Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
261
236 employees · 25 contractors · 97 on an average day Brookestone Meadows Rehabilitation and
Nursing Home, Home Care, Hospice Care, Independent Living & Skilled Nursing · Elkhorn, NE
ALM Inspection Grade
A
ALM's inspection grade is 95 / 100, an A — 11 points above the Nebraska average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 95 / 100, an A — 11 points above the Nebraska average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Brookestone Meadows Rehabilitation and
Nursing Home, Home Care, Hospice Care, Independent Living & Skilled Nursing · Elkhorn, NE
ALM Inspection Grade
A
ALM's inspection grade is 95 / 100, an A — 11 points above the Nebraska average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 95 / 100, an A — 11 points above the Nebraska average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Brookestone Meadows Rehabilitation and accepts Medicare, Medicaid, and private pay.
Overview of Brookestone Meadows Rehabilitation And
Brookestone Meadows Rehabilitation And provides skilled nursing, independent living, home care, and hospice care in Elkhorn, Nebraska. Skilled nursing includes licensed nursing care on site around the clock, while independent living offers private living with community services and no daily care. Home care supports services delivered in a resident’s own home, and hospice care addresses end-of-life needs.
Care needs can change over time. Because independent living and nursing care are both available, the community may be a good fit for a resident whose care needs may grow without requiring a move to another community. The home has 140 beds, with total nurse staffing of 4 hours and 57 minutes per resident per day, representing the daily hands-on nursing time allocated to each resident.
Medicare, Medicaid, and private pay are accepted, giving families those payment routes for covered or privately funded care. Administrator Jason Nitz oversees the community, which is operated by Vsl Elkhorn. Private rooms provide an individual living space, while companion rooms suit residents who want to share a room.
Rehabilitation services and short-term rehab or sub-acute care support someone recovering while receiving therapy in a nursing care setting. There are three courtyards, including a koi pond, Japanese garden, rose garden, and sitting areas. Residents can also use a salon and spa, chapels for religious services, and dining rooms with open dining times.
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
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 23rd out of 113 nursing homes we track 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 57m
This nursing home is ranked 23rd out of 113 nursing homes we track 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 57mStandout metric: Physical therapist is +94% above Nebraska average
0 of 6 metrics below Nebraska average
Daily care time per resident, by role
Registered nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 15 are the facility's own employees; no agency contractors work in this role.
15 staff · 9.7-hour shifts
47m
↑ 10% · NE 43mThis facility: 47m per resident per day, 10% above the Nebraska average of 43m (among Nebraska facilities reporting a recent figure).
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. All 15 are the facility's own employees; no agency contractors work in this role.
15 staff · 9.7-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 28 are the facility's own employees; no agency contractors work in this role.
28 staff · 9.9-hour shifts
51m
↑ 18% · NE 43mThis facility: 51m per resident per day, 18% above the Nebraska average of 43m (among Nebraska facilities reporting a recent figure).
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. All 28 are the facility's own employees; no agency contractors work in this role.
28 staff · 9.9-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. All 141 are the facility's own employees; no agency contractors work in this role.
141 staff · 7.4-hour shifts
3h 18m
↑ 20% · NE 2h 46mThis facility: 3h 18m per resident per day, 20% above the Nebraska average of 2h 46m (among Nebraska facilities reporting a recent figure).
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. All 141 are the facility's own employees; no agency contractors work in this role.
141 staff · 7.4-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
Physical therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
6m
↑ 94% · NE 3mThis facility: 6m per resident per day, 94% above the Nebraska average of 3m (among Nebraska facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
4h 27m
↑ 23% · NE 3h 37mThis facility: 4h 27m per resident per day, 23% above the Nebraska average of 3h 37m (among Nebraska facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
37m
↑ 27% · NE 29mThis facility: 37m per resident per day, 27% above the Nebraska average of 29m (among Nebraska facilities reporting a recent figure).
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.
