CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 2850742026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Brookestone Of David City

260 South 10Th Street · David City, NE 68632 · Butler County

CMS OVERALL RATING★★★★★5/5CMS field—not our score or recommendation
Certified beds86CMS provider file
Recent citation rows19current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-02-1332025-02-133
Cycle 22024-03-1212024-03-123
Cycle 32023-04-1322023-04-137
02 / CITATION DETAIL

19 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2025-02-13 · HEALTHF0641Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2025-03-24
2025-02-13 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2025-03-24
2025-02-13 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-03-24
2025-02-13 · FIREK0341Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

Correction field: Deficient, Provider has date of correction · 2025-04-15
2025-02-13 · FIREK0374Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Correction field: Deficient, Provider has date of correction · 2025-04-15
2025-02-13 · FIREK0711Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

Correction field: Deficient, Provider has date of correction · 2025-04-15
2024-03-12 · HEALTHF0661Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Correction field: Deficient, Provider has date of correction · 2024-04-15
2024-03-12 · FIREK0374Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Correction field: Waiver has been granted · 2024-04-09
2024-03-12 · FIREK0919Severity E · pattern; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

Correction field: Deficient, Provider has date of correction · 2024-04-15
2024-03-12 · FIREK0921Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

Correction field: Deficient, Provider has date of correction · 2024-04-15
2023-04-13 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2023-05-26
2023-04-13 · HEALTHF0690Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Correction field: Deficient, Provider has date of correction · 2023-05-26
2023-04-13 · FIREK0111Severity E · pattern; potential for more than minimal harm

Construction Deficiencies

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

Correction field: Deficient, Provider has date of correction · 2023-05-18
2023-04-13 · FIREK0293Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Have properly located and lighted "Exit" signs.

Correction field: Deficient, Provider has date of correction · 2023-05-18
2023-04-13 · FIREK0355Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

Correction field: Deficient, Provider has date of correction · 2023-06-05
2023-04-13 · FIREK0374Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Correction field: Deficient, Provider has date of correction · 2023-06-05
2023-04-13 · FIREK0521Severity F · widespread; potential for more than minimal harm

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Correction field: Deficient, Provider has date of correction · 2023-05-18
2023-04-13 · FIREK0921Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

Correction field: Deficient, Provider has date of correction · 2023-05-18
2023-04-13 · FIREK0923Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Correction field: Deficient, Provider has date of correction · 2023-05-18
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • VETTER SENIOR LIVINGOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 12/23/2016
  • ALDRICH, BARBARAIndividual · CONTRACTED MANAGING EMPLOYEE
    NOT APPLICABLE · since 07/01/2017
  • STUHR, BRIANIndividual · CONTRACTED MANAGING EMPLOYEE
    NOT APPLICABLE · since 07/01/2017
  • SYPAL, JOSHUAIndividual · CONTRACTED MANAGING EMPLOYEE
    NOT APPLICABLE · since 02/24/2022
  • VANEKEREN, GLENNIndividual · CONTRACTED MANAGING EMPLOYEE
    NOT APPLICABLE · since 06/15/2017
  • VETTER, ELDORAIndividual · CONTRACTED MANAGING EMPLOYEE
    NOT APPLICABLE · since 07/01/2017
  • VETTER, JACKIndividual · CONTRACTED MANAGING EMPLOYEE
    NOT APPLICABLE · since 07/01/2017
  • STUHR, BRIANIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 06/15/2017
  • VANEKEREN, GLENNIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 06/15/2017
  • VETTER, ELDORAIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 06/15/2017
  • VETTER, JACKIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 06/15/2017
  • VETTER SENIOR LIVINGOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 12/23/2016
  • VSL VETTER HEALTH SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 07/01/2017
  • ALDRICH, BARBARAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 07/01/2017
  • STUHR, BRIANIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 07/01/2017
  • SYPAL, JOSHUAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 02/24/2022
  • VANEKEREN, GLENNIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 07/01/2017
  • VETTER, ELDORAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 07/01/2017

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours4.20per resident day
RN hours0.58per resident day
Weekend nurse hours3.59per resident day
Staff turnover30.6%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.