Brookestone Meadows Rehabilitation and

Nursing Home, Home Care, Hospice Care, Independent Living & Skilled Nursing · Elkhorn, NE

CMS overall rating

600 Brookestone Meadows Plaza, Elkhorn, NE 68022 View map

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Brookestone Meadows Rehabilitation and accepts Medicare, Medicaid, and private pay.

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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.

Facility Direct Line (402) 289-2696 brookestonemeadows@vhsmail.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours 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 vs Nebraska averages

Total nursing care This home is ranked 21st out of 120 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

12% above state avg

Staff type

Hours / day / resident

vs state avg

Registered Nurse (RN)

54m

LPN / LVN

44m

Nurse Aide

3h 5m

Weekend Total Nursing

4h 16m

Physical Therapist

Weekend RN

43m

All 6 underlying metrics are above the state average

Capacity and availability

90 days

140-bed community

A larger shared setting that may offer more common spaces and organized community services.

Walk Score: 6 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

91%

Higher than the Nebraska average: 70.3%

Occupied beds

128 / 140

Average occupied beds in Nebraska homes 54 beds

Facility TypeNursing Home

CountyDouglas

CMS Certification Number285276

Certification TypeCertification

Brookestone Meadows Rehabilitation and is administered by Administrator Jason Nitz.

Owner NameVsl Elkhorn, LLC

Rehabilitation Services

Fax(402) 289-1090

Pets not allowed

Wi-Fi

Dining

Sun Room

Chapel

Café

Salon

Transportation

Religious Services

Since 2023 · 3 years of data 3 deficiencies 3 inspections

Inspection Scorecard 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.

Since 2023 vs. Nebraska state average

Overall vs. NE average

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	NE Average	vs. NE Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	3	52	This facility has 94% fewer total deficiencies than a typical Nebraska nursing home (3 vs. NE avg 52).↓ 94% better
Deficiencies per inspection Average deficiencies per inspection.	1.0	4	This facility has 75% fewer deficiencies per inspection than a typical Nebraska nursing home (1 vs. NE avg 4).↓ 75% better

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	NE Average	vs. NE Avg
Total inspections Combined count of all inspections conducted at this facility.	3	13	This facility has had 77% fewer total inspections than the Nebraska average (3 vs. NE avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↓ 77% fewer

Show Inspection Reports

Inspections since 2024

Total health inspections 2

State average 4.3

Last Health inspection on Apr 2025

Total health citations

State average 18.2

Citations per inspection

State 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

100% better than State average

State average: 0.2

Serious health citations

100% worse than State average

State average: 0.5

0 critical citations State average: 0.2

1 serious citation State average: 0.5

3 moderate citations State average: 17.2

0 minor citations State 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

Total staff 252

Employees 231

Contractors 21

Staff to resident ratio 1.97 : 1

0% compared with Nebraska average

Avg staff/day 98

Average shift 7.8 hours

0% compared with Nebraska average

Total staff hours (quarter) 69,925

Nursing staff breakdown

9.3 hours

10 hours

140

7.4 hours

Contractor staffing

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


Certified Nursing Assistant	140	0	140	33,997	92	100%	7.4
Licensed Practical Nurse	24	0	24	8,904	92	100%	10
Registered Nurse	20	0	20	7,217	92	100%	9.3
Dental Services Staff	9	0	9	3,682	80	87%	7.9
Medication Aide/Technician	22	0	22	3,297	92	100%	7.4
Clinical Nurse Specialist	6	0	6	3,254	77	84%	8.4
Physical Therapy Assistant	0	9	9	2,729	76	83%	6.9
Other Dietary Services Staff	7	0	7	1,917	92	100%	8
Speech Language Pathologist	0	4	4	1,533	70	76%	6.1
Respiratory Therapy Technician	0	5	5	810	79	86%	4.9
Qualified Social Worker	0	2	2	795	67	73%	6.2
Administrator	1	0	1	528	66	72%	8
Nurse Practitioner	1	0	1	528	66	72%	8
Occupational Therapy Aide	1	0	1	528	66	72%	8
Medical Director	0	1	1	208	26	28%	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%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 8.4