Sat–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
261
236 employees · 25 contractors · 97 on an average day
261 total staff / 124 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
2.10 : 1
↑ 5% · NE 2.01This facility: 2.10 staff per resident, 5% above the Nebraska average of 2.01 (among Nebraska facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
261 staff ÷ 124 residents
See full Nebraska ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.8 h
≈ 0% · NE 7.8 hThis facility: 7.8 h, level with the Nebraska average of 7.8 h (among Nebraska facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
69,181 staff hours this quarter
See full Nebraska ranking →91.4% of staff hours were worked by the facility's own employees
Nebraska average: 89.6% · Contractors this quarter: Physical Therapy Assistant (10), Respiratory Therapy Technician (7), Speech Language Pathologist (5), Qualified Social Worker (2), Medical Director (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.
140
Rank #16 / 127Bed count — State benchmarked This nursing home is ranked 16th out of 127 nursing homes we track in Nebraska for bed count. 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A mid-sized community that may balance personal attention with shared amenities and social activities.
140
Rank #16 / 127Bed count — State benchmarked This nursing home is ranked 16th out of 127 nursing homes we track in Nebraska for bed count. 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Walk Score
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #132 / 136Walk Score — State benchmarked This nursing home is ranked 132nd out of 136 nursing homes we track in Nebraska for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Nebraska facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #132 / 136Walk Score — State benchmarked This nursing home is ranked 132nd out of 136 nursing homes we track in Nebraska for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Nebraska facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
6
/ 100
Occupancy rate
Occupancy between 85% and 95% suggests balanced demand.
Rank #15 / 121Occupancy rate — State benchmarked This nursing home is ranked 15th out of 121 nursing homes we track in Nebraska for occupancy. Shows this facility's occupancy rate versus the Nebraska average, with its Statewide rank out of 121. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy between 85% and 95% suggests balanced demand.
Rank #15 / 121Occupancy rate — State benchmarked This nursing home is ranked 15th out of 121 nursing homes we track in Nebraska for occupancy. Shows this facility's occupancy rate versus the Nebraska average, with its Statewide rank out of 121. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
93.1%
This home usually has limited availability
Based on 130.4 residents and 140 beds. Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Higher than the Nebraska average: 73.8%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
91
days
About This Community
Facility TypeNursing Home
CountyDouglas
CMS Certification Number285276
Certification TypeCertification
Brookestone Meadows Rehabilitation and is administered by Administrator Jason Nitz.
Owner NameVsl Elkhorn, LLC
Resident Council
Transportation
Fax(402) 289-1090
Pets not allowed
Wi-Fi
Sun Room
Chapel
Café
Beauty Salon
Room Types
Private Room
Semi-Private / Shared Room
CMS Health Inspection History
ALM Inspection Grade
95 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
11 points above the Nebraska average for CMS-certified facilities (84/100)
Category breakdown
Citations
Strong
7 severity-weighted points (3 deficiencies) · 7× lower than the typical CMS-certified NE facility (median: 49)
Enforcement
Strong
No fines on record · 0 enforcement actions
Persistence
Strong
29 days to fix issues · faster than the typical CMS-certified NE facility (median: 36)
Total health inspections
2
↓ 57% · NE 4.6This facility: 2, 57% below the NE average of 4.6 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
3
Rank #1 / 121Health citations — State benchmarked This nursing home is ranked 1st out of 121 nursing homes we track in Nebraska for health citations. Shows this facility's total health deficiency citations benchmarked to the Nebraska State average, with a ranking across all 121 NE facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 84% · NE 19.3This facility: 3, 84% below the NE average of 19.3 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
1.5
Rank #3 / 121Citations per inspection — State benchmarked This nursing home is ranked 3rd out of 121 nursing homes we track in Nebraska for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Nebraska mean across 121 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 64% · NE 4.16This facility: 1.5, 64% below the NE average of 4.16 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
3 of 3 citations corrected
Critical
J–L
0
↓ 100% · NE 0.2This facility: 0, 100% below the NE average of 0.2 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · NE 0.5This facility: 0, 100% below the NE average of 0.5 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
3
↓ 84% · NE 18.3This facility: 3, 84% below the NE average of 18.3 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · NE 0.3This facility: 0, 100% below the NE average of 0.3 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Apr 01, 2025 · 1 citation (Nutrition, moderate), corrected
Most cited category: Nutrition & Dietary, 2 of 3 citations · 2 categories in total
Citations history
Most recent first
Apr 01, 2025
1 citation
Nutrition moderate citation
Corrected
Corrected
Mar 12, 2024
2 citations
Nutrition moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Top deficiency categories
Share of 3 citations
Nutrition & Dietary
2 deficiencies (67%)
Quality of Life & Care
1 deficiency (33%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 3 citations resulted from standard inspections.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
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.
