Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Brookestone Gardens during CMS and state inspections, most recent first.
A facility failed to follow its constipation management protocols for a resident receiving hospice care, leading to inconsistent administration of prescribed interventions and lack of physician communication. Despite the resident's care plan indicating a risk of bowel issues due to narcotic use, the facility did not consistently implement interventions like prune juice and suppositories. Interviews with staff revealed discrepancies in protocol adherence, and the DON confirmed the protocols were not followed as written.
A facility failed to follow the manufacturer's instructions for administering fast-acting insulin to a resident with diabetes. The resident received Fiasp insulin but did not consume any caloric intake until 46 minutes later, despite the requirement to receive nutrition within 15 minutes to prevent low blood sugar. The delay was due to dietary staff not providing the correct meal promptly, and the resident only had access to non-caloric beverages during this time.
A facility failed to monitor and replace oxygen administration supplies for a resident, potentially risking respiratory infections. The resident's care plan lacked interventions for replacing oxygen tubing and nasal cannula, and observations showed undated supplies. The DON confirmed the absence of individual documentation for weekly replacement, indicating a systemic issue in infection control.
Failure to Follow Constipation Management Protocols
Penalty
Summary
The facility failed to adhere to its policy and procedures for constipation management and prevention, affecting one resident, identified as Resident 31. The facility's Bowel and Bladder Management Standard and Elimination Protocol outlined specific interventions for managing constipation, including the administration of prune juice, milk of magnesia, and suppositories, as well as the need for physician communication if interventions were unsuccessful. However, these protocols were not consistently followed for Resident 31, who was receiving hospice care and had a history of constipation related to narcotic medication use. Resident 31's care plan indicated a potential for bowel elimination issues due to narcotic medications, with instructions for nursing staff to follow the facility's bowel management protocol. Despite this, the resident experienced multiple days without bowel movements, and the interventions outlined in the protocol were not consistently implemented. For instance, there was no documented administration of prune juice, and there were gaps in the administration of prescribed medications like bisacodyl suppositories. Additionally, there was no evidence of physician communication regarding the resident's constipation issues, contrary to the protocol's requirements. Interviews with facility staff, including an LPN and the DON, revealed discrepancies in the implementation of the Elimination Protocol. The LPN described a process that did not fully align with the protocol, particularly regarding physician communication. The DON confirmed that the bowel and elimination protocols were not followed as written, contributing to the deficiency in care for Resident 31. Observations and interviews with the resident and their family member further highlighted ongoing issues with constipation management, underscoring the facility's failure to adhere to its established procedures.
Failure to Administer Insulin with Timely Nutritional Intake
Penalty
Summary
The facility failed to adhere to the manufacturer's instructions for administering Fiasp FlexTouch insulin to Resident 24, who has diabetes and a potential for abnormal blood sugars. The physician's order required the administration of 6 units of Fiasp insulin before meals, which is a fast-acting insulin that should be given at the start of a meal or within 20 minutes after starting a meal. On the observed date, Registered Nurse-H administered the insulin at 11:53 AM, but Resident 24 did not receive any caloric intake until 12:39 PM, 46 minutes after the insulin was given. During this time, Resident 24 only had access to diet coke and coffee, which do not provide caloric value. Interviews with facility staff, including Registered Nurse-K and the Director of Nursing, confirmed that residents receiving fast-acting insulin are expected to receive nutrition with caloric value within 15 minutes of administration to prevent low blood sugar complications. However, the dietary staff did not provide Resident 24 with a meal until much later, and the initial meal offered was not what the resident ordered, causing further delay. This oversight in ensuring timely caloric intake after insulin administration led to a deficiency in the facility's pharmaceutical services for Resident 24.
Failure to Monitor and Replace Oxygen Supplies
Penalty
Summary
The facility failed to ensure proper monitoring and replacement of oxygen administration supplies for a resident, identified as Resident 41, which could potentially lead to respiratory infections. The resident, who was admitted to the facility and required oxygen therapy, had no documented interventions in their care plan to replace the oxygen tubing and nasal cannula. Observations revealed that the oxygen concentrator, tubing, nasal cannula, and humidification bottle in the resident's room were not dated, indicating a lack of adherence to infection control protocols. Interviews with the Director of Nursing (DON) confirmed that the facility's practice was to change oxygen supplies weekly, but there was no individual documentation to verify that this was done for each resident. The monthly cleaning log, which was supposed to track the replacement of respiratory supplies, did not list individual residents and lacked specific documentation for Resident 41. The DON acknowledged the absence of records showing that the oxygen supplies were replaced weekly as required, highlighting a systemic issue in the facility's infection prevention and control program.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 58 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Kearney
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mt Carmel Home - Keens Memorial | 1.7 mi | — | 9 | 0 |
| Mother Hull Home | 2.2 mi | — | 14 | 0 |
| Good Samaritan Society - St John's | 2.5 mi | — | 18 | 0 |
| Good Samaritan Society - St Luke's Village | 3.7 mi | — | 0 | 0 |
| Bethany Home, Inc | 15.6 mi | — | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Brookestone Gardens.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.