
Weekend RN Info 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. 43m per day ▲ 47% State avg: 29m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
90 days
Bed community size
140-bed community Rank #27 / 228Bed count — State benchmarkedThis home is ranked 27th out of 228 homes in Nebraska. Shows this facility's certified or reported bed count compared to other Nebraska facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.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.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 6 / 100 Rank #277 / 298Walk Score — State benchmarkedThis home is ranked 277th out of 298 homes in Nebraska. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Nebraska facilities. Higher scores benefit residents, families, and staff.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.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
91%
Rank #33 / 196Occupancy rate — State benchmarkedThis home is ranked 33rd out of 196 homes in Nebraska. Shows this facility's occupancy rate versus the Nebraska average, with its Statewide rank out of 196. Higher occupancy signals strong local demand and financial stability.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.
Higher than the Nebraska average: 70.3%
Occupied beds
128 / 140
Average occupied beds in Nebraska homes 54 beds

License Details

Facility TypeNursing Home
CountyDouglas
CMS Certification Number285276
Certification TypeCertification

Ownership & Operating Entity

Brookestone Meadows Rehabilitation and is administered by Administrator Jason Nitz.

Owner NameVsl Elkhorn, LLC

Therapy & Rehabilitation

1 service
Rehabilitation Services

Contact Information

Fax(402) 289-1090

Amenities & Lifestyle

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, Videos/Tour, Awards & Achievements, The Villas
Religious ServicesYes

Dining & Nutrition

Food DescriptionDelicious meals, snacks and open dining times in our innovative and attractive dining rooms.

Contact Brookestone Meadows Rehabilitation and

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 2023 · 3 years of data 3 deficiencies

Inspection Scorecard Info 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 2023 vs. Nebraska state average
Overall vs. NE average 0 Worse No metrics in this bucket. 2 Better Metrics better than Nebraska average:
• Total deficiencies (94% below)
• Deficiencies per year (94% below)
Latest Inspection April 1, 2025 Routine

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityNE Averagevs. NE Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 352 This facility has 94% fewer total deficiencies than a typical Nebraska nursing home (3 vs. NE avg 52).↓ 94% better
Deficiencies per year Info Average deficiencies per year since 2023. 117.3 This facility has 94% fewer deficiencies per year than a typical Nebraska nursing home (1 vs. NE avg 17.3).↓ 94% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • February 27, 2023 inspection found no health deficiencies during the regulatory survey.
  • March 12, 2024 inspection cited two deficiencies: failure to aspirate PICC line and failure to use beard restraints in food service affecting nearly all residents.
  • April 1, 2025 inspection found a hand hygiene deficiency between glove changes during meal service, risking food borne illness for 31 residents.

Health Inspection History

Inspections since 2024
Total health inspections 2

Nebraska average 4.3


Last Health inspection on Apr 2025

Total health citations
4 Rank #4 / 135Health citations — State benchmarkedThis home is ranked 4th out of 135 homes in Nebraska. Shows this facility's total health deficiency citations benchmarked to the Nebraska State average, with a ranking across all 135 NE facilities. Lower citation counts earn a better rank.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.

Nebraska average 18.2

Citations per inspection
2 Rank #7 / 135Citations per inspection — State benchmarkedThis home is ranked 7th out of 135 homes in Nebraska. Shows average deficiency citations per CMS inspection for this facility versus the Nebraska mean across 135 facilities with citation data. Lower is better.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.

