Assisted Living Home

Gateway Vista

Assisted Living Home

Gateway Vista

225 N 56th St, Lincoln, NE 68504 View map
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 Official CMS rating based on health inspections, staffing and quality measures.
3/5
Nebraska average: 2.8/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
3/5
Nebraska average: 2.8/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
4/5
Nebraska average: 3.1/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
3/5
Nebraska average: 2.8/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
4h 50m per day

This home provides 12% more nursing time per resident than the Nebraska average.

Nebraska average: 4h 19m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 80

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Nebraska average
Occupancy rate 90%
Residents per day (avg) 67
Occupancy rate
90%
Residents per day (avg)
67

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
$25,171,314.00
Operating loss
$-279,439.00
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 type
Nursing Home
Status Active
County: LANCASTER

Additional licensing details

License number: ALF064
CMS Certification Number: 285266

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

Contact: Mark 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

8 visits/inspections triggered by complaints

1 routine inspections

Results

8 with issues

8 without issues

Latest inspection

Date:February 22, 2024

85 deficiencies

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

Health Inspection History

Inspections
Total health inspections 3

Nebraska average 4.3


Last Health inspection on Sep 2025

Total health citations 10
Citations per inspection
3.33

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 Sep 18, 2025
Corrected

Infection Control moderate citation Jun 12, 2024
Corrected

Quality of Care serious citation Jun 12, 2024
Corrected

Care Planning moderate citation 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.
AVIVA Woodlands
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Lincoln
107
No
-
12
Bailey Pointe Assisted Living at Van Dorn
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Lincoln
84
No
-
55
Gateway Vista
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Lincoln (Culler)
80
No
A+
71
Country House at Lincoln (70th & O)
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

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

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Lincoln
-
No
-
23

Places of interest near Gateway Vista

Address 2.9 miles from city center — 0.19 miles to nearest hospital (Hy-Vee Pharmacy)

Address 225 N 56th St, Lincoln, NE 68504

Calculate Travel Distance to Gateway Vista

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

223
Total Staff
123
Employees
100
Contractors
34,547
Total Hours (Quarter)
53
Avg Staff/Day
7.2
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse139.1 No
Licensed Practical Nurse489.8 Yes
Certified Nursing Assistant1106.5 Yes
Staff by Category
Administration
1 staff
8hs shift avg
Nursing Staff
190 staff
7.6hs shift avg
Physicians & Practitioners
7 staff
7.6hs shift avg
Therapy Services
20 staff
5.4hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
2 staff
5.2hs shift avg
Dietary Services
0 staff
0hs shift avg
Other Services
3 staff
7.2hs shift avg
Contractor Analysis
30.8%
of total hours from contractors
10,638 contractor hours this quarter
Certified Nursing Assistant: 23 Licensed Practical Nurse: 38 Physical Therapy Assistant: 7 Physical Therapy Aide: 4 Qualified Social Worker: 2 Speech Language Pathologist: 4 Respiratory Therapy Technician: 4 Medication Aide/Technician: 18
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
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

Facility Characteristics

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

Total census
79 residents
Residents by payment source
Medicare
36 residents (45.6%)
Medicaid
29 residents (36.7%)
Private pay or other
14 residents (17.7%)
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

Guides for Better Senior Living

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Financial Aid for Nebraska Seniors

Get financial aid guidance

Aged and Disabled Waiver

Nebraska Medicaid A&D Waiver

Age 65+ or disabled, Nebraska resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$4,000 (individual, higher than most states).

Higher asset limit; rural access focus.

Nebraska Respite Network

NE Respite Network

Caregiver of someone 60+, Nebraska resident.

No strict limit; prioritizes low-income.

Not applicable.

Lifespan respite focus; limited funding.

Personal Assistance Services (PAS)

Nebraska Personal Assistance Services

Age 19+ (65+ for seniors focus), Nebraska resident, Medicaid-eligible, needs help with 1+ ADL (e.g., bathing, dressing).

~$1,255/month (100% FPL, individual); spenddown allowed.

$4,000 (individual), $6,000 (couple) (excludes home up to $688,000, car).

Family can be paid caregivers; statewide via DHHS.

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

Nebraska PACE (Immanuel Pathways)

Age 55+, Nebraska resident (specific counties), NFLOC, safe with PACE support.

~$2,829/month (Medicaid-eligible); private pay option available.

$4,000 (individual), $6,000 (couple).

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

Medicare Savings Program (MSP)

Nebraska Medicare Savings Program

Age 65+ or disabled, Nebraska resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

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

Senior Community Service Employment Program (SCSEP)

Nebraska SCSEP

Age 55+, unemployed, low-income, Nebraska resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

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

Nebraska VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Nebraska resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

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