Show Inspection Reports
Enforcement
Penalties and fines
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 · Data as of Oct 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Oct 2023.
Total fines
$0
NE avg $35KNebraska average: $34,803. Average among the 66 Nebraska facilities with a penalty on record.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.
Number of fines
0
NE avg 1.17Nebraska average: 1.17. Average among the 66 Nebraska facilities with a penalty on record.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
NE avg 0.71Nebraska average: 0.71. Average among the 66 Nebraska facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Nebraska average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 81% · NE 2.8This facility: 5.0, 81% above the NE average of 2.8 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 123% · NE 2.2This facility: 5.0, 123% above the NE average of 2.2 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
8.1
Score · lower is better
↓ 17% · NE 9.8This facility: 8.1, 17% below the NE average of 9.8 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
21.5
Score · lower is better
↑ 6% · NE 20.3This facility: 21.5, 6% above the NE average of 20.3 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 11 better, 1 worse, 1 near NE average
8 short-stay measures: 5 better, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
16.0%
↓ 16% · NE 19.0This facility: 16.0, 16% below the NE average of 19.0 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
16.0%
↓ 16% · NE 19.0This facility: 16.0, 16% below the NE average of 19.0 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
15.1%
↓ 10% · NE 16.8This facility: 15.1, 10% below the NE average of 16.8 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
15.1%
↓ 10% · NE 16.8This facility: 15.1, 10% below the NE average of 16.8 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.3%
↑ 33% · NE 25.0This facility: 33.3, 33% above the NE average of 25.0 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.3%
↑ 33% · NE 25.0This facility: 33.3, 33% above the NE average of 25.0 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
2.1%
↓ 23% · NE 2.7This facility: 2.1, 23% below the NE average of 2.7 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
2.1%
↓ 23% · NE 2.7This facility: 2.1, 23% below the NE average of 2.7 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
3.8%
↓ 16% · NE 4.5This facility: 3.8, 16% below the NE average of 4.5 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
3.8%
↓ 16% · NE 4.5This facility: 3.8, 16% below the NE average of 4.5 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
3.1%
↓ 23% · NE 4.0This facility: 3.1, 23% below the NE average of 4.0 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
3.1%
↓ 23% · NE 4.0This facility: 3.1, 23% below the NE average of 4.0 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
2.5%
↓ 52% · NE 5.1This facility: 2.5, 52% below the NE average of 5.1 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
2.5%
↓ 52% · NE 5.1This facility: 2.5, 52% below the NE average of 5.1 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
0.5%
↓ 88% · NE 4.4This facility: 0.5, 88% below the NE average of 4.4 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.5%
↓ 88% · NE 4.4This facility: 0.5, 88% below the NE average of 4.4 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
12.6%
↓ 39% · NE 20.7This facility: 12.6, 39% below the NE average of 20.7 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
12.6%