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 2 years)
Critical health citations
0
100% better than Nebraska average

Nebraska average: 0.2


Serious health citations
1
100% worse than Nebraska average

Nebraska average: 0.5

0 critical citations Nebraska average: 0.2

1 serious citation Nebraska average: 0.5

3 moderate citations Nebraska average: 17.2

0 minor citations Nebraska average: 0.2
Citations history (last 2 years)
Nutrition moderate citation Apr 01, 2025
Corrected

Quality of Care serious citation Apr 01, 2025
Corrected

Nutrition moderate citation Mar 12, 2024
Corrected

Quality of Care moderate citation Mar 12, 2024
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 252
Employees 231
Contractors 21
Staff to resident ratio 1.97 : 1
0% compared with Nebraska average
Nebraska average ratio: 2.03 : 1 Nebraska average ratio: 2.03 : 1See full Nebraska ranking
Avg staff/day 98
Average shift 7.8 hours
0% compared with Nebraska average
Nebraska average: 7.8 hours Nebraska average shift: 7.8 hoursSee full Nebraska ranking
Total staff hours (quarter) 69,925

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info 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 Info All 20 RN Staff are full-time employees. No contractors work on this role. 20
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.3 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 24 LPN Staff are full-time employees. No contractors work on this role. 24
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 140 CNA Staff are full-time employees. No contractors work on this role. 140
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

8.7%

6,074 contractor hours this quarter

Physical Therapy Assistant: 9 Respiratory Therapy Technician: 5 Speech Language Pathologist: 4 Qualified Social Worker: 2 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant140014033,99792100%7.4
Licensed Practical Nurse240248,90492100%10
Registered Nurse200207,21792100%9.3
Dental Services Staff9093,6828087%7.9
Medication Aide/Technician220223,29792100%7.4
Clinical Nurse Specialist6063,2547784%8.4
Physical Therapy Assistant0992,7297683%6.9
Other Dietary Services Staff7071,91792100%8
Speech Language Pathologist0441,5337076%6.1
Respiratory Therapy Technician0558107986%4.9
Qualified Social Worker0227956773%6.2
Administrator1015286672%8
Nurse Practitioner1015286672%8
Occupational Therapy Aide1015286672%8
Medical Director0112082628%8
140 Certified Nursing Assistant
% of Days 100%
24 Licensed Practical Nurse
% of Days 100%
20 Registered Nurse
% of Days 100%
9 Dental Services Staff
% of Days 87%
22 Medication Aide/Technician
% of Days 100%
6 Clinical Nurse Specialist
% of Days 84%
9 Physical Therapy Assistant
% of Days 83%
7 Other Dietary Services Staff
% of Days 100%
4 Speech Language Pathologist
% of Days 76%
5 Respiratory Therapy Technician
% of Days 86%
2 Qualified Social Worker
% of Days 73%
1 Administrator
% of Days 72%
1 Nurse Practitioner
% of Days 72%
1 Occupational Therapy Aide
% of Days 72%
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 Info 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 average

Nebraska average: 11.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 21.8
7% better than Nebraska average

Nebraska average: 23.3

Long-stay resident measures
Above average Nebraska avg: 2.8 Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 17.2%
17% better than Nebraska average

Nebraska average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 15.5%
30% better than Nebraska average

Nebraska average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 32.5%
21% worse than Nebraska average

Nebraska average: 26.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.7%
19% better than Nebraska average

Nebraska average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.1%
28% better than Nebraska average

Nebraska average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.6%
17% better than Nebraska average

Nebraska average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.7%
51% better than Nebraska average

Nebraska average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 2.8%
37% better than Nebraska average

Nebraska average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 17.8%
10% better than Nebraska average

Nebraska average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.8%
7% better than Nebraska average

Nebraska average: 93.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Nebraska average

Nebraska average: 96.1%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.73
In line with Nebraska average

Nebraska average: 1.80

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.88
55% better than Nebraska average

Nebraska average: 1.95

Short-stay resident measures
Significantly above average Nebraska avg: 2.2 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.5%
23% better than Nebraska average

Nebraska average: 80.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.2%
49% better than Nebraska average

Nebraska average: 2.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
32% better than Nebraska average

Nebraska average: 75.9%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 17.3%
17% better than Nebraska average

Nebraska average: 20.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 5.4%
53% better than Nebraska average

Nebraska average: 11.6%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.1%
39% worse than Nebraska average

Nebraska average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 26.0%
52% worse than Nebraska average

Nebraska average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 65.1%
29% better than Nebraska average

