Deficiency Index

Brookestone Acres

Columbus, Nebraska · CCN 285291

12 surveys since 2015. The first finding at harm level was recorded in 2019.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
34
Surveys
12
Harm or worse
1
Immediate jeopardy
0
The record, 2015–2025
’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file9/12

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
80
Ownership
Non profit - Other
Chain
VETTER SENIOR LIVING
County
Platte · rural
Medicare-certified since
2014

CMS ratings

Overall
5
Health inspection
5
Staffing
5
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 19 not-for-profit facilities of 66–99 beds in Nebraska.

Last survey on record

Sep 11, 2025

424 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.493.95
Registered-nurse hours per resident day0.65—
Annual nurse turnover26.3%35.4%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1285.7%E17.1%F—
No harm, potential for minimalA—B—C17.1%
CMS’s current file: 14 of the 34 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F7582×

    Implement 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.

  • F5801×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F6231×

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  • F6251×

    Notify 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.

In the surveyor’s words

From the most serious findings on record at Brookestone Acres, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF732Sep 11, 2025

    Based on observation, record review, and interviews, the facility failed to ensure that the posted Daily Nurse Staffing Form had an accurate census. This had the potential to affect all the residents in the facility. The facility census was 74 at the time of survey. Findings are:During an observation on 9/8/25 at 9:42 AM revealed the posted Daily Nurse Staffing Form near the front door stated the average census was 78.During an interview on 9/8/25 at 10:10 AM the Administrator (Adm) confirmed the current facility census was 74.During an observation on 9/9/25 at 8:32 AM revealed the posted Daily Nurse Staffing Form near the front door stated the average census was 78.During an interview on 9/9/25 at 10:10 AM the Assistant Director of Nursing (ADON) confirmed the current facility census was… […]

  • No harm, potential for more than minimal, widespreadF812Mar 9, 2021

    LICENSURE REFERENCE NUMBER 175 NAC 12-006.11E Based on observations, record review, and interview; the facility failed to ensure food items stored in refrigerators were labeled and/or dated and that outdated food items were not available for resident use. This had the potential to affect all residents in the facility. The total sample size was 24 and the facility census was 65. Findings are: Review of the facility's undated Food Storage policy revealed leftover food was to be stored in containers and clearly labeled and dated before being refrigerated. […]

  • No harm, potential for more than minimal, patternF880Aug 3, 2023

    Licensure Reference Number 175 NAC 12-006.17 Based on observations, record review and interview, the facility failed to wear personal protective equipment (PPE) and clean reusable equipment in accordance with facility policy to prevent the potential spread of Covid-19. The sample size was 22 and the facility census was 57. Findings are: A. Review of the facility policy Cleaning, Storage, and Maintenance dated 2/2019 revealed the following related to cleaning and disinfecting of mechanical lifts/sling pads (an assistive device used to transfer a person safely from one location to another): -When handling contaminated slings, disposable protective gloves shall be used. […]

  • No harm, potential for more than minimal, patternF804May 5, 2022

    Licensure Reference Number 175 NAC 12-006.11D Based on observation, record review and interview; the facility failed to serve hot foods at a palatable temperature. This had the potential to affect all residents. The facility census was 54. Findings are: Review of the quantified recipes provided by DiningRD.com by Health Technologies dated 2022 revealed that hot foods are to be served and maintained temperatures of 135 degrees Fahrenheit or higher. Interviews on 5/2/22 at 1:27 PM with Resident 14 revealed The hot foods are not always hot. […]

  • No harm, potential for more than minimal, isolatedF657Sep 11, 2025

    Licensure Reference Number 175 NAC 12-006.09(F)(iii) Based on record review and interviews, the facility failed to complete the care plan (a comprehensive, written document that outlines the personalized healthcare needs, goals, and interventions for a resident, based on a thorough assessment of the medical, functional, and psychosocial status) and to conduct the interdisciplinary care conference on three residents (Resident 1, 21, and 46) out of three residents sampled. The facility census was 74. […]

Read 21 findings in full →The most serious and the most recent: 21 of 34 on record.

Every survey on record

FindingsAt actual harm or above

  • Sep 11, 2025Standard3 findings
  • Aug 29, 2024Standard2 findings
  • Aug 3, 2023Standard9 findings
  • May 5, 2022Standard4 findings
  • Sep 2, 2021Complaint1 finding
  • Apr 28, 2021Complaint1 finding
  • Mar 9, 2021Standard3 findings
  • Oct 20, 2020Infection control2 findings
Show the 4 earlier surveys
  • Jun 13, 2019Standard5 findings
  • May 14, 2019Complaint1 finding · 1 harm
  • Mar 20, 2018Standard2 findings
  • Aug 25, 2015Standard1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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