Deficiency Index

Gateway Vista

Lincoln, Nebraska · CCN 285266

15 surveys since 2011. The first finding at harm level was recorded in 2024.

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

Citations on record
51
Surveys
15
Harm or worse
1
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file11/15

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

The facility

Certified beds
80
Ownership
For profit - Corporation
Chain
Independent
County
Lancaster
Medicare-certified since
2005

CMS ratings

Overall
3
Health inspection
3
Staffing
3
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=13, floor 20).

Last survey on record

Dec 23, 2025

321 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 day4.693.50
Registered-nurse hours per resident day0.82—
Annual nurse turnover64.3%62.5%

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

Enforcement

Fines
$8,659 across 1 penalty
Payment denials
1

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

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 harmG111.1%H—I—
No harm, potential for more than minimalD666.7%E111.1%F111.1%
No harm, potential for minimalA—B—C—
CMS’s current file: 9 of the 51 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F6411×

    Ensure each resident receives an accurate assessment.

  • F6551×

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  • F6561×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6891×

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

In the surveyor’s words

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

  • Actual harm, isolatedF689Jun 12, 2024

    Based on record review and interview; the facility staff failed to implement assessed interventions to prevent significant injury for 1(Resident 35) of 4 sampled residents. The facility staff identified a census of 68. Findings are: Record review of Resident 35's Comprehensive Care Plan (CCP) with an initiation date of 3/14/2023 revealed Resident 35 had Activities of Daily Living (ADL's) self-care performance deficit related to the diagnosis of Parkinson Diseases. Further review of Resident 35's CCP with a initiation date of 3/14/2024 revealed Resident 35 was at a high risk for falls related to confusion, de-conditioning and gait/balance problems. The goal identified on Resident 35's CCP was Resident 35 would not sustain a serious injury. […]

  • No harm, potential for more than minimal, widespreadF844Dec 23, 2025

    Licensure Reference Number 175 NAC 12-006.04 (E)Based on record review and interview, the facility failed to notify the State Agency within five working days of a change in Director of Nursing. This had the potential to affect all residents who resided at the facility. The facility census was 68. A record review of the Change of Administrator or Director of Nursing Notification Form revealed that the Director of Nursing (DON) was changed on 9/13/25. A record review of the facility faxed letter sent to Dept. of Health and Human Services (DHHS) revealed a fax date of 9/29/25. […]

  • No harm, potential for more than minimal, widespreadF812Apr 22, 2022

    Licensure Reference Number 175 NAC ,d+[DATE].11E Based on observation, record review, and interview, the facility failed to provide clean and sanitary conditions for food preparation and failed to prevent the potential for food borne illnesses due to expired food and beverages in the refrigerator. The failure had the potential to affect all 63 residents receiving meals from the kitchen and kitchenettes. The facility identified a census of 63 and sample size was 18. Findings are: The initial tour of the main kitchen on [DATE] at 6:00 PM revealed a cart with containers that were not upside down, there was grease on the floor by the stove and the front of the oven was dirty. […]

  • No harm, potential for more than minimal, patternF923Sep 3, 2025

    Licensure Reference Number 175 NAC 12.007.04(D) ventilation systemBased on observation, interview, and record review, the facility failed to have functional bathroom ventilation in 15 resident rooms (rooms 105, 110, 111, 112, 114, 201, 205, 206, 216, 218, 311, 312, 313, 318, and 413) out of 77 rooms surveyed. The facility census was 77.Findings: An observation on 8/27/2025 at 8:50 AM during the initial tour, rooms 105, 110, 111, 112, 114, 201, 205, 206, 216, 218, 311, 312, 313, 318, and 413 revealed bathroom vents were not functioning when tested with one ply tissue. An observation on 9/02/2025 at 6:45 AM revealed room [ROOM NUMBER]'s bathroom vent was not functioning. An observation on 9/02/2025 at 6:47 AM revealed room [ROOM NUMBER]'s bathroom vent was not functioning. […]

  • No harm, potential for more than minimal, isolatedF697Sep 18, 2025

    Licensure Reference Number 175 NAC 12-006.09(H)Based on record review and interview, the facility failed to implement, monitor, and revise interventions to manage pain for 1 (Resident 1) out of 3 sampled residents for pain control. The facility census was 76 at the time of survey. Findings are:Record review of the facility's policy Pain Management dated December 2023, revealed the facility must ensure that pain management is provided to residents who require such services consistent with professional standards of practice. […]

Read 20 findings in full →The most serious and the most recent: 20 of 51 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 23, 2025Complaint1 finding
  • Sep 18, 2025Complaint1 finding
  • Sep 3, 2025Standard2 findings
  • Jun 12, 2024Standard and complaint5 findings · 1 harm
  • Apr 22, 2022Standard4 findings
  • Oct 29, 2020Infection control1 finding
  • Sep 23, 2020Standard4 findings
  • May 21, 2019Standard2 findings
Show the 7 earlier surveys
  • Jan 18, 2018Standard11 findings
  • Sep 19, 2016Standard5 findings
  • Jul 27, 2015Standard and complaint2 findings
  • Jul 2, 2014Standard2 findings
  • Apr 4, 2013—3 findings
  • Mar 19, 2012—6 findings
  • Jan 12, 2011—2 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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