Nebraska average: 50.6%

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

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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Governmental community
Operated by a subsidized facility district.
Net patient revenue Info 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."
$21.8M
Net patient income Info 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."
$332.6K
Governmental community Operated by a subsidized facility district.
Net patient revenue Info 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."
$21.8M Rank #3 / 133Revenue — State benchmarkedThis home is ranked 3rd out of 133 homes in Nebraska. Shows this facility's annual revenue compared to the Nebraska average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.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.
Net patient income Info 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."
$332.6K
Other income Info 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.
$8.6K
Payroll costs Info 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 #3 / 133Payroll — State benchmarkedThis home is ranked 3rd 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.
$12.6M 58% of net patient revenue Info 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 #75 / 133Payroll % — State benchmarkedThis home is ranked 75th 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.
Other operating costs Info 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).
$8.8M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$21.4M

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (63% of admissions), and a typical Medicare stay runs around 1 months.

Admissions
495 total

Coverage residents most often arrive under.

Medicare 63%
Private pay 30%
Medicaid 7%
Discharges
502 total

Coverage residents most often leave under.

Medicare 47%
Private pay 39%
Medicaid 13%

Places of interest near Brookestone Meadows Rehabilitation and

Address 0.6 miles from city center Info Estimated distance in miles from Elkhorn's city center to Brookestone Meadows Rehabilitation and's address, calculated via Google Maps.

Calculate Travel Distance to Brookestone Meadows Rehabilitation and

Add your location

Address

Compare Nursing Homes around Nebraska

The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.

5 facilities compared · CMS & NE Dept. of Health data

Brookestone Meadows Rehabilitation and
NH
HC
IL
NC
Elkhorn
140
Facility 140
NE AVG 82
Rank #27 / 228
91.4%
Facility 91.4%
NE AVG 70.3%
Rank #33 / 196
+30%
4.99
Facility 4.99
NE AVG 4.45
Rank #23 / 130
-18%+12%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 135
4
Facility 4
NE AVG 18.2
Rank #4 / 135
2.0
Facility 2.0
NE AVG 4.2
Rank #7 / 135
1132-
6
Facility 6
NE AVG 46
Rank #277 / 298
Timothy Malloy
$21.8M
Facility $21.8M
NE AVG $7.6M
Rank #3 / 133
$12.6M
Facility $12.6M
NE AVG $3.5M
Rank #3 / 133
58%
Facility 58%
NE AVG 49.4%
Rank #75 / 133
285276
Gateway Vista
NH
AL
IL
PC
RC
Lincoln (Culler)
80
Facility 80
NE AVG 82
Rank #84 / 228
90.0%
Facility 90.0%
NE AVG 70.3%
Rank #38 / 196
+28%
4.84
Facility 4.84
NE AVG 4.45
Rank #30 / 130
-20%+9%
$8.7k
Facility $8.7k
NE AVG $38.1k
Rank #100 / 135
10
Facility 10
NE AVG 18.2
Rank #31 / 135
3.3
Facility 3.3
NE AVG 4.2
Rank #37 / 135
172-
71
Facility 71
NE AVG 46
Rank #43 / 298
Mikel Ardley
$14.8M
Facility $14.8M
NE AVG $7.6M
Rank #4 / 133
$7.0M
Facility $7.0M
NE AVG $3.5M
Rank #18 / 133
47.1%
Facility 47.1%
NE AVG 49.4%
Rank #130 / 133
285266
Emerald Columbus
NH
AL
HC
MC
PC
Columbus (40Th Avenue)
145
Facility 145
NE AVG 82
Rank #25 / 228
56.6%
Facility 56.6%
NE AVG 70.3%
Rank #163 / 196
-20%
3.78
Facility 3.78
NE AVG 4.45
Rank #87 / 130
-37%-15%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 135
20
Facility 20
NE AVG 18.2
Rank #82 / 135
3.3
Facility 3.3
NE AVG 4.2
Rank #37 / 135
-72A+
57
Facility 57
NE AVG 46
Rank #101 / 298
Columbus Operations LLC
$10.4M
Facility $10.4M
NE AVG $7.6M
Rank #27 / 133
$5.0M
Facility $5.0M
NE AVG $3.5M
Rank #27 / 133
48%
Facility 48%
NE AVG 49.4%
Rank #88 / 133
285092
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
Tabitha at Prairie Commons
NH
IL
MC
RC
Grand Island
36
Facility 36
NE AVG 82
Rank #206 / 228
27.2%
Facility 27.2%
NE AVG 70.3%
Rank #190 / 196
-61%
5.72
Facility 5.72
NE AVG 4.45
Rank #8 / 130
+44%+28%
$10.3k
Facility $10.3k
NE AVG $38.1k
Rank #104 / 135
15
Facility 15
NE AVG 18.2
Rank #59 / 135
5.0
Facility 5.0
NE AVG 4.2
Rank #104 / 135
124-
14
Facility 14
NE AVG 46
Rank #267 / 298
Tabitha Grand Island, Inc
$2.9M
Facility $2.9M
NE AVG $7.6M
Rank #89 / 133
$2.5M
Facility $2.5M
NE AVG $3.5M
Rank #98 / 133
86.6%
Facility 86.6%
NE AVG 49.4%
Rank #91 / 133
285307

