Brookestone Meadows

    600 Brookestone Meadows Plaza, Elkhorn, NE, 68022
    4.2 · 43 reviews
    • Independent living
    • Assisted living
    • Skilled nursing
    AnonymousCurrent/former resident
    4.0

    Strong rehab, but safety concerns

    I had an overall positive experience: the facility is clean, secure and home-like, with exceptional PT/OT rehab, many compassionate and skilled nurses and therapists, lots of activities, and generally very good food. Staff were attentive and caring much of the time, social work and communication were often good, and Medicare-covered rehab was effective after my surgery. However, I also saw serious issues: chronic staffing shortages and reliance on agency staff, occasional poor management/toxic workplace reports, privacy problems with curtain-separated rooms and shared bathrooms, long wait times for help, and worrying medication/infection and supervision incidents. Therapy was strong but sometimes lacked variety or did not follow doctor orders, and discharge decisions felt driven by staff rather than true readiness. I would recommend this place for focused rehab and kind caregivers but advise families to watch closely on meds, supervision, privacy, and discharge planning.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.19 · 43 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.2
    • Staff

      4.1
    • Meals

      3.7
    • Amenities

      4.0
    • Value

      2.5

    Pros

    • Strong physical and occupational therapy / rehab-focused care
    • Many cheerful, dedicated, and effective therapists
    • Caring, compassionate, and attentive nursing and support staff (reported in many reviews)
    • Responsive and helpful social work / case management
    • Clean, well-maintained, and attractive facility and grounds
    • State-of-the-art rehab rooms and equipment
    • Wide range of amenities and activities that promote social engagement
    • Good to very good dining and snacks reported by many reviewers
    • Quick emergency response and some life‑saving nursing interventions
    • Secure environment with good infection/COVID safety practices reported by some
    • Personalized care for individual resident needs (adaptability)
    • Improved staffing reported in some more recent comments
    • Medicare coverage accepted and efficient post-op discharges reported

    Cons

    • Frequent staffing shortages and heavy reliance on agency/temporary staff
    • Significant variability in nursing quality — reports of neglect and excellent care both present
    • Long response times to call lights (reported 20–30 minutes)
    • Privacy issues from curtain-separated rooms and shared bathrooms
    • Hygiene and housekeeping lapses reported (dirty linens/bedpans found in shower)
    • Bathroom maintenance concerns (doors not staying closed)
    • Food quality inconsistent — reports of cold meals, low-protein menus, and very poor evening meals
    • Specific odd food/service practices reported (e.g., pudding served with a straw, charcoal kabobs)
    • Medication management problems including at least one reported overdose and related ER visits
    • Infections and insufficient bathing/showering reported for some residents
    • Inadequate supervision leading to falls and unnoticed injuries (lack of two-person assists)
    • Physician visits limited or absent at this location
    • Therapy sometimes limited in variety, not following doctor orders, or delayed until certain milestones
    • Discharge decisions/process concerns (requiring nurse approval, perceived premature discharges)
    • PT/therapy billing and insurance concerns reported
    • Parking lot safety issues
    • High cost / expensive
    • Reports of toxic workplace culture and poor management affecting staff morale

    Summary review

    Overall sentiment across these reviews is mixed but distinct: Brookestone Meadows is frequently praised as a strong, rehab-focused facility with many standout therapists, helpful social work, attractive and well-equipped surroundings, and a generally warm, home-like environment. Multiple reviewers attribute meaningful recovery and improved mobility to the therapy teams and describe the rehabilitation offering as intensive and effective. Many individual staff members — including nurses, therapists, social workers, and aides — received high marks for compassion, problem-solving, responsiveness, and personalized care. Several reviews note quick, life-saving actions by nursing staff and effective COVID precautions.

    However, a recurring and serious theme is wide variability in care quality and operational consistency. While some families describe “fantastic” nursing and attentive teams, others recount troubling neglect: long waits for call lights (20–30 minutes), ignored reports of problems, insufficient bathing, multiple infections, medication errors including an overdose that resulted in ER visits, and residents becoming depressed due to perceived neglect. Staffing shortages and dependency on agency staff are cited repeatedly as a core driver of these inconsistencies. These shortages are linked to inadequate supervision (including missed two-person assists), delayed responses, and an overall sense that the facility can be well-run at times but strained at others.

    Therapy and rehabilitation are among the facility’s strongest features, but even here there is nuance. Many reviewers praise “incredible” physical and occupational therapists and the facility’s rehab intensity, citing state-of-the-art therapy rooms and a focused PT/OT schedule that produced good outcomes. Conversely, a number of people reported therapy limitations: lack of variety, failure to follow physician orders, delays in practicing key skills (for example, waiting until full weight-bearing to practice dressing), limited emphasis on independence in-room, and concerns about insurance/billing for PT services. Some families supplemented the facility’s therapy with extra sessions to shorten stays, and a few reviewers felt discharge timing and goals were driven by staff priorities rather than clear clinical necessity.

