nursing home in Cozad, NE
Emerald Nursing & Rehab Cozad
318 West 18th Street, Cozad, NE 69130 · (308) 784-3715
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Emerald Nursing & Rehab Cozad at a glance
Emerald Nursing & Rehab Cozad is a 67-bed for-profit nursing home in Cozad, Nebraska (Dawson County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Nebraska average of 2.8.
Residents receive about 3.5 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 4 hours.
Its most recent standard health inspection (July 22, 2025) found 6 health citations. The Nebraska average is 7.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 65.3% per year (state average 48.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 67
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Emerald Healthcare
- Medicare-certified since
- October 1, 1989
- Resident/family council
- Resident
- County
- Dawson County
- CMS Certification Number
- 285093
Ratings
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 3.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 2.9 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.1 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.50 hrs | 3.98 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.43 hrs | 0.67 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.24 hrs | 2.64 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.12 hrs | 3.48 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 65.3% | 48.7% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 80% | 44.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 51 | 57.3 | 80.6 | Better |
Penalties
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 0 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $11,975 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 67 | 76 | 107 | |
| Average residents per day | 39 | 55 | 86 | |
| Occupancy | 57.8% | 73% | 80.9% |
Long-stay residents
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.9% | 4.5% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 6.7% | 4% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 32.2% | 20.7% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2.3% | 2.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2.2% | 1.4% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 16.7% | 19% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 17.6% | 18.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.5% | 5.1% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0.8% | 4.3% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.3% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 24.6% | 19.3% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 17.1% | 25.9% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 96.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 83.3% | 93% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 12.2% | 2% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 80% | 75.9% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 68.2% | 80.9% | 82% | Worse |
Inspection citations
State inspectors cited this home for 18 health deficiencies and 14 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| November 13, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected December 12, 2025 |
| July 22, 2025 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | F Potential harm, widespread | Corrected September 4, 2025 |
| July 22, 2025 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | F Potential harm, widespread | Corrected September 4, 2025 |
| July 22, 2025 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | F Potential harm, widespread | Corrected September 4, 2025 |
| July 22, 2025 Fire safety | Meet other general requirements that are deficient. Egress Deficiencies · Tag K0300 | D Potential harm, isolated | Corrected August 25, 2025 |
| July 22, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected August 25, 2025 |
| July 22, 2025 Fire safety | Meet other general requirements. Egress Deficiencies · Tag K0200 | D Potential harm, isolated | Corrected August 25, 2025 |
| July 22, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected August 25, 2025 |
| July 22, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | F Potential harm, widespread | Corrected September 4, 2025 |
| July 22, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected September 4, 2025 |
| July 22, 2025 Complaint | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected September 4, 2025 |
| July 22, 2025 Standard | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected September 4, 2025 |
| July 22, 2025 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected September 4, 2025 |
| June 13, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected July 26, 2024 |
| June 13, 2024 Fire safety | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Tag E0035 | F Potential harm, widespread | Corrected July 26, 2024 |
| June 13, 2024 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | F Potential harm, widespread | Corrected July 26, 2024 |
| June 13, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected July 26, 2024 |
| June 13, 2024 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected July 26, 2024 |
| June 13, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | E Potential harm, pattern | Corrected July 26, 2024 |
| June 13, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 26, 2024 |
| June 13, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected July 26, 2024 |
