Brookestone Gardens
Kearney, Nebraska · CCN 285305
4 surveys since 2021, and no finding has been recorded at harm level.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 22
- Surveys
- 4
- Harm or worse
- 0
- Immediate jeopardy
- 0
No finding on record has been cited at harm level or above.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 54
- Ownership
- Non profit - Corporation
- Chain
- VETTER SENIOR LIVING
- County
- Buffalo · rural
- Medicare-certified since
- 2019
CMS ratings
- Overall
- 5
- Health inspection
- 3
- Staffing
- 5
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 36 not-for-profit facilities with fewer than 66 beds in Nebraska.
Last survey on record
Dec 16, 2025
328 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.79 | 3.99 |
| Registered-nurse hours per resident day | 0.98 | — |
| Annual nurse turnover | 35.2% | 47.4% |
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
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D555.6% | E333.3% | F111.1% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8802×
Provide and implement an infection prevention and control program.
- F6051×
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- F6551×
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- F6841×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6861×
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
In the surveyor’s words
From the most serious findings on record at Brookestone Gardens, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF732Dec 16, 2025
Based on observation, record review and interview; the facility failed to ensure the daily posting of nursing hours included the required information. This had the potential to affect all residents. The facility census was 50. Findings are:An observation on 12/10/25 at 2:00 PM revealed, the staff posting titled, Nursing Staff Information form was at the front entrance receptionist desk and was missing the date and the census for the day. An observation on 12/11/25 at 7:25 AM revealed the staff posting titled, Nursing Staff Information form was at the front entrance receptionist desk and was missing the date and the census for the day. […]
- No harm, potential for more than minimal, widespreadF886Sep 15, 2022
Based on record review and interview the facility failed to ensure that staff testing for Covid-19 was completed as required for 3 of 3 sampled staff to prevent the spread of Covid-19. The facility census was 53. Findings are: A. Record review of the facility policy titled Covid-19 Vaccine Mandate Policy and Procedure dated 11/18/21 revealed that the facility will implement additional precautions to mitigate (prevent or reduce) the transmission and spread of Covid-19 for all staff who are not fully vaccinated for Covid-19 including but not limited to: regular testing two times per week. Interview on 9/15/22 at 1:48 PM with the Infection Preventionist (IP) confirmed that the facility follows the Covid-19 Vaccine Mandate Policy and Procedure dated 11/18/21. […]
- No harm, potential for more than minimal, widespreadF804Apr 20, 2021
LICENSURE REFERENCE NUMBER 175 NAC 12-006.11D Based on observation, interview and record review; the facility failed to provide food to the residents that maintained nutritive value for residents receiving pureed diets. This had the potential to affect 4 residents (Resident # 17, Resident # 9, Resident # 6 and Resident # 32) receiving pureed diets. The facility failed to serve food at a safe serving temperature that prevents foodborne illness to all resident receiving food from the kitchen with exception of one resident ( Resident # 10) who received a tube feeding (a device that's inserted into the stomach through the abdomen and used to supply nutrition when a person has trouble eating) for nutritional needs. The facility census at the time of the survey was 44. A. […]
- No harm, potential for more than minimal, widespreadF812Apr 20, 2021
Based on observation, interview and record review; the facility failed to ensure dietary staff handled plates and bowls of food to prevent the potential for cross contamination which affected 17 residents (Residents 25, 15, 16, 31, 5, 6, 35, 18, 44, 29, 97, 12,14, 30, 7, 33, and 40); and the facility staff failed to perform hand hygiene per facility policy when serving and working with foods in the kitchen and after touching their PPE (Personal Protective Equipment (PPE) (protective clothing such as disposable gloves, gowns, face masks, and face shields worn to help prevent the spread of germs) which had the potential to affect all 43 residents receiving food from the facility kitchen with the exception of one resident (Resident 10) receiving tube feeding (a device that's inserted into the… […]
- No harm, potential for more than minimal, widespreadF880Apr 20, 2021
LICENSURE REFERENCE NUMBER 175 NAC 12-006.17 LICENSURE REFERENCE NUMBER 175 NAC 12-006.17D Based on observation, interview, and record review; the facility staff failed to perform hand hygiene during in room meal service which affected 5 of 5 residents observed (Residents 14, 33, 28 29, and 30); failed to perform G-tube (gastrostomy tube-a tube inserted into the stomach for the purpose of administering food, fluids, and medication) site care, G-tube feeding, and G-tube medication administration in a manner to prevent potential cross contamination by placing G-tube site dressing change items, G- tube feeding supplies, and G-tube medication administration supplies on a soiled surface which affected 1 of 1 sampled residents, Resident 10; failed to perform catheter care in a manner to prevent… […]
Read 20 findings in full →The most serious and the most recent: 20 of 22 on record.
Every survey on record
FindingsAt actual harm or above
- Dec 16, 2025Standard6 findings
- Oct 31, 2024Standard3 findings
- Sep 15, 2022Standard and complaint7 findings
- Apr 20, 2021Standard6 findings
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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