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Gateway Vista
Nursing Home, Assisted Living, Independent Living, Palliative Care, Respite Care & Skilled Nursing · Lincoln, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Exterior view of Gateway Vista senior living facility Exterior view of a senior living facility with entrance Building exterior of Gateway Vista with fall foliage Exterior view of Gateway Vista with residents and landscaping Bright common area with cozy seating

Gateway Vista

Nursing Home, Assisted Living, Independent Living, Palliative Care, Respite Care & Skilled Nursing · Lincoln, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
225 N 56Th St, Lincoln, NE 68504 View map
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Gateway Vista accepts Medicare and private pay.
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Gateway Vista accepts Medicare and private pay.

Overview of Gateway Vista

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Gateway Vista provides independent living, assisted living, nursing home and skilled nursing, palliative care, and respite care in Lincoln, NE. Independent living provides private living with community services and no daily care, while assisted living adds help with tasks such as dressing, bathing, and medication while a resident keeps an apartment. Nursing home and skilled nursing care provide licensed nursing care on site around the clock. Palliative care focuses on comfort and symptom support, while respite care offers a short stay for a family whose usual caregiver needs to travel or recover.

The community has several care levels, which may make Gateway Vista a good fit for a resident whose needs grow over time because moving between levels can happen without leaving the community. Gateway Vista has 80 beds, giving families the community’s available residential capacity when considering placement.

Gateway Vista is in the Culler neighborhood, where a Walk Score of 71 means the area is very walkable and most errands can be done on foot, so a resident who no longer drives can still get out independently. Medicare and private pay are accepted, giving families those two payment routes for eligible care and services. Tonya Noack serves as the administrator, and Gateway Properties operates the community. Total nurse staffing is 4h 20m per resident per day, representing the amount of nurse time assigned to each resident across a day.

Facility Direct Line (402) 464-6371
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▲ 2.7% Above NE avg. ▲ 2.7% Above NE avg.NE average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 5.4% Above NE avg. ▲ 5.4% Above NE avg.NE average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▼ 9.5% Below NE avg. ▼ 9.5% Below NE avg.NE average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▲ 39.4% Above NE avg. ▲ 39.4% Above NE avg.NE average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Nebraska averages

Rank #53 / 120Nurse hours — State benchmarkedThis nursing home is ranked 53rd out of 120 nursing homes we track in Nebraska for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Nebraska average, with a ranking across 120 Nebraska facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This nursing home is ranked 53rd out of 120 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 20m

3% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
45m
+5% State avg: 43m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
1h 21m
+88% State avg: 43m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
2h 14m
−19% State avg: 2h 46m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
3h 45m
+4% State avg: 3h 37m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
7m
+141% State avg: 3m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
38m
+30% State avg: 29m per day · National avg: 28m per day

1 of 6 metrics below state avg

Standout metric: Physical Therapist is +141% above Nebraska average

By The Numbers

Community insights.

Bed count Info A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions. 80 Rank #44 / 129Bed count — State benchmarkedThis nursing home is ranked 44th out of 129 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Smaller home · May offer a more intimate, personalized care environment.

Years of operating Info A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management. Rank #16 / 19Years in operation — State benchmarkedThis nursing home is ranked 16th out of 19 nursing homes we track in Nebraska for years in operation. Shows how long this facility has been in operation compared to other Nebraska facilities. Longer operating histories may 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
18 years
Walk Score Info Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk. Rank #22 / 137Walk Score — State benchmarkedThis nursing home is ranked 22nd out of 137 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
71 / 100
Occupancy rate Info Occupancy between 85% and 95% suggests balanced demand. Rank #25 / 122Occupancy rate — State benchmarkedThis nursing home is ranked 25th out of 122 nursing homes we track in Nebraska for occupancy. Shows this facility's occupancy rate versus the Nebraska average, with its Statewide rank out of 122. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
90% This home usually has limited availability
Higher than the Nebraska average: 74.7%
Occupied beds
72 / 80
Avg. Length of Stay Info 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.
52 days

About this community

License Details

Facility TypeNursing Home
StatusActive
CountyLancaster
License NumberALF064
CMS Certification Number285266

Ownership & Operating Entity

Gateway Vista is legally operated by Gateway Properties, Inc., and administered by Tonya Noack.

