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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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 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.
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.
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.
This home is ranked 28th out of 117 homes in Nebraska. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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.
| 52m per day | ▲ 21% State avg: 43m per day · National avg: 41m per day |
|
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.
| 1h 29m per day | ▲ 107% State avg: 43m per day · National avg: 52m per day |
|
Nurse Aide
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 21m per day | ▼ 15% State avg: 2h 46m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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.
| 4h 11m per day | ▲ 16% State avg: 3h 37m per day · National avg: 3h 26m per day |
|
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.
| 3m per day | ■ Avg State avg: 3m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 34m per day | ▲ 17% State avg: 29m per day · National avg: 28m per day |
Higher than the Nebraska average: 70.3%Gateway Vista is legally operated by Gateway Properties, Inc., and administrated by Tonya Noack.
Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Nebraska state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 85 | 52 | This facility has 63% more total deficiencies than a typical Nebraska nursing home (85 vs. NE avg 52).↑ 63% worse |
|
Deficiencies per year
Average deficiencies per year since 2011.
| 5.7 | 3.5 | This facility has 63% more deficiencies per year than a typical Nebraska nursing home (5.7 vs. NE avg 3.5).↑ 63% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNebraska average 4.3
Last Health inspection on Sep 2025
Nebraska average 18.2
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).
100% better than Nebraska averageNebraska average: 0.2
100% worse than Nebraska averageNebraska average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
8% better than Nebraska average
5% worse than Nebraska average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
8,973 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 83 | 8 | 91 | 14,770 | 92 | 100% | 6.8 |
| Licensed Practical Nurse | 15 | 18 | 33 | 9,226 | 92 | 100% | 9.8 |
| Registered Nurse | 14 | 0 | 14 | 3,424 | 92 | 100% | 8.9 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,479 | 66 | 72% | 8 |
| Dental Services Staff | 4 | 0 | 4 | 1,226 | 72 | 78% | 7.2 |
| Speech Language Pathologist | 0 | 8 | 8 | 1,146 | 86 | 93% | 5.3 |
| Physical Therapy Assistant | 0 | 10 | 10 | 1,102 | 85 | 92% | 5.1 |
| Physical Therapy Aide | 0 | 4 | 4 | 1,086 | 78 | 85% | 6.7 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 783 | 76 | 83% | 5.2 |
| Medication Aide/Technician | 2 | 0 | 2 | 675 | 84 | 91% | 5.8 |
| Qualified Social Worker | 0 | 3 | 3 | 652 | 69 | 75% | 5.3 |
| Nurse Practitioner | 1 | 0 | 1 | 491 | 63 | 68% | 7.8 |
| Administrator | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 67 | 10 | 11% | 6.7 |
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)
74% lower than Nebraska averageNebraska average: $33K
31% fewer fines than Nebraska averageNebraska average: 1.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
38% more payment denials than Nebraska averageNebraska average: 0.7
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.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 12, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jun 12, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageNebraska average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.6
16% better than Nebraska averageNebraska average: 23.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
14.7%
29% better than Nebraska averageNebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
14.8%
33% better than Nebraska averageNebraska average: 22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.3%
9% worse than Nebraska averageNebraska average: 26.9%
Percent of long-stay residents experiencing one or more falls with major injury
10.3%
128% worse than Nebraska averageNebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
3.4%
20% better than Nebraska averageNebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Nebraska averageNebraska average: 3.1%
Percent of long-stay residents who lose too much weight
1.6%
71% better than Nebraska averageNebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
1.4%
70% better than Nebraska averageNebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
10.3%
48% better than Nebraska averageNebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.3%
In line with Nebraska averageNebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
In line with Nebraska averageNebraska average: 96.1%
Number of hospitalizations per 1,000 long-stay resident days.
1.92
7% worse than Nebraska averageNebraska average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.37
30% better than Nebraska averageNebraska average: 1.95
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.9%
9% better than Nebraska averageNebraska average: 80.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
30% better than Nebraska averageNebraska average: 2.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
85.2%
12% better than Nebraska averageNebraska average: 75.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.8%
28% worse than Nebraska averageNebraska average: 20.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.7%
8% better than Nebraska averageNebraska average: 11.6%
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
26% better than Nebraska averageNebraska average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
63.9%
19% better than Nebraska averageNebraska average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
48.0%
5% worse than Nebraska averageNebraska average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
63% of new residents, usually for short-term rehab.
37% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
79Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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.
Historical financial and operational data for Gateway Vista based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #14 / 120Payroll — State benchmarkedThis home is ranked 14th out of 120 homes in Nebraska. Shows total annual staff payroll benchmarked to the Nebraska average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
2.9 miles from city center
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)
Add your location
Gateway Vista is located in Lincoln, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
Gateway Vista is in the Culler neighborhood of Lincoln.
The legal owner and operator of Gateway Vista is Gateway Properties, Inc..
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.
According to NE state health department records, Gateway Vista's license number is ALF064.
Gateway Vista's occupancy is 90%.
Tonya Noack is the administrator of Gateway Vista.
Gateway Vista has 80 beds.
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