↓ 39% · NE 20.7This facility: 12.6, 39% below the NE average of 20.7 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 8% · NE 93.0This facility: 100.0, 8% above the NE average of 93.0 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 8% · NE 93.0This facility: 100.0, 8% above the NE average of 93.0 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 5% · NE 95.6This facility: 100.0, 5% above the NE average of 95.6 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 5% · NE 95.6This facility: 100.0, 5% above the NE average of 95.6 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.73
↓ 4% · NE 1.80This facility: 1.73, 4% below the NE average of 1.80 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.73
↓ 4% · NE 1.80This facility: 1.73, 4% below the NE average of 1.80 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.88
↓ 55% · NE 1.95This facility: 0.88, 55% below the NE average of 1.95 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.88
↓ 55% · NE 1.95This facility: 0.88, 55% below the NE average of 1.95 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
26.0%
↓ 52% · US 53.7This facility: 26.0, 52% below the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
26.0%
↓ 52% · US 53.7This facility: 26.0, 52% below the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
65.1%
↑ 29% · US 50.6This facility: 65.1, 29% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
65.1%
↑ 29% · US 50.6This facility: 65.1, 29% above the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.1%
↑ 39% · US 0.8This facility: 1.1, 39% above the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
1.1%
↑ 39% · US 0.8This facility: 1.1, 39% above the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
↓ 79% · NE 2.1This facility: 0.4, 79% below the NE average of 2.1 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
↓ 79% · NE 2.1This facility: 0.4, 79% below the NE average of 2.1 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
↑ 22% · NE 81.3This facility: 99.2, 22% above the NE average of 81.3 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
↑ 22% · NE 81.3This facility: 99.2, 22% above the NE average of 81.3 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.1%
↑ 34% · NE 73.9This facility: 99.1, 34% above the NE average of 73.9 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.1%
↑ 34% · NE 73.9This facility: 99.1, 34% above the NE average of 73.9 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
17.3%
↓ 17% · NE 20.9This facility: 17.3, 17% below the NE average of 20.9 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
17.3%
↓ 17% · NE 20.9This facility: 17.3, 17% below the NE average of 20.9 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
5.4%
↓ 53% · NE 11.6This facility: 5.4, 53% below the NE average of 11.6 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
5.4%
↓ 53% · NE 11.6This facility: 5.4, 53% below the NE average of 11.6 (among NE facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Brookestone Meadows Rehabilitation and’s finances from its CMS cost report for the fiscal year ending June 2025, compared with 117 Nebraska nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Jun 2025
Is it financially stable?
Breaking even on care
5.0% operating margin
+3.4 pts vs prior year
Positive margin in 6 of the last 8 reported years. Net income $1.1M after other income.
Does it invest in staff?
Payroll in line with Nebraska homes
61.4% payroll share of revenue
NE average 61.2%Rank #66 / 117Payroll % of net patient revenue — State benchmarked This nursing home is ranked 66th out of 117 nursing homes we track in Nebraska for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Nebraska average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $1.1M while revenue rose $0.6M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2025 scorecard
Each row shows the FY 2025 figure, the change since the prior report, the trend, and how it compares with Nebraska homes.