25% better than Nebraska average

Nebraska average: 11.3

Functional decline score 21.8

7% better than Nebraska average

Nebraska average: 23.3

Long-stay resident measures

Above average Nebraska avg: 2.8

Need for Help with Daily Activities Increased 17.2%

17% better than Nebraska average

Nebraska average: 20.8%

Walking Ability Worsened 15.5%

30% better than Nebraska average

Nebraska average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence 32.5%

21% worse than Nebraska average

Nebraska average: 26.9%

Falls with Major Injury 3.7%

19% better than Nebraska average

Nebraska average: 4.5%

High Risk Residents with Pressure Ulcers 3.1%

28% better than Nebraska average

Nebraska average: 4.3%

Urinary Tract Infection 2.6%

17% better than Nebraska average

Nebraska average: 3.1%

Lost Too Much Weight 2.7%

51% better than Nebraska average

Nebraska average: 5.4%

Depressive Symptoms 2.8%

37% better than Nebraska average

Nebraska average: 4.4%

Antipsychotic Use 17.8%

10% better than Nebraska average

Nebraska average: 19.8%

Pneumococcal Vaccine 99.8%

7% better than Nebraska average

Nebraska average: 93.2%

Influenza Vaccine 100.0%

In line with Nebraska average

Nebraska average: 96.1%

Hospitalizations per 1,000 days 1.73

In line with Nebraska average

Nebraska average: 1.80

ED visits per 1,000 days 0.88

55% better than Nebraska average

Nebraska average: 1.95

Short-stay resident measures

Significantly above average Nebraska avg: 2.2

Pneumococcal Vaccine 99.5%

23% better than Nebraska average

Nebraska average: 80.7%

Antipsychotic medication increase 1.2%

49% better than Nebraska average

Nebraska average: 2.4%

Influenza Vaccine 100.0%

32% better than Nebraska average

Nebraska average: 75.9%

Re-hospitalized after SNF stay 17.3%

17% better than Nebraska average

Nebraska average: 20.9%

Emergency department visits 5.4%

53% better than Nebraska average

Nebraska average: 11.6%

Falls with major injury 1.1%

39% worse than Nebraska average

Nebraska average: 0.8%

Ability to care for self at discharge 26.0%

52% worse than Nebraska average

Nebraska average: 53.7%

Successful return to home or community 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

Total residents 128

Medicare

28.1% of residents

Medicaid

34.4% of residents

Private pay or other

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.

Financial Trends

Historical financial and operational data for Brookestone Meadows Rehabilitation and from 2012–2024, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 06/2024.

Occupancy Rate 88.6% ↑ 3.4pp vs 2023

Net Patient Income $332.6K ↓ ~$376.5K vs 2023

Payroll Costs $12.6M ↑ ~$870.8K vs 2023

Operating Margin 1.5% ↓ 1.8pp vs 2023

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023	2024
Occupancy %	92.3%	90.8%	89.6%	91.0%	87.7%	87.6%	92.0%	93.4%	96.2%	75.8%	81.9%	85.2%	88.6%
Beds	139	140	140	140	140	140	140	140	140	140	140	140	140
Net Income	-$525,083	$343,682	$1,032,423	$1,351,346	$978,559	$292,423	$372,637	-$202,017	-$61,098	$23,374	$719,212	$711,441	$341,121
Gross Revenue	$28,912,153	$28,330,059	$28,880,543	$29,258,043	$29,934,559	$30,302,227	$32,259,891	$31,800,049	$27,713,862	$25,640,621	$27,176,956	$26,622,735	$26,643,175
Operating Expenses	$20,083,609	$18,877,452	$18,219,951	$18,200,168	$18,679,868	$19,191,956	$20,032,765	$20,553,721	$19,949,110	$19,427,502	$19,819,121	$20,672,008	$21,433,824
Net Patient Income	-$546,832	$326,377	$991,015	$1,303,662	$944,652	$270,706	$361,419	-$213,163	-$78,871	$24,282	$718,183	$709,078	$332,562
Net Patient Revenue	$19,536,777	$19,203,829	$19,210,966	$19,503,830	$19,624,520	$19,462,662	$20,394,184	$20,340,558	$19,870,239	$19,451,784	$20,537,304	$21,381,086	$21,766,386
Payroll Costs	$9,035,308	$8,746,019	$8,632,478	$8,504,298	$8,979,295	$9,390,121	$9,822,404	$10,780,068	$11,676,452	$11,414,278	$11,707,129	$11,761,256	$12,632,066
Operating Margin %	-2.8%	1.7%	5.2%	6.7%	4.8%	1.4%	1.8%	-1.1%	-0.4%	0.1%	3.5%	3.3%	1.5%
Medicare %	53.3%	49.7%	49.0%	45.8%	47.3%	43.5%	40.8%	36.5%	29.5%	36.9%	35.3%	29.7%	22.7%
Medicaid %	8.7%	7.6%	9.8%	8.7%	7.2%	10.2%	9.9%	12.6%	13.2%	19.7%	22.5%	32.6%	42.9%
Private %	38.0%	42.7%	41.3%	45.5%	45.5%	46.3%	49.3%	50.9%	57.2%	43.5%	42.1%	37.7%	34.4%
Net Patient Revenue/Day	$416	$414	$419	$420	$437	$435	$434	$426	$403	$502	$491	$491	$480
Cost/Day	$428	$407	$398	$392	$416	$429	$426	$431	$405	$501	$474	$475	$472
Avg Length of Stay	42.4 days	45.5 days	46.3 days	49.5 days	43.4 days	43.2 days	55.8 days	58.8 days	75.5 days	57.2 days	69.0 days	71.2 days	90.4 days