    Facility, amenities, and cleanliness comments are mostly favorable: Brookestone Meadows is described as beautiful, well-maintained, and welcoming, with pleasant grounds, attractive rooms, and an array of amenities. Snack options and activities (ice cream, popcorn, puzzles) and social programming received positive notes, although COVID-era restrictions have left some residents missing special events. Still, there are isolated but important hygiene and privacy concerns: several reviews cite dirty linens and bedpans found in showers, a bathroom door that would not stay closed, and privacy problems tied to curtain-separated rooms with shared bathrooms. These issues suggest inconsistency in housekeeping and room arrangements that may affect resident dignity and comfort.

    Dining impressions vary widely. Many reviewers enjoyed meals (soups, snacks, “very good” food), while others strongly criticized food service: meals being cold, low in protein, or generally poor (some described evening meals as unacceptable). A few specific and odd complaints (e.g., charcoal kabobs, pudding served with a straw) point to occasional problems with menu choices or food presentation. Overall, dining seems acceptable for many residents but unreliable for others, especially those with higher nutritional needs.

    Management, communication, and workplace culture present a mixed picture. Social work and certain administrators received repeated praise for responsiveness and good family communication. At the same time, other reviewers reported poor family communication, physicians who rarely visited, and a few accusations of toxic workplace culture and poor management that could impact staff retention and morale. Several reviewers mentioned positive individual staff members by name (e.g., Stacy, Michelle Magner, Justin), suggesting the facility’s strengths often hinge on specific people. Discharge processes also raised concerns: some families reported discharge decisions being driven by staff without full transparency, or requiring nurse sign-off, making transitions feel abrupt or poorly coordinated.

    Safety-related incidents are a notable concern in multiple reports: falls with inadequate detection or delayed attention, lack of appropriate two-person assist when needed, overlooked injuries (e.g., an unnoticed toe injury), and inconsistent physician presence. Parking lot safety was also mentioned as a non-clinical but real safety issue. Taken with the hygiene and medication management reports, these safety comments suggest families should scrutinize staffing levels, supervision practices, and incident protocols when evaluating placement.

    In sum, Brookestone Meadows appears to be a strong option for rehabilitation when staffing is robust and the right therapy and nursing personnel are present: many residents experience meaningful recovery, compassionate care, and an attractive environment. However, there is clear evidence of variability tied to staffing levels, management, and shift-to-shift performance — resulting in serious issues for some residents (neglect, medication errors, hygiene lapses, long call-light waits). Prospective families should weigh the facility’s strong rehab capabilities, social work support, and pleasant environment against reported inconsistencies in nursing care, housekeeping, and supervision. If considering Brookestone Meadows, it would be prudent to ask specific questions about staffing patterns, call-light response times, infection control procedures, physician rounding frequency, discharge criteria, and how agency staff are supervised to ensure continuity of care.

    Location

    Map showing location of Brookestone Meadows

    About Brookestone Meadows

    Brookestone Meadows sits in Nebraska and serves people from many counties, including Madison, Platte, Butler, Seward, Saunders, Lancaster, Washington, Douglas, Sarpy, and Cass, and it's only focused on skilled nursing, short-term rehab, long-term care, and sub-acute care, so people who need assisted or independent living find those options at The Villas at Brookestone Meadows, which is for folks aged 55 and over and lets seniors keep an active lifestyle without needing daily care, but the main building itself doesn't offer independent living, so that's a separate part of the campus with its own pace, and if someone does need skilled nursing, the staff at Brookestone Meadows includes RNs, LPNs, Med Aids, and CNs, all supported by four Medical Social Workers who help residents with psychosocial needs. People can come here for rehab after surgery or illness, and there's a big focus on getting people well enough to go back home through discharge planning, and their therapy teams offer speech, occupational, and physical therapies as well as intravenous therapy and restorative programs, and you even find home health aide services if needed.

    There's medication management, skilled nursing, and full hospice care, plus supportive services like respite care for families needing a break, and staff get ongoing safety training, so there are safety measures in place to keep residents secure, offering help especially to those who need to age in place, though if someone's at risk for wandering or has complex behaviors, they may need a different setting, but for others, they can stay as long as needed. Right now, there's one female long-term care bed available in a companion room, which means it's a shared space, not private, and the center provides onsite vaccinations for ease. Pet lovers can bring their animals, which helps some people feel more at home, and everyone gets three meals a day, snacks, and weekly activities for social connection, and on the practical side, transportation is available during the week for $21 one way, which can be helpful for appointments in the area.

    Brookestone Meadows features a swimming pool, which is unusual in this kind of setting, and the facility itself has won over 65 awards, including Silver and Bronze National Quality honors from AHCA | NCAL, a Five-Star Quality Rating from Medicare.gov, and it's earned a Great Place to Work recognition for the coming year, so there's some public evidence the care is well regarded, though no place is perfect and sometimes the fit depends on personal circumstances. The focus always stays on keeping people comfortable, helping them rehab or live as well as possible, and making sure people can return home or to a retirement community if that's the plan, and while awards and certifications give some assurance, the day-to-day experience really comes down to the staff's training and the programs in place, from restorative therapy to hospice, and the overall focus on quality and rehabilitation, which, based on recognition and services, should line up with what many people are looking for in skilled nursing or rehab care.

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