Revenue & profit
Profitable on care
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | NE median | Compared with NE homesRank in NE | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $22.3M | +$0.6M | Trend 20182025 | NE median $6.3M | Rank in NE Rank #4 / 117Net patient revenue — State benchmarked This nursing home is ranked 4th out of 117 nursing homes we track in Nebraska for net patient revenue. Shows this facility's net patient revenue compared to the Nebraska average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 97% of homes | Top 3% in NE Higher net patient revenue than 97% of NE homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $21.2M | −$0.2M | Trend 20182025 | NE median $6.7M | Rank in NE Rank #4 / 117Operating expenses — State benchmarked This nursing home is ranked 4th out of 117 nursing homes we track in Nebraska for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Nebraska homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 97% of homes | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $1.1M | +$0.8M | Trend 20182025 | NE median −$0.1M | Rank in NE Rank #4 / 117Net patient income — State benchmarked This nursing home is ranked 4th out of 117 nursing homes we track in Nebraska for net patient income. Shows net patient revenue minus operating expenses, compared with other Nebraska homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 97% of homes | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 5.0% | +3.4 pts | Trend 20182025 | NE median −2.5% | Rank in NE Rank #20 / 117Operating margin — State benchmarked This nursing home is ranked 20th out of 117 nursing homes we track in Nebraska for operating margin. Shows net patient income as a share of net patient revenue, compared with other Nebraska homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 84% of homes | Thin margin A margin from 0% to 5% of revenue leaves little room for unexpected costs. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | NE median $0.1M | Rank in NE Rank #81 / 114Other income — State benchmarked This nursing home is ranked 81st out of 114 nursing homes we track in Nebraska for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Nebraska homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 29% of homes | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $1.1M | +$0.8M | Trend — | NE median −$0.0M | Rank in NE Rank #6 / 117Net income — State benchmarked This nursing home is ranked 6th out of 117 nursing homes we track in Nebraska for net income. Shows the bottom line after other income, compared with other Nebraska homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 96% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Staff spending in line with Nebraska homes
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | NE median | Compared with NE homesRank in NE | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $13.7M | +$1.1M | Trend 20182025 | NE median $3.7M | Rank in NE Rank #4 / 117Payroll costs — State benchmarked This nursing home is ranked 4th out of 117 nursing homes we track in Nebraska for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Nebraska average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 97% of homes | Top 3% in NE by size Higher payroll than 97% of NE homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 61.4% | +3.4 pts | Trend 20182025 | NE median 61.9% | Rank in NE Rank #66 / 117Payroll % of net patient revenue — State benchmarked This nursing home is ranked 66th out of 117 nursing homes we track in Nebraska for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Nebraska average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Nebraska that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 44% of homes | Near NE average The NE average is 61.2% of revenue. Within 3 points of it reads as near the average. |
Charts, 2018–2025 2 charts · NE benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Nebraska payroll average.
% of net patient revenue
Payroll share Operating margin NE payroll average
Year-by-year data, 2018–2025 every reported year · latest first, scroll sideways
| Metric | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $20.4M | $20.3M | $19.9M | $19.5M | $20.5M | $21.4M | $21.8M | $22.3M |
| Operating expenses | $20.0M | $20.6M | $19.9M | $19.4M | $19.8M | $20.7M | $21.4M | $21.2M |
| Net patient income | $0.4M | −$0.2M | −$0.1M | $0.0M | $0.7M | $0.7M | $0.3M | $1.1M |
| Operating margin | 1.8% | −1.1% | −0.4% | 0.1% | 3.5% | 3.3% | 1.5% | 5.0% |
| Net income | $0.4M | −$0.2M | −$0.1M | $0.0M | $0.7M | $0.7M | $0.3M | $1.1M |
| Payroll costs | $9.8M | $10.8M | $11.7M | $11.4M | $11.7M | $11.8M | $12.6M | $13.7M |
| Payroll share of revenue | 48.2% | 53.0% | 58.8% | 58.7% | 57.0% | 55.0% | 58.0% | 61.4% |
| Beds | 140 | 140 | 140 | 140 | 140 | 140 | 140 | 140 |
| Gross revenue | $32.3M | $31.8M | $27.7M | $25.6M | $27.2M | $26.6M | $26.6M | $29.3M |
| Salaries | $8.0M | $8.7M | $9.5M | $9.1M | $9.5M | $9.5M | $10.0M | $11.0M |
| Wage-related costs | $1.9M | $2.1M | $2.2M | $2.3M | $2.2M | $2.3M | $2.7M | $2.7M |
| Contract labor | $3.1M | $3.1M | $2.0M | $1.8M | $2.1M | $3.1M | $2.7M | $1.6M |
| Other operating costs | $10.2M | $9.8M | $8.3M | $8.0M | $8.1M | $8.9M | $8.8M | $7.5M |
| Net patient revenue per day | $434 | $426 | $403 | $502 | $491 | $491 | $480 | $473 |
| Cost per day | $426 | $431 | $405 | $501 | $474 | $475 | $472 | $450 |
| Average length of stay | 55.8 days | 58.8 days | 75.5 days | 57.2 days | 69.0 days | 71.2 days | 90.4 days | 90.7 days |
Showing 2025–2023 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2025
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
502 admissions · FY2025
Residents admitted during the year.
