The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited February 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: D
Nursing home report
Brookestone of David City
David City, NE · Medicare-certified · 86 beds
In good standing
Non-profitChain member
5 of 5 overall
Brookestone of David City has an overall rating of 5 out of 5 stars, with 5-star scores on health inspections, staffing, and quality measures. It reported 4.13 nurse staffing hours per resident per day, slightly above the federal benchmark of 4.1, with no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.1276 hrs/resident/day
Quality measures
Last inspection: February 13, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1276.
Staffing detail
- Registered nurses
- 0.53
- Licensed practical nurses
- 0.62
- Nurse aides
- 2.98
- Weekend nursing
- 3.52
Hours per resident per day.
Total staff turnover: 20%
Registered nurse turnover: 29%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
9.1%9.1%No change
Residents with a fall causing major injury
0%1.8%Worsening
Residents with pressure ulcers (bedsores)
4.4%3.5%Improving
Residents with a urinary tract infection
0%1.9%Worsening
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
2.1%29.2%Worsening
Residents whose ability to walk got worse
5.9%21.7%Worsening
Long-stay residents on antianxiety or sleep medication
19.2%26%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%3.9%Worsening
Residents with new or worsening incontinence
20.4%39.3%Worsening
Residents with depressive symptoms
2%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—95%—
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited February 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: D
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2025 — isolated incident, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: D
The home failed to make sure important discharge information was shared with the resident and the next health care provider. Cited March 2024 — isolated incident, potential for harm.
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F-Tag 661 — 42 CFR §483.21 — S/S: D
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of VETTER SENIOR LIVING · 22 homes · 4.3 stars avg
- Occupancy
- 56.1 residents on an average day (65% of 86 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 39 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.