Gateway Vista

Assisted Living in Lincoln

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.
Gateway Vista

Assisted Living in Lincoln

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.

Overview of Gateway Vista

Gateway Vista is one of the premier senior living communities in Lincoln. Management and staff are dedicated to promoting the standard of living for seniors who need assistance with daily living but still live an independent lifestyle. Gateway Vista is a continuum-of-care community that uniquely approaches senior care where residents are sure to feel like they belong. 

Gateway offers a range of services for its specialties: independent living, assisted living, memory care, outpatient therapy, short-term rehab, traditional skilled care, home health care, and respite care.

(402) 464-6371

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.
3/5 ▲ 0.2 Nebraska average: 2.8/5
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.
3/5 ▲ 0.2 Nebraska average: 2.8/5
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.
4/5 ▲ 0.9 Nebraska average: 3.1/5
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.
3/5 ▲ 0.3 Nebraska average: 2.7/5

Staffing hours breakdown

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

Hours per resident per day — compared to Nebraska state averages

Total nursing care / resident Info 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 50m per day
This facility Nebraska avg (4h 20m per day)
vs Nebraska avg
+11%

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 80
Avg. Length of Stay
52 days

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.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

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

Typical stay 26 days

Private pay

37% of new residents, often for short stays.

Typical stay 1 - 2 months

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$25.2M
Operating loss
-$279.4K
Privately-owned community Operated by a business corporation.
Home revenue
$25.2M
Operating loss
-$279.4K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.6M
22.4% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$19.8M
Total costs $25.5M
Bed community size
80-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
18 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 71 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

Services

Physical Therapy
Occupational Therapy
Speech Therapy

About this community

Occupancy

Occupancy rate
90%
In line with Nebraska average
Occupied beds
72 / 80
Average residents 54 per day

License Details

Facility TypeNursing Home
StatusActive
CountyLancaster

Additional Licensing Details

License NumberALF064
CMS Certification Number285266

Ownership & Operating Entity

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

Type Of Units

Medicaid and Medicare
80 units
Total beds
80 units

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactMark Sroczynski, Executive Director

Contact Information

Fax(402) 467-0299

Contact Gateway Vista

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.

16 visits/inspections Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

Latest inspection

Date February 22, 2024

85 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Nebraska average: 52 deficiencies

Inspection Report Summary for Gateway Vista

The most recent inspection on February 22, 2024, reported no deficiencies and confirmed that Gateway Vista meets statutory requirements for licensure renewal and occupancy. Earlier inspections showed a pattern of deficiencies primarily related to life safety code issues such as fire drills, emergency lighting, door maintenance, and oxygen storage, along with some concerns about care planning, medication management, and environmental cleanliness. Complaint investigations from prior years were mostly unsubstantiated, with one substantiated finding related to delayed reporting of an abuse allegation in 2016. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s record appears to have improved over time, with the most recent inspection showing no deficiencies after several years of cited issues.

Health Inspection History

Inspections
Total health inspections 3

Nebraska average 4.3


Last Health inspection on Sep 2025

Total health citations 10

Nebraska average 18.2

Citations per inspection
3.33

Nebraska average 4.19


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

8 of 10 citations resulted from standard inspections; 1 of 10 resulted from complaint investigations; and 1 of 10 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Nebraska average

Nebraska average: 0.2


Serious Health citations More info 1
100% worse than Nebraska average

Nebraska average: 0.5

0 critical citations More info Nebraska average: 0.2

1 serious citation More info Nebraska average: 0.5

9 moderate citations More info Nebraska average: 17.2

0 minor citations More info Nebraska average: 0.2
Citations history (last 3 years)
Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Sep 18, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jun 12, 2024
Corrected

Quality of Care serious citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Jun 12, 2024
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Jun 12, 2024
Corrected

Compare Assisted Living around Lincoln The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.

Filter by care type
AVIVA Woodlands
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Lincoln (Gable Pines Road)107No 12 -- 79.4% -Candyce HaydenLincoln 9421 Opco, Llc8200
Bailey Pointe Assisted Living at Van Dorn
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Lincoln (Van Dorn Meadows)84No 55 ----Catherine HornerWell Nebraska Tenant Llc0000
Gateway Vista
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Lincoln (Culler)80No 71 Medicaid and Medicare (80)18 90.0% A+Tonya NoackGateway Properties, Inc.168885
Country House at Lincoln (70th & O)
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Lincoln-No 70 ------0000
Country House at Lincoln (84th & Pine Lake)
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Lincoln (Covenant)-No 23 ------0000

Financial Assistance for
Assisted Living 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%)

Senior Community Service Employment Program (SCSEP)

Nebraska SCSEP

Age 55+
General unemployed, low-income, Nebraska resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified; income-focused.
NE

Priority for veterans, rural residents; AARP partnership.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

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)

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. — 0.19 miles to nearest hospital (Hy-Vee Pharmacy)

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 223
Employees 123
Contractors 100
Staff to resident ratio 2.82:1
31% better than Nebraska average

Nebraska average ratio: 2.15:1

Avg staff/day 53
Average shift 7.2 hours
8% worse than Nebraska average

Nebraska average: 7.8 hours

Total staff hours (quarter) 34,547
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 48
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 110
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.5 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

30.8%

10,638 contractor hours this quarter

Licensed Practical Nurse: 38 Certified Nursing Assistant: 23 Medication Aide/Technician: 18 Physical Therapy Assistant: 7 Physical Therapy Aide: 4 Speech Language Pathologist: 4 Respiratory Therapy Technician: 4 Qualified Social Worker: 2
Staff by category
Certified Nursing Assistant872311015,04691100%6.5
Licensed Practical Nurse1038488,77391100%9.8
Registered Nurse130132,55191100%9.1
Clinical Nurse Specialist6061,6137178%7.5
Physical Therapy Aide0441,1107077%6.6
Dental Services Staff3031,0156976%7.2
Physical Therapy Assistant0779877481%5.2
Medication Aide/Technician118199256774%8.7
Speech Language Pathologist0447508189%5.6
Qualified Social Worker0226086571%5.2
Nurse Practitioner1015046369%8
Respiratory Therapy Technician0442787380%2.9
Occupational Therapy Aide1012213538%6.3
Administrator1011682123%8
110 Certified Nursing Assistant
% of Days 100%
48 Licensed Practical Nurse
% of Days 100%
13 Registered Nurse
% of Days 100%
6 Clinical Nurse Specialist
% of Days 78%
4 Physical Therapy Aide
% of Days 77%
3 Dental Services Staff
% of Days 76%
7 Physical Therapy Assistant
% of Days 81%
19 Medication Aide/Technician
% of Days 74%
4 Speech Language Pathologist
% of Days 89%
2 Qualified Social Worker
% of Days 71%
1 Nurse Practitioner
% of Days 69%
4 Respiratory Therapy Technician
% of Days 80%
1 Occupational Therapy Aide
% of Days 38%
1 Administrator
% of Days 23%

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.

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
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%

Short-stay resident measures
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%

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 Jan 2026)

Total fines amount $9K
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.

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

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