CCN 285074 · Butler County, Nebraska
Brookestone of David City
260 South 10th Street, David City, NE 68632
Brookestone of David City is a 86-bed nonprofit nursing home in David City, Nebraska, first certified for Medicare or Medicaid in 1986. CMS rates it 5 out of 5 stars overall in its September 2026 data, and it averaged 56.5 residents a day, about 66% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 86
- Average residents per day
- 56.5 (65.7% of beds)
- Ownership type
- Non profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Vsl David City LLC
- Certified since
- Aug 14, 1986
- Chain or affiliated group
- Vetter Senior Living (22 facilities, chain average 4.3 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Nebraska median | US median |
|---|---|---|---|
| Overall rating | 5 of 5 | State spread: 51 at 1, 38 at 2, 27 at 3, 27 at 4, 35 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 5 of 5 | ||
| Total nurse hours per resident per day | 4.20 | 3.94 | 3.68 |
| RN hours per resident per day | 0.58 | 0.62 | 0.58 |
| Weekend nurse hours per resident per day | 3.59 | ||
| Nursing staff turnover | 30.6% | 47.1% | 44.9% |
| Occupancy (residents / beds) | 65.7% | 75.3% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 3 (Jun 3, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Brookestone of David City meets that part today: 5 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Vetter Senior LivingOrganization | Direct Ownership Interest | 100% | 12/23/2016 |
| Vetter Senior LivingOrganization | Operational / Managerial Control | n/a | 12/23/2016 |
| Vsl Vetter Health Services LLCOrganization | Operational / Managerial Control | n/a | 07/01/2017 |
| Aldrich, BarbaraIndividual | Operational / Managerial Control | n/a | 07/01/2017 |
| Stuhr, BrianIndividual | Operational / Managerial Control | n/a | 07/01/2017 |
| Sypal, JoshuaIndividual | Operational / Managerial Control | n/a | 02/24/2022 |
| Vanekeren, GlennIndividual | Operational / Managerial Control | n/a | 07/01/2017 |
| Vetter, EldoraIndividual | Operational / Managerial Control | n/a | 07/01/2017 |
| Vetter, JackIndividual | Operational / Managerial Control | n/a | 07/01/2017 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.