Type Of Units

Medicaid and Medicare
80 units
Total beds
80 units

Contact Information

Fax(402) 467-0299

Additional Policies & Features

Pets not allowed

Contact Gateway Vista

This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.

Inspection History

In Nebraska, the Department of Health and Human Services, Division of Public Health conducts regular inspections to ensure nursing and assisted living facilities meet state and federal standards.

Since 2011 · 15 years of data These figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes. 85 deficiencies 16 inspections

Inspection Scorecard Info 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 2011 vs. Nebraska state average
Overall vs. NE average 2 Worse Metrics worse than Nebraska average:
• Total deficiencies (63% above)
• Deficiencies per inspection (99% above) 0 Better No metrics in this bucket.

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

This FacilityNE Averagevs. NE Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 8552 This facility has 63% more total deficiencies than a typical Nebraska nursing home (85 vs. NE avg 52).↑ 63% worse
Deficiencies per inspection Info Average deficiencies per inspection. 5.32.67 This facility has 99% more deficiencies per inspection than a typical Nebraska nursing home (5.3 vs. NE avg 2.67).↑ 99% worse

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

This FacilityNE Averagevs. NE Avg
Total inspections Info Combined count of all inspections conducted at this facility. 1613 This facility has had 23% more total inspections than the Nebraska average (16 vs. NE avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↑ 23% more
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2024 · 2 years of data

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Total health inspections 4

Nebraska average 4.5

Last Health inspection on Dec 2025

Total health citations
9 Rank #23 / 123Health citations — State benchmarkedThis nursing home is ranked 23rd out of 123 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 123 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Nebraska average 18.6

Citations per inspection
2.25 Rank #11 / 123Citations per inspection — State benchmarkedThis nursing home is ranked 11th out of 123 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 123 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Nebraska average 4.1

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

6 of 9 citations resulted from standard inspections; 2 of 9 resulted from complaint investigations; and 1 of 9 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 2 years)
Critical health citations
0
100% better than Nebraska average

Nebraska average: 0.2

Serious health citations
1
100% worse than Nebraska average

Nebraska average: 0.5

0 critical citations Nebraska average: 0.2
1 serious citation Nebraska average: 0.5
8 moderate citations Nebraska average: 17.7
0 minor citations Nebraska average: 0.3
Citations history (last 2 years)
Administration moderate citation Dec 23, 2025
Corrected
Quality of Care moderate citation Sep 18, 2025
Corrected
Environmental moderate citation Sep 03, 2025
Corrected
Infection Control moderate citation Sep 03, 2025
Corrected

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.

Staffing Data

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

Total staff 183
Employees 125
Contractors 58
Staff to resident ratio 2.32 : 1
15% more staff per resident than Nebraska average
Nebraska average ratio: 2.01 : 1 Nebraska average ratio: 2.01 : 1See full Nebraska ranking
Avg staff/day 54
Average shift 7.4 hours
5% worse than Nebraska average
Nebraska average: 7.8 hours Nebraska average shift: 7.8 hoursSee full Nebraska ranking
Total staff hours (quarter) 36,581

Nursing staff breakdown

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

Manages medical care and health needs.

