Nursing homeActive

Brookestone Acres

4715 38th Street, Columbus, NE 68601402942926080 certified beds · 75 residentsNon profit - OtherMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
14
1130
Penalties · 3 yrs
none on file
Last survey
2025-09-11
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 5
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Nebraska DHHS · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-09-11Standard120CMS-2567 (Care Compare)
2024-08-29Standard020CMS-2567 (Care Compare)
2023-08-03Standard090CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Nebraska DHHS publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-09-11Standard survey · 3 deficienciesOfficial report
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 285291-20250911-F657
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 285291-20250911-F695
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2025-09-25Record 285291-20250911-F732
2024-08-29Standard survey · 2 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-01Record 285291-20240829-F689
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-01Record 285291-20240829-F758
2023-08-03Standard survey · 9 deficienciesOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-06Record 285291-20230803-F580
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-06Record 285291-20230803-F623
F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-06Record 285291-20230803-F625
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-06Record 285291-20230803-F641
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-06Record 285291-20230803-F661
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-06Record 285291-20230803-F689
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-06Record 285291-20230803-F758
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-06Record 285291-20230803-F761
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-06Record 285291-20230803-F880

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.65
Facility
Nebraska
National
Nebraska 0.67 · National 0.69
Total nurse hours per resident day4.49
Facility
Nebraska
National
Nebraska 3.98 · National 3.86
Weekend total nurse hours3.73
Facility
Nebraska
National
Nebraska 3.49 · National 3.42
Total nursing staff turnover26%
Facility
Nebraska
National
Nebraska 49% · National 46%
Registered nurse turnover20%
Facility
Nebraska
National
Nebraska 44% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityNebraskaNational
Percentage of long-stay residents with pressure ulcers
lower is better
6.3%4.0%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
4.1%4.5%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
14.9%20.7%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.7%2.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.3%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
17.8%19.0%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
1.5%5.1%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
20.1%19.3%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Vetter Senior Living
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Schmid, Raven
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Stuhr, Brian
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Vanekeren, Glenn
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Vetter Senior Living
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Vetter, Eldora
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Vetter, Jack
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Vsl Vetter Health Services LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Zaruba, Dale
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Schmid, Raven
Individual
CONTRACTED MANAGING EMPLOYEENOT APPLICABLE
Stuhr, Brian
Individual
CORPORATE OFFICERNOT APPLICABLE
Stuhr, Brian
Individual
CONTRACTED MANAGING EMPLOYEENOT APPLICABLE
Vanekeren, Glenn
Individual
CONTRACTED MANAGING EMPLOYEENOT APPLICABLE
Vanekeren, Glenn
Individual
CORPORATE OFFICERNOT APPLICABLE
Vetter, Eldora
Individual
CORPORATE OFFICERNOT APPLICABLE
Vetter, Eldora
Individual
CONTRACTED MANAGING EMPLOYEENOT APPLICABLE
Vetter, Jack
Individual
CONTRACTED MANAGING EMPLOYEENOT APPLICABLE
Vetter, Jack
Individual
CORPORATE OFFICERNOT APPLICABLE
Zaruba, Dale
Individual
CONTRACTED MANAGING EMPLOYEENOT APPLICABLE
Part of a chain
Vetter Senior Living22 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Nebraska.

No county cost figures on file for Platte.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Emerald Nursing & Rehab Columbus
Columbus
0.7 mi2026-05-281180
Good Samaritan Society - Osceola
Osceola
20.5 mi2026-05-19080
St. Joseph's Villa, Inc.
David City
19.0 mi2025-08-120131
Brookestone of David City
David City
19.7 mi2025-02-13040
Genoa Community Hospital/LTC
Genoa
18.0 mi2025-05-28090
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01