Finances and operations

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

Net patient revenue

$21.8M

Net patient income

$332.6K

Nonprofit Nonprofit Corporation

Net patient revenue

$21.8M

Net patient income

$332.6K

Other income

$8.6K

Payroll costs

$12.6M 58% of net patient revenue

Other operating costs

$8.8M

Total costs

$21.4M

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.

Coverage residents most often arrive under.

Medicare 63%

Private pay 30%

Medicaid 7%

Coverage residents most often leave under.

Medicare 47%

Private pay 39%

Medicaid 13%

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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Info below is compiled from CMS reports & the NE Dept. of Health & Human Services (DHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.


Brookestone of Papillion	NH SNF	Papillion	110 Facility 110 NE AVG 82 Rank #52 / 226	85.4% Facility 85.4% NE AVG 71.4 Rank #51 / 182	+20%	4.69 Facility 4.69 NE AVG 4.45 Rank #36 / 120	-2%	+5%	$0 Facility $0 NE AVG $38.1k Rank #1 / 125	7 Facility 7 NE AVG 18.2 Rank #14 / 123	1.8 Facility 1.8 NE AVG 4.2 Rank #6 / 123	-	94	-	35 Facility 35 NE AVG 47 Rank #197 / 287	John Harris	$10.8MFiscal year ending 06/2024 Facility $10.8MFiscal year ending 06/2024 NE AVG $7.6M Rank #18 / 114	$8.1MFiscal year ending 06/2024 Facility $8.1MFiscal year ending 06/2024 NE AVG $4.5M Rank #9 / 114	75%Fiscal year ending 06/2024 Facility 75%Fiscal year ending 06/2024 NE AVG 61.4% Rank #10 / 114	285268
Brookestone Acres	NH SNF	Columbus	80 Facility 80 NE AVG 82 Rank #83 / 226	78.8% Facility 78.8% NE AVG 71.4 Rank #84 / 182	+10%	5.07 Facility 5.07 NE AVG 4.45 Rank #20 / 120	-32%	+14%	$0 Facility $0 NE AVG $38.1k Rank #1 / 125	14 Facility 14 NE AVG 18.2 Rank #49 / 123	4.7 Facility 4.7 NE AVG 4.2 Rank #86 / 123	-	63	-	70 Facility 70 NE AVG 47 Rank #44 / 287	Raven Schmid	$9.4MFiscal year ending 06/2024 Facility $9.4MFiscal year ending 06/2024 NE AVG $7.6M Rank #25 / 114	$5.8MFiscal year ending 06/2024 Facility $5.8MFiscal year ending 06/2024 NE AVG $4.5M Rank #23 / 114	61.1%Fiscal year ending 06/2024 Facility 61.1%Fiscal year ending 06/2024 NE AVG 61.4% Rank #61 / 114	285291
Tabitha Nursing Center at Crete	NH RC SNF	Crete	38 Facility 38 NE AVG 82 Rank #198 / 226	94.7% Facility 94.7% NE AVG 71.4 Rank #12 / 182	+33%	4.94 Facility 4.94 NE AVG 4.45 Rank #25 / 120	-22%	+11%	$0 Facility $0 NE AVG $38.1k Rank #1 / 125	8 Facility 8 NE AVG 18.2 Rank #19 / 123	2.7 Facility 2.7 NE AVG 4.2 Rank #22 / 123	-	36	-	73 Facility 73 NE AVG 47 Rank #34 / 287	Brian Shanks	$4.0MFiscal year ending 12/2023 Facility $4.0MFiscal year ending 12/2023 NE AVG $7.6M Rank #88 / 114	$2.6MFiscal year ending 12/2023 Facility $2.6MFiscal year ending 12/2023 NE AVG $4.5M Rank #88 / 114	64.3%Fiscal year ending 12/2023 Facility 64.3%Fiscal year ending 12/2023 NE AVG 61.4% Rank #50 / 114	285283