RN Staff Info All 14 RN Staff are full-time employees. No contractors work on this role. 14
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 33 total: 15 full-time employees and 18 contractors. 33
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 91 total: 83 full-time employees and 8 contractors. 91
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.8 hours

Contractor staffing

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

Total hours from contractors

24.5%

8,973 contractor hours this quarter

Licensed Practical Nurse: 18 Physical Therapy Assistant: 10 Certified Nursing Assistant: 8 Speech Language Pathologist: 8 Respiratory Therapy Technician: 7 Physical Therapy Aide: 4 Qualified Social Worker: 3

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant8389114,77092100%6.8
Licensed Practical Nurse1518339,22692100%9.8
Registered Nurse140143,42492100%8.9
Clinical Nurse Specialist4041,4796672%8
Dental Services Staff4041,2267278%7.2
Speech Language Pathologist0881,1468693%5.3
Physical Therapy Assistant010101,1028592%5.1
Physical Therapy Aide0441,0867885%6.7
Respiratory Therapy Technician0777837683%5.2
Medication Aide/Technician2026758491%5.8
Qualified Social Worker0336526975%5.3
Nurse Practitioner1014916368%7.8
Administrator1014565762%8
Occupational Therapy Aide101671011%6.7
91 Certified Nursing Assistant
% of Days 100%
33 Licensed Practical Nurse
% of Days 100%
14 Registered Nurse
% of Days 100%
4 Clinical Nurse Specialist
% of Days 72%
View All Staffing Data in Lincoln

Penalties and fines

Includes penalties issued in 2024

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 Jan 2026)

Total fines amount $9K Rank #98 / 125Federal fines — State benchmarkedThis nursing home is ranked 98th out of 125 nursing homes we track in Nebraska for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Nebraska average among facilities with fines, and where it ranks among 125 facilities in the pool. Lower total dollars mean 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
74% lower than Nebraska average

Nebraska average: $33K

Number of fines 1
31% fewer fines than Nebraska average

Nebraska average: 1.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
38% more payment denials than Nebraska average

Nebraska average: 0.7

Fines amount comparison
Fines amount comparison
This facility $9K
Nebraska average $33K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jun 12, 2024
$9K
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Jun 12, 2024
18 days

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.0
21% better than Nebraska average

Nebraska average: 11.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 19.6
16% better than Nebraska average

Nebraska average: 23.3

Long-stay resident measures
Above average Nebraska avg: 2.8 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 14.7%
29% better than Nebraska average

Nebraska average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 14.8%
33% better than Nebraska average

Nebraska average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 29.3%
9% worse than Nebraska average

Nebraska average: 26.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 10.3%
128% worse than Nebraska average

Nebraska average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.4%
20% better than Nebraska average

Nebraska average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Nebraska average

Nebraska average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.6%
71% better than Nebraska average

Nebraska average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.4%
70% better than Nebraska average

Nebraska average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 10.3%
48% better than Nebraska average

Nebraska average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 92.3%
In line with Nebraska average

Nebraska average: 93.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.6%
In line with Nebraska average

Nebraska average: 96.1%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.92
7% worse than Nebraska average

Nebraska average: 1.80

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.37
30% better than Nebraska average

Nebraska average: 1.95

Short-stay resident measures
Average Nebraska avg: 2.2 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 87.9%
9% better than Nebraska average

Nebraska average: 80.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.7%
30% better than Nebraska average

Nebraska average: 2.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 85.2%
12% better than Nebraska average

Nebraska average: 75.9%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 26.8%
28% worse than Nebraska average

Nebraska average: 20.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 10.7%
8% better than Nebraska average

Nebraska average: 11.6%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.6%
26% better than Nebraska average

Nebraska average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 63.9%
19% better than Nebraska average

Nebraska average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 48.0%
5% worse than Nebraska average

Nebraska average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

63% of new residents, usually for short-term rehab.

Typical stay 26 days

Private pay

37% of new residents, often for short stays.

Typical stay 1 - 2 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 79
Medicare
36
45.6% of residents
Medicaid
29
36.7% of residents
Private pay or other
14
17.7% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a business corporation.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$14.8M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$521.2K
For-profit Operated by a business corporation.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$14.8M Rank #10 / 114Net patient revenue — State benchmarkedThis nursing home is ranked 10th out of 114 nursing homes we track in Nebraska. 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.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$521.2K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$241.8K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #15 / 114Payroll costs — State benchmarkedThis nursing home is ranked 15th out of 114 nursing homes we track in Nebraska. 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.
$7.0M 47.1% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #102 / 114Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 102nd out of 114 nursing homes we track in Nebraska. 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.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$8.4M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$15.3M
How we calculate these figures

This home is administered by Tonya Noack.

