01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-11-25 | 5 | 2025-11-25 | 3 |
| Cycle 2 | 2024-08-13 | 0 | 2024-08-13 | 7 |
| Cycle 3 | 2023-08-03 | 1 | 2023-08-03 | 7 |
CMS CCN 2852192026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Southlake Village Rehabilitation & Care Center
9401 Andermatt Drive · Lincoln, NE 68526 · Lancaster County
Certified beds126CMS provider file
Recent citation rows23current 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.
02 / CITATION DETAIL
23 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-11-25 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Correction field: Deficient, Provider has date of correction · 2025-12-232025-11-25 · HEALTHF0803Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Correction field: Deficient, Provider has date of correction · 2025-12-232025-11-25 · HEALTHF0812Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-12-232025-11-25 · HEALTHF0923Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Have enough outside ventilation via a window or mechanical ventilation, or both.
Correction field: Deficient, Provider has date of correction · 2025-12-232025-11-25 · HEALTHF0947Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Correction field: Deficient, Provider has date of correction · 2025-12-232025-11-25 · FIREK0321Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-12-102025-11-25 · FIREK0363Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-12-102025-11-25 · 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 · 2025-12-102024-08-13 · FIREK0100Severity E · pattern; potential for more than minimal harm
Construction Deficiencies
Meet other general requirements.
Correction field: Deficient, Provider has date of correction · 2024-09-012024-08-13 · FIREK0321Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2024-09-012024-08-13 · FIREK0363Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2024-09-012024-08-13 · FIREK0500Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Meet other general requirements that are deficient.
Correction field: Deficient, Provider has date of correction · 2024-09-012024-08-13 · FIREK0920Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2024-09-012024-08-13 · 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 · 2024-09-012024-08-13 · FIREK0922Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use and maintenance of medical gas equipment.
Correction field: Deficient, Provider has date of correction · 2024-09-012023-08-03 · FIREE0041Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Correction field: Deficient, Provider has date of correction · 2023-09-072023-08-03 · 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 · 2023-09-012023-08-03 · FIREK0363Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2023-09-072023-08-03 · FIREK0511Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2023-09-072023-08-03 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2023-09-072023-08-03 · 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 · 2023-09-072023-08-03 · FIREK0920Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2023-09-072023-08-03 · FIREK0922Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use and maintenance of medical gas equipment.
Correction field: Deficient, Provider has date of correction · 2023-09-0703 / 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.
| Date | Type | Fine amount | Payment-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 INTEREST100% · since 12/23/2016
- BERGMANN, DAVIDIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 05/09/2018
- STUHR, BRIANIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 07/01/2017
- TRIGGS, TEDIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 10/01/2018
- VANEKEREN, GLENNIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 07/01/2017
- VETTER, ELDORAIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 07/01/2017
- VETTER, JACKIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 07/01/2017
- STUHR, BRIANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/15/2017
- VANEKEREN, GLENNIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/15/2017
- VETTER, ELDORAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/15/2017
- VETTER, JACKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/15/2017
- VETTER SENIOR LIVINGOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/23/2016
- VSL VETTER HEALTH SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2017
- BERGMANN, DAVIDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/09/2018
- STUHR, BRIANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2017
- TRIGGS, TEDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2018
- VANEKEREN, GLENNIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2017
- VETTER, ELDORAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT 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 hours4.72per resident day
RN hours0.59per resident day
Weekend nurse hours4.36per resident day
Staff turnover34.0%CMS reported field
06 / LOCAL RECORDS
Open the Lincoln ledger →Other published facilities nearby
Ambassador Health Of Lincoln122 beds · CMS overall 2/532 citation rowsEastmont23 beds · CMS overall 2/528 citation rowsEmerald Nursing & Rehab Brookside Llc173 beds · CMS overall 1/5106 citation rowsEmerald Nursing & Rehab Lancaster Llc293 beds · CMS overall 1/5105 citation rowsEventide Lincoln Care Center197 beds · CMS overall 1/562 citation rowsEventide Williamsburg50 beds · CMS overall 5/524 citation rowsGateway Vista80 beds · CMS overall 3/552 citation rowsHeartland Ridge Care Center47 beds · CMS overall 2/539 citation rows