Deficiency Index

Brookestone of Papillion

Papillion, Nebraska · CCN 285268

18 surveys since 2011, 2 of them producing a finding at harm level or worse.

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

Citations on record
54
Surveys
18
Harm or worse
2
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse2

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file13/18

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

The facility

Certified beds
110
Ownership
Non profit - Corporation
Chain
VETTER SENIOR LIVING
County
Sarpy
Medicare-certified since
2005

CMS ratings

Overall
5
Health inspection
4
Staffing
5
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=15, floor 20).

Last survey on record

Jul 9, 2026

123 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 day4.184.18
Registered-nurse hours per resident day0.79—
Annual nurse turnover28.7%35.8%

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 minimalD787.5%E—F112.5%
No harm, potential for minimalA—B—C—
CMS’s current file: 8 of the 54 citations on record.

In the surveyor’s words

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

  • No harm, potential for more than minimal, widespreadF812Jul 9, 2026

    Licensure reference: 175 NAC 12-007.01(A) Based on observation, interview, and record review, the facility failed to ensure handling of food to prevent potential cross contamination and failed to ensure food in snack refrigerators was not expired. This had the potential to affect all 96 residents of the facility. Findings are:A.Observations on 7/7/26 between 12:26 PM-12:31 PM in the satellite kitchen revealed Dietary Aide B wearing gloves to take individual butter and cream cheese packets out of a container in the refrigerator and putting the packets onto a plate to serve to a resident in the dining room. […]

  • No harm, potential for more than minimal, widespreadF812Nov 2, 2023

    Licensure Reference Number 175 NAC 12-007.01A Based on observations, record reviews and interviews; the facility kitchen staff failed to monitor water sanitation level used for cleaning food preparation surfaces and failed to ensure food temperatures were maintained to prevent the potential for food borne illness. This practice had the potential to effect 84 of 84 residents who ate food from the kitchen. The facility staff identified a census of 84. Findings are: A. Record review of the facility policy Sanitizing Food Contact Surfaces dated 8/2020 revealed the following information: -Instructions for tabletops, and arms of dining room chairs: -Sanitize same surfaces using Smart Power Sink and Surface Cleaner Sanitizer. Use spray bottle or bucket method using a microfiber cloth. […]

  • No harm, potential for more than minimal, patternF628Jul 9, 2026

    License Reference Number 175 NAC St 71 -6022(2)Based on record review and interview the facility failed to provide written notice 30 days prior to discharge for 1 (resident 101) of 1 sample resident, facility staff failed to convey information in writing to the resident and family representative of reason for transfer for 2 (Resident 102 and 53) of 2 sample residents, failed to provide a bed hold policy including payment for 3 (Residents 13, 102 and 53) of 3 sample resident and failed to convey reason and status of resident to the receiving facility for 1 (Resident 102) of 1 sample resident. The facility staff identified a census of 96. Findings are: Record review of the facility admission Packet revealed: III. Termination, transfer, and Discharge B. […]

  • No harm, potential for more than minimal, patternF880Jul 9, 2026

    License Reference Number 175 NAC 12-006.18 Based on observation, records review and interview, the facility failed to ensure that a catheter bag was dated and maintained in a manner to prevent potential cross contamination for resident 68, failed to change and date oxygen tubing for resident 23, failed to complete hand hygiene prior to completing cares, between glove changes during cares and transportation of soiled linens in a barrier through the hallway while providing care for resident 108, failed to ensure scissors were clean prior to dressing change for resident 66, failed to ensure PPE was utilized for resident 13 and 39, and failed to prevent potential cross contamination during wound care for resident 9. […]

  • No harm, potential for more than minimal, isolatedF582Jul 9, 2026

    License Reference Number 175 NAC 12-006.05(B) Based on record review and interviews the facility staff failed to ensure that Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage (SNFABN) was completed for 1 (Resident 62) of 3 sampled residents. The facility staff identified a census of 96. Findings are:Record Review of Resident 62's Skilled Nursing Facility Advanced Beneficiary Notice of Non- coverage (SNFABN) signed by Resident 62's Power of Attorney (POA) on 4/15/2026. Resident 62 remained in the facility. The occupational therapy box was marked which indicated that the resident had received the care, but Medicare may not pay for the services. There was no option selected to determine if the POA or Resident 62 wanted to continue with the cares listed. […]

Read 22 findings in full →The most serious and the most recent: 22 of 54 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 9, 2026Standard and complaint6 findings
  • Nov 19, 2024Complaint1 finding
  • Sep 4, 2024Complaint1 finding
  • Nov 2, 2023Standard4 findings
  • Nov 8, 2022Standard and complaint1 finding
  • Aug 23, 2021Standard and complaint2 findings
  • Aug 27, 2019Standard4 findings
  • Mar 19, 2019Complaint1 finding
Show the 10 earlier surveys
  • May 31, 2018Standard and complaint5 findings
  • Mar 29, 2017Standard2 findings
  • Jan 5, 2017Complaint1 finding
  • Feb 17, 2016Standard3 findings
  • Apr 7, 2015Complaint1 finding · 1 harm
  • Mar 12, 2015Standard and complaint5 findings
  • Oct 2, 2014Complaint2 findings · 1 harm
  • Dec 19, 2013—5 findings
  • Oct 24, 2012—7 findings
  • Jun 6, 2011—3 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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