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 285266

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

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

Most new residents arrive under Medicare (63% of admissions), and a typical Medicare stay runs around 26 days.

Admissions
468 total

Coverage residents most often arrive under.

Medicare 63%
Private pay 37%
Discharges
472 total

Coverage residents most often leave under.

Medicare 58%
Private pay 41%
Medicaid 1%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Gateway Vista

Address 2.9 miles from city center Info Estimated distance in miles from Lincoln's city center to Gateway Vista's address, calculated via Google Maps.

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The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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.
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. 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. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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: 61.5% 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.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Southlake Village Rehabilitation & Care Center ★ ★ ★ ★ ★
NH
SNF
Lincoln
126
Facility 126
NE AVG 80
Rank #20 / 129
97.6%
Facility 97.6%
NE AVG 74.7%
Rank #9 / 122
+31%
5.04
Facility 5.04
NE AVG 4.45
Rank #19 / 120
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ -48%+13%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 125
6
Facility 6
NE AVG 18.2
Rank #11 / 123
3.0
Facility 3.0
NE AVG 4.2
Rank #26 / 123
-123-
15
Facility 15
NE AVG 48
Rank #127 / 137
Vsl Lincoln Southlake, LLC
$18.0MFiscal year ending 06/2024
Facility $18.0MFiscal year ending 06/2024
NE AVG $7.6M
Rank #7 / 114
$10.7MFiscal year ending 06/2024
Facility $10.7MFiscal year ending 06/2024
NE AVG $4.5M
Rank #6 / 114
59.5%Fiscal year ending 06/2024
Facility 59.5%Fiscal year ending 06/2024
NE AVG 61.5%
Rank #71 / 114
285219
Ambassador Health of Lincoln ★ ★ ★ ☆ ☆
NH
AL
IL
SNF
Lincoln
122
Facility 122
NE AVG 80
Rank #22 / 129
57.4%
Facility 57.4%
NE AVG 74.7%
Rank #98 / 122
-23%
4.01
Facility 4.01
NE AVG 4.45
Rank #72 / 120
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ -2%-10%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 125
16
Facility 16
NE AVG 18.2
Rank #60 / 123
3.2
Facility 3.2
NE AVG 4.2
Rank #43 / 123
-70-
18
Facility 18
NE AVG 48
Rank #122 / 137
Ambassador Health Of Lincoln
$13.6MFiscal year ending 06/2024
Facility $13.6MFiscal year ending 06/2024
NE AVG $7.6M
Rank #11 / 114
$8.2MFiscal year ending 06/2024
Facility $8.2MFiscal year ending 06/2024
NE AVG $4.5M
Rank #8 / 114
59.8%Fiscal year ending 06/2024
Facility 59.8%Fiscal year ending 06/2024
NE AVG 61.5%
Rank #68 / 114
285066
Gateway Vista ★ ★ ★ ☆ ☆
NH
AL
IL
PC
RC
SNF
Lincoln (Culler)
80
Facility 80
NE AVG 80
Rank #44 / 129
90.0%
Facility 90.0%
NE AVG 74.7%
Rank #25 / 122
+21%
4.33
Facility 4.33
NE AVG 4.45
Rank #53 / 120
 ★ ★ ★ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ -20%-3%
$8.7k
Facility $8.7k
NE AVG $38.1k
Rank #98 / 125
9
Facility 9
NE AVG 18.2
Rank #23 / 123
2.3
Facility 2.3
NE AVG 4.2
Rank #11 / 123
172-
71
Facility 71
NE AVG 48
Rank #22 / 137
Gateway Properties, Inc
$14.8MFiscal year ending 12/2023
Facility $14.8MFiscal year ending 12/2023
NE AVG $7.6M
Rank #10 / 114
$7.0MFiscal year ending 12/2023
Facility $7.0MFiscal year ending 12/2023
NE AVG $4.5M
Rank #15 / 114
47.1%Fiscal year ending 12/2023
Facility 47.1%Fiscal year ending 12/2023
NE AVG 61.5%
Rank #102 / 114
285266
Tabitha Nursing and Rehabilitation Center ★ ★ ☆ ☆ ☆
NH
RC
SNF
Lincoln (Witherbee)
197
Facility 197
NE AVG 80
Rank #2 / 129
86.3%
Facility 86.3%
NE AVG 74.7%
Rank #39 / 122
+16%
5.74
Facility 5.74
NE AVG 4.45
Rank #7 / 120
 ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ -20%+29%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 125
22
Facility 22
NE AVG 18.2
Rank #78 / 123
3.1
Facility 3.1
NE AVG 4.2
Rank #42 / 123
-170-
59
Facility 59
NE AVG 48
Rank #43 / 137
Tabitha, Inc
$55.1MFiscal year ending 12/2023
Facility $55.1MFiscal year ending 12/2023
NE AVG $7.6M
Rank #1 / 114
$37.5MFiscal year ending 12/2023
Facility $37.5MFiscal year ending 12/2023
NE AVG $4.5M
Rank #1 / 114
68.2%Fiscal year ending 12/2023
Facility 68.2%Fiscal year ending 12/2023
NE AVG 61.5%
Rank #36 / 114
285057
Holmes Lake Rehabilitation & Care Center ★ ★ ☆ ☆ ☆
NH
Lincoln
97
Facility 97
NE AVG 80
Rank #35 / 129
62.9%
Facility 62.9%
NE AVG 74.7%
Rank #89 / 122
-16%
3.24
Facility 3.24
NE AVG 4.45
Rank #114 / 120
 ★ ★ ★ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ -25%-27%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 125
24
Facility 24
NE AVG 18.2
Rank #92 / 123
3.0
Facility 3.0
NE AVG 4.2
Rank #26 / 123
-61-
21
Facility 21
NE AVG 48
Rank #118 / 137
Holmes Lake Operations LLC
$4.6MFiscal year ending 12/2023
Facility $4.6MFiscal year ending 12/2023
NE AVG $7.6M
Rank #82 / 114
$2.8MFiscal year ending 12/2023
Facility $2.8MFiscal year ending 12/2023
NE AVG $4.5M
Rank #82 / 114
60.7%Fiscal year ending 12/2023
Facility 60.7%Fiscal year ending 12/2023
NE AVG 61.5%
Rank #64 / 114
285164

