| Brookestone Acres | |
| 4715 38th Street, Columbus, Nebraska 68601 | |
| (402) 942-9260 | |
| Name | Brookestone Acres |
|---|---|
| Location | 4715 38th Street, Columbus, Nebraska |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 80 |
| Occupancy Rate | 94.12% |
| Medicare ID (CCN) | 285291 |
| Legal Business Name | Vsl Columbus LLC |
| Ownership Type | Non Profit - Other |
| Chain | Vetter Senior Living (22 nursing homes) |
| Chain Average Overall Rating | 4.2 out of 5 |
| NPI Number | 1598295016 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Vsl Columbus LLC |
| Doing Business As | Brookestone Acres |
| Address | 4715 38th St, Columbus, NE 68601 |
| Phone Number | 402-942-9260 |
| NPI Number | 1245653302 |
| Match | Possible same name, address or phone number |
| Organization Name | Columbus Health Care, Inc. |
| Doing Business As | Brookestone Acres |
| Address | 4715 38th St, Columbus, NE 68601 |
| Phone Number | 402-885-6120 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.49 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.65 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.68 | 0.86 |
| Nurse aide hours per resident per day | 3.16 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.73 | 3.42 |
| RN hours per resident per day on the weekend | 0.32 | 0.48 |
| Physical therapist hours per resident per day | 0.08 | 0.07 |
| Total nursing staff turnover | 26.3% | 45.8% |
| Registered nurse turnover | 20% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Sep 11, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 25, 2025 |
| Sep 11, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 25, 2025 |
| Sep 11, 2025 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Standard inspection | Minimal harm potential, widespread | Corrected by Sep 25, 2025 |
| Aug 29, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Oct 1, 2024 |
| Aug 29, 2024 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Oct 1, 2024 |
| Aug 3, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Sep 6, 2023 |
| Aug 3, 2023 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Sep 6, 2023 |
| Aug 3, 2023 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Sep 6, 2023 |
| Aug 3, 2023 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. F0625, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Sep 6, 2023 |
| Aug 3, 2023 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 6, 2023 |
| Aug 3, 2023 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. F0661, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 6, 2023 |
| Aug 3, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 6, 2023 |
| Aug 3, 2023 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Sep 6, 2023 |
| Aug 3, 2023 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Sep 6, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.8 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 1.51 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.57 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.67 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0.45 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.08 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.18 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.41 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 22.72 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.1 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.94 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 6.34 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.83 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 14.86 | 15.38 |
Emerald Nursing & Rehab Columbus Location: 2855 40th Avenue, Columbus, Nebraska 68601 Phone: (402) 564-8014 |