Medicare
345 · 69%
Medicaid
24 · 5%
Private pay & other
133 · 26%
Resident snapshot
124 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
32 · 26%
Medicaid
49 · 40%
Private pay & other
43 · 35%
Leaving
520 discharges · FY2025
Residents discharged during the year.
Medicare
252 · 48%
Medicaid
66 · 13%
Private pay & other
202 · 39%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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.
Calculate Travel Distance to Brookestone Meadows Rehabilitation and
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Compare Nursing Homes around the area
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-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Nebraska average is: 61.2% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Brookestone Meadows Rehabilitation and | NH HC HOS IL SNF | Elkhorn | 140
Facility
140
NE AVG
81
Rank
#16 / 127 | A |
93.1%
Facility
93.1%
NE AVG
73.8%
Rank
#15 / 121 | +26% | 4.94
Facility
4.94
NE AVG
4.56
Rank
#23 / 113 | -41% | +8% | $0
Facility
$0
NE AVG
$49.9k
Rank
#1 / 121 | 3
Facility
3
NE AVG
19.3
Rank
#1 / 121 | 1.5
Facility
1.5
NE AVG
4.2
Rank
#3 / 121 | - | 130 | - |
6
Facility
6
NE AVG
48
Rank
#132 / 136 | Vsl Elkhorn, LLC | $22.3MFiscal year ending 06/2025
Facility
$22.3MFiscal year ending 06/2025
NE AVG
$8.0M
Rank
#4 / 117 | $13.7MFiscal year ending 06/2025
Facility
$13.7MFiscal year ending 06/2025
NE AVG
$4.8M
Rank
#4 / 117 | 61.4%Fiscal year ending 06/2025
Facility
61.4%Fiscal year ending 06/2025
NE AVG
61.2%
Rank
#66 / 117 | 285276 | ||||
| St Joseph’s Hillside Villa | NH AL HOS RC SNF | West Point | 54
Facility
54
NE AVG
81
Rank
#85 / 127 | A+ |
97.8%
Facility
97.8%
NE AVG
73.8%
Rank
#6 / 121 | +33% | 5.59
Facility
5.59
NE AVG
4.56
Rank
#8 / 113 | -12% | +22% | $0
Facility
$0
NE AVG
$49.9k
Rank
#1 / 121 | 7
Facility
7
NE AVG
19.3
Rank
#15 / 121 | 1.8
Facility
1.8
NE AVG
4.2
Rank
#6 / 121 | - | 53 | - |
66
Facility
66
NE AVG
48
Rank
#31 / 136 | St. Joseph's Elder Services, Inc | $8.7MFiscal year ending 12/2024
Facility
$8.7MFiscal year ending 12/2024
NE AVG
$8.0M
Rank
#32 / 117 | $5.4MFiscal year ending 12/2024
Facility
$5.4MFiscal year ending 12/2024
NE AVG
$4.8M
Rank
#28 / 117 | 62.8%Fiscal year ending 12/2024
Facility
62.8%Fiscal year ending 12/2024
NE AVG
61.2%
Rank
#54 / 117 | 285303 | ||||
| The Mulberry at Waverly | NH AL | Waverly (Waverly Precinct) | 54
Facility
54
NE AVG
81
Rank
#85 / 127 | C |
77.0%
Facility
77.0%
NE AVG
73.8%
Rank
#60 / 121 | +4% | 3.96
Facility
3.96
NE AVG
4.56
Rank
#69 / 113 | -12% | -13% | $25.6k
Facility
$25.6k
NE AVG
$49.9k
Rank
#102 / 121 | 32
Facility
32
NE AVG
19.3
Rank
#102 / 121 | 3.2
Facility
3.2
NE AVG
4.2
Rank
#38 / 121 | 2 | 42 | - |