| June 13, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected July 26, 2024 |
| June 13, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected July 26, 2024 |
| June 13, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected July 26, 2024 |
| April 4, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected May 10, 2023 |
| April 4, 2023 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected May 10, 2023 |
| April 4, 2023 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected May 10, 2023 |
| April 4, 2023 Standard | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Tag F0801 | F Potential harm, widespread | Corrected May 10, 2023 |
| April 4, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected May 10, 2023 |
| April 4, 2023 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | E Potential harm, pattern | Corrected May 10, 2023 |
| April 4, 2023 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected May 10, 2023 |
| April 4, 2023 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected May 10, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BANK OF OKLAHOMA Organization | adp of the snf | NOT APPLICABLE | 04/09/2025 |
| CHAFETZ, YISROEL Individual | adp of the snf | NOT APPLICABLE | 11/01/2023 |
| EMERALD HEALTHCARE LLC Organization | adp of the snf | NOT APPLICABLE | 04/09/2025 |
| EVOLVE THERAPY SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 04/09/2025 |
| FLEISCHMANN, DAVID Individual | adp of the snf | NOT APPLICABLE | 01/17/2022 |
| FRANKLIN, BRENDA Individual | adp of the snf | NOT APPLICABLE | 10/30/2020 |
| FRIEDRICHSEN, NATASHA Individual | adp of the snf | NOT APPLICABLE | 08/23/2022 |
| GOFF, KILEY Individual | adp of the snf | NOT APPLICABLE | 05/01/2019 |
| GOPIN, BRIAN Individual | adp of the snf | NOT APPLICABLE | 05/01/2019 |
| LIMESTONE FISCAL SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 04/09/2025 |
| MERCH PAY INC Organization | adp of the snf | NOT APPLICABLE | 04/09/2025 |
| NEXUS SERVICE GROUP LLC Organization | adp of the snf | NOT APPLICABLE | 04/09/2025 |
| SATTAR, ARIF Individual | adp of the snf | NOT APPLICABLE | 05/01/2019 |
| SAUL N FRIEDMAN & COMPANY Organization | adp of the snf | NOT APPLICABLE | 04/09/2025 |
| WALDEN, JACOB Individual | adp of the snf | NOT APPLICABLE | 11/01/2023 |
| ZIMMET HEALTHCARE SERVICES GROUP LLC Organization | adp of the snf | NOT APPLICABLE | 04/09/2025 |
| JW NEBRASKA OPERATIONS, LLC Organization | direct ownership interest | NOT APPLICABLE | 11/01/2023 |
| CHAFETZ, ADINA Individual | indirect ownership interest | NOT APPLICABLE | 11/01/2023 |
| WALDEN, JACOB Individual | indirect ownership interest | NOT APPLICABLE | 11/01/2023 |
| YCNE OPERATIONS, LLC Organization | indirect ownership interest | NOT APPLICABLE | 11/01/2023 |
| BANK OF OKLAHOMA Organization | operational/managerial control | NOT APPLICABLE | 05/01/2022 |
| EMERALD HEALTHCARE LLC Organization | operational/managerial control | NOT APPLICABLE | 03/17/2017 |
| EVOLVE THERAPY SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 05/01/2019 |
| FLEISCHMANN, DAVID Individual | operational/managerial control | NOT APPLICABLE | 11/01/2023 |
| FRANKLIN, BRENDA Individual | operational/managerial control | NOT APPLICABLE | 10/30/2020 |
| FRIEDRICHSEN, NATASHA Individual | operational/managerial control | NOT APPLICABLE | 08/23/2022 |
| GOFF, KILEY Individual | operational/managerial control | NOT APPLICABLE | 05/01/2019 |
| GOPIN, BRIAN Individual | operational/managerial control | NOT APPLICABLE | 05/01/2019 |
| LIMESTONE FISCAL SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 07/01/2024 |
| MERCH PAY INC Organization | operational/managerial control | NOT APPLICABLE | 05/01/2019 |
| NEXUS SERVICE GROUP LLC Organization | operational/managerial control | NOT APPLICABLE | 05/01/2019 |
| SATTAR, ARIF Individual | operational/managerial control | NOT APPLICABLE | 05/01/2019 |
| SAUL N FRIEDMAN & COMPANY Organization | operational/managerial control | NOT APPLICABLE | 05/01/2019 |
| ZIMMET HEALTHCARE SERVICES GROUP LLC Organization | operational/managerial control | NOT APPLICABLE | 05/01/2019 |
Other nursing homes near Emerald Nursing & Rehab Cozad
- ★★★★★2Below average
Elwood Care Center
607 Smith Avenue, Elwood, NE 68937 · 20.6 mi
Government · 43 beds
- CMS high performer
★★★★★5Much above averageCallaway Good Life Center, INC
600 West Kimball Street, Callaway, NE 68825 · 29.3 mi
Non-profit · 38 beds
★★★★★1Much below averageBertrand Nursing Home
100 Minor Avenue, Bertrand, NE 68927 · 30.4 mi
Government · 26 beds · Part of Rural Health Development
- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is Emerald Nursing & Rehab Cozad's rating?
Emerald Nursing & Rehab Cozad has 1 out of 5 stars on the CMS overall star rating. The average for Nebraska nursing homes is 2.8 stars.
How many inspection citations did Emerald Nursing & Rehab Cozad receive?
Its most recent standard health inspection found 6 citations, compared with a Nebraska average of 7.4. Every citation is listed on this page with its severity.
Does Emerald Nursing & Rehab Cozad accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Emerald Nursing & Rehab Cozad?
It is for profit - limited liability company and part of Emerald Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Emerald Nursing & Rehab Cozad and how do I contact it?
Emerald Nursing & Rehab Cozad is at 318 West 18th Street, Cozad, NE 69130. Phone: (308) 784-3715.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.