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

Nursing Home Explorer

Financial Assistance for
Nursing Home in Nebraska

Gateway Vista is located in Lincoln, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.

Get Financial aid guidance

Aged and Disabled Waiver

Nebraska Medicaid A&D Waiver

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

Higher asset limit; rural access focus.

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

Nebraska Respite Network

NE Respite Network

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

Lifespan respite focus; limited funding.

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

Personal Assistance Services (PAS)

Nebraska Personal Assistance Services

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

Family can be paid caregivers; statewide via DHHS.

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

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

Nebraska PACE (Immanuel Pathways)

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

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

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

Medicare Savings Program (MSP)

Nebraska Medicare Savings Program

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

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

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

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

Nebraska VA Aid and Attendance/Housebound

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

High veteran demand in rural areas.

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

Frequently Asked Questions about Gateway Vista

What neighborhood is Gateway Vista in?

Gateway Vista is in the Culler neighborhood of Lincoln.

Who is the owner of Gateway Vista?

Gateway Vista is legally operated by Gateway Properties, Inc., and administered by Tonya Noack.

Is Gateway Vista in a walkable area?

Gateway Vista has a walk score of 71. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Gateway Vista?

According to NE state health department records, Gateway Vista's license number is ALF064.

What is the occupancy rate at Gateway Vista?

Gateway Vista's occupancy is 90%.

How long has Gateway Vista been in business?

Gateway Vista has been operating for approximately 18 years, based on available licensing and registration records.

Are pets allowed at Gateway Vista?

No, Gateway Vista has a no-pet policy.

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