58
Facility
58
NE AVG
48
Rank
#47 / 136 | The Mulberry At Waverly LLC | $6.7MFiscal year ending 12/2024
Facility
$6.7MFiscal year ending 12/2024
NE AVG
$8.0M
Rank
#53 / 117 | $2.2MFiscal year ending 12/2024
Facility
$2.2MFiscal year ending 12/2024
NE AVG
$4.8M
Rank
#104 / 117 | 32.8%Fiscal year ending 12/2024
Facility
32.8%Fiscal year ending 12/2024
NE AVG
61.2%
Rank
#117 / 117 | 285143 | ||||
| Emerald Columbus | NH AL HOS MC PC SNF | Columbus | 145
Facility
145
NE AVG
81
Rank
#15 / 127 | B |
48.1%
Facility
48.1%
NE AVG
73.8%
Rank
#112 / 121 | -35% | 3.68
Facility
3.68
NE AVG
4.56
Rank
#89 / 113 | -49% | -19% | $0
Facility
$0
NE AVG
$49.9k
Rank
#1 / 121 | 22
Facility
22
NE AVG
19.3
Rank
#77 / 121 | 2.8
Facility
2.8
NE AVG
4.2
Rank
#25 / 121 | - | 70 | - |
57
Facility
57
NE AVG
48
Rank
#53 / 136 | Columbus Operations, LLC | $11.1MFiscal year ending 12/2024
Facility
$11.1MFiscal year ending 12/2024
NE AVG
$8.0M
Rank
#20 / 117 | $4.7MFiscal year ending 12/2024
Facility
$4.7MFiscal year ending 12/2024
NE AVG
$4.8M
Rank
#41 / 117 | 42%Fiscal year ending 12/2024
Facility
42%Fiscal year ending 12/2024
NE AVG
61.2%
Rank
#107 / 117 | 285092 | ||||
| Ridgewood Rehabilitation & Care Center | NH ADC MC SNF | Seward | 82
Facility
82
NE AVG
81
Rank
#43 / 127 | B+ |
75.6%
Facility
75.6%
NE AVG
73.8%
Rank
#65 / 121 | +2% | 4.74
Facility
4.74
NE AVG
4.56
Rank
#30 / 113 | -4% | +4% | $0
Facility
$0
NE AVG
$49.9k
Rank
#1 / 121 | 13
Facility
13
NE AVG
19.3
Rank
#41 / 121 | 4.3
Facility
4.3
NE AVG
4.2
Rank
#70 / 121 | - | 62 | - |
61
Facility
61
NE AVG
48
Rank
#39 / 136 | Vsl Seward, LLC | $7.4MFiscal year ending 06/2025
Facility
$7.4MFiscal year ending 06/2025
NE AVG
$8.0M
Rank
#44 / 117 | $4.6MFiscal year ending 06/2025
Facility
$4.6MFiscal year ending 06/2025
NE AVG
$4.8M
Rank
#43 / 117 | 61.9%Fiscal year ending 06/2025
Facility
61.9%Fiscal year ending 06/2025
NE AVG
61.2%
Rank
#59 / 117 | 285279 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other NE nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial assistance
Get financial aid guidance Programs that may help with care and living costs in Nebraska
Brookestone Meadows Rehabilitation and is in ELKHORN, Nebraska. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.
VA Aid and Attendance (A&A) and Housebound Benefits
VA Aid and Attendance (A&A) and Housebound Benefits
- Who it is for
- Veterans or survivors with VA pension eligibility and an Aid and Attendance or Housebound medical need
- Income limit
- 2026 · Countable income is compared with the applicable maximum annual pension rate (MAPR), which varies by dependents and benefit category. For a veteran with one dependent and Aid and Attendance, MAPR is $34,488/year.