Brookestone Meadows Rehabilitation and	NH HC HOS IL SNF	Elkhorn	140 Facility 140 NE AVG 82 Rank #26 / 226	91.4% Facility 91.4% NE AVG 71.4 Rank #22 / 182	+28%	4.99 Facility 4.99 NE AVG 4.45 Rank #21 / 120	-18%	+12%	$0 Facility $0 NE AVG $38.1k Rank #1 / 125	4 Facility 4 NE AVG 18.2 Rank #4 / 123	2.0 Facility 2.0 NE AVG 4.2 Rank #7 / 123	1	128	-	6 Facility 6 NE AVG 47 Rank #276 / 287	Timothy Malloy	$21.8MFiscal year ending 06/2024 Facility $21.8MFiscal year ending 06/2024 NE AVG $7.6M Rank #4 / 114	$12.6MFiscal year ending 06/2024 Facility $12.6MFiscal year ending 06/2024 NE AVG $4.5M Rank #4 / 114	58%Fiscal year ending 06/2024 Facility 58%Fiscal year ending 06/2024 NE AVG 61.4% Rank #76 / 114	285276
Saunders Medical Center	NH MC SNF	J Wahoo	60 Facility 60 NE AVG 82 Rank #131 / 226	98.3% Facility 98.3% NE AVG 71.4 Rank #5 / 182	+38%	5.48 Facility 5.48 NE AVG 4.45 Rank #11 / 120	-45%	+23%	$0 Facility $0 NE AVG $38.1k Rank #1 / 125	6 Facility 6 NE AVG 18.2 Rank #9 / 123	2.0 Facility 2.0 NE AVG 4.2 Rank #7 / 123	-	59	-	80 Facility 80 NE AVG 47 Rank #16 / 287	-	-	-	-	285296

Nursing Home Explorer

Who is the owner of Brookestone Meadows Rehabilitation and?

Brookestone Meadows Rehabilitation and is legally operated by Vsl Elkhorn, LLC, and administered by Administrator Jason Nitz.

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%.

Are pets allowed at Brookestone Meadows Rehabilitation and?

No, Brookestone Meadows Rehabilitation and has a no-pet policy.

Does Brookestone Meadows Rehabilitation and operate as a for-profit or non-profit?

Brookestone Meadows Rehabilitation and is registered as a non-profit in NE.

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.

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Brookestone Meadows Rehabilitation and

Overview of Brookestone Meadows Rehabilitation And

Quality ratings

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Brookestone Meadows Rehabilitation and

Inspection History

Inspection Scorecard 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 Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Health Inspection History

Inspections since 2024

Breakdown of citation severity (last 2 years)

Citations history (last 2 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

140 Certified Nursing Assistant

24 Licensed Practical Nurse

20 Registered Nurse

9 Dental Services Staff

22 Medication Aide/Technician

6 Clinical Nurse Specialist

9 Physical Therapy Assistant

7 Other Dietary Services Staff

4 Speech Language Pathologist

5 Respiratory Therapy Technician

2 Qualified Social Worker

1 Administrator

1 Nurse Practitioner

1 Occupational Therapy Aide

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Family Member Group

Nurse Aide Training

Active Family Council

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

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