Financial Assistance for
Nursing Home in Nebraska

Brookestone Meadows Rehabilitation and is located in ELKHORN, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.

Get Financial aid guidance

Aged and Disabled Waiver

Nebraska Medicaid A&D Waiver

Age 65+ or disabled
General Nebraska resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $4,000 individual, higher than most states
NE

Higher asset limit; rural access focus.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Nebraska Respite Network

NE Respite Network

Age Caregiver of someone 60+
General Nebraska resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
NE

Lifespan respite focus; limited funding.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Personal Assistance Services (PAS)

Nebraska Personal Assistance Services

Age 19+ (65+ for seniors focus)
General Nebraska resident, Medicaid-eligible, needs help with 1+ ADL (e.g., bathing, dressing).
Income Limits (2025) ~$1,255/month (100% FPL, individual); spenddown allowed.
Asset Limits $4,000 (individual), $6,000 (couple) (excludes home up to $688,000, car).
NE

Family can be paid caregivers; statewide via DHHS.

Benefits
Personal care (4-6 hours/day) Limited homemaker services Respite (~200 hours/year)

Program of All-Inclusive Care for the Elderly (PACE)

Nebraska PACE (Immanuel Pathways)

Age 55+
General Nebraska resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $4,000 (individual), $6,000 (couple).
NE

Only in Douglas, Sarpy, parts of Cass/Pottawattamie/Washington Counties.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

Medicare Savings Program (MSP)

Nebraska Medicare Savings Program

Age 65+ or disabled
General Nebraska resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
NE

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

VA Aid and Attendance (A&A) and Housebound Benefits

Nebraska VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Nebraska resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
NE

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Frequently Asked Questions about Brookestone Meadows Rehabilitation and

What neighborhood is Brookestone Meadows Rehabilitation and in?

Brookestone Meadows Rehabilitation and is in the Elkhorn neighborhood of ELKHORN.

Who is the owner of Brookestone Meadows Rehabilitation and?

The legal owner and operator of Brookestone Meadows Rehabilitation and is Vsl Elkhorn, Llc.

Is Brookestone Meadows Rehabilitation and in a walkable area?

Brookestone Meadows Rehabilitation and has a walk score of 6. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at Brookestone Meadows Rehabilitation and?

Brookestone Meadows Rehabilitation and's occupancy is 91%.

Who is the administrator of Brookestone Meadows Rehabilitation and?

Administrator Jason Nitz is the administrator of Brookestone Meadows Rehabilitation and.

How many beds does Brookestone Meadows Rehabilitation and have?

Brookestone Meadows Rehabilitation and has 140 beds.

Are there photos of Brookestone Meadows Rehabilitation and?

Yes — there are 2 photos of Brookestone Meadows Rehabilitation and in the photo gallery on this page.

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