- Asset limit
- VA pension net-worth ceiling is $163,699 from December 1, 2025 through November 30, 2026. Net worth includes countable assets plus income for VA purposes; exclusions and transfer rules apply.
Eligibility
- General
- Aid and Attendance or Housebound is an increased VA pension rate for eligible veterans or surviving spouses who meet pension and additional care/disability requirements; it is not a stand-alone state benefit.
- NE specifics
- Federal VA pension rules apply nationwide.
What it provides
- Monthly pension is based on the applicable MAPR less countable annual income; divided by 12. Maximum annual veteran Aid and Attendance rates are $29,093 without dependents and $34,488 with one dependent; actual payments may be lower.
Aged and Disabled Waiver
Aged and Disabled Waiver
Eligibility
- General
- Receive Nebraska Medicaid, have a disability or be over age 65, meet nursing-facility level of care, and need waiver services.
What it provides
- Assessed waiver services may include adult day services; assisted living; respite and supports in the home.
Lifespan Respite Services
Lifespan Respite Services
Eligibility
- General
- Lifespan Respite supports eligible unpaid caregivers of a person of any age with a qualifying special need, not only caregivers of people age 60+.
What it provides
- Eligible respite assistance provides temporary caregiver relief. The official program describes an additional $2,000 per eligibility period for qualifying exceptional circumstances.
Personal Assistance Services (PAS)
Personal Assistance Services (PAS)
Eligibility
- General
- Medicaid Personal Assistance Services help people with a chronic medical condition or disability with activities such as bathing or dressing; financial and authorization requirements are determined by Medicaid.
What it provides
- Assessed assistance with daily activities such as bathing and dressing. The participant may choose the provider and direct care.
Social Services for Aged and Disabled Adults (SSAD)
Social Services for Aged and Disabled Adults (SSAD)
Eligibility
- General
- People who are aged, blind or disabled and meet program income and assessed service-need rules; assistance is coordinated with other available programs.
What it provides
- Authorized help may include chores; adult day services; meals; homemaker instruction and transportation.
Disabled Persons and Family Support (DPFS)
Disabled Persons and Family Support (DPFS)
Eligibility
- General
- Nebraska residents of any age with a professionally documented severe, chronic disability and qualifying disability-related needs; income and resource rules and other available funding are considered.
What it provides
- Funding for approved disability-related services or equipment; potentially including personal care; housekeeping; adaptive equipment and home modifications; up to $400 monthly or $4,800 annually.
Medicare Savings Program (MSP)
Medicare Savings Program (MSP)
- Who it is for
- Medicare beneficiaries with limited income who need help with premiums or cost sharing
Eligibility
- General
- Medicare beneficiary; the state determines the applicable Medicare Savings Program. QMB helps with premiums and Medicare cost sharing; SLMB and QI generally help with Part B premiums.
- NE specifics
- QI requires annual application and is funded first-come, first-served with priority for prior recipients. QMB, SLMB and QI confer Part D Extra Help.
What it provides
- QMB pays eligible Part A/Part B premiums and Medicare deductibles and cost sharing; SLMB and QI pay Part B premiums. The exact benefit depends on the approved program.
Know before you visit
Frequently Asked Questions about Brookestone Meadows Rehabilitation and
Quick answers from public records and the community's own listing.01 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.
02 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.
03 What is the occupancy rate at Brookestone Meadows Rehabilitation and?
Brookestone Meadows Rehabilitation and's occupancy is 93.1%.
04 Are pets allowed at Brookestone Meadows Rehabilitation and?
No, Brookestone Meadows Rehabilitation and has a no-pet policy.
05 What is the best email address for Brookestone Meadows Rehabilitation and?
The team at Brookestone Meadows Rehabilitation and can be reached at brookestonemeadows@vhsmail.com.
06 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.
07 Who is the administrator of Brookestone Meadows Rehabilitation and?
Administrator Jason Nitz is the administrator of Brookestone Meadows Rehabilitation and.
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