Emerald Nursing & Rehab Cozad

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Met the expected recovery: 55.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 20 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.24 therapist hours per resident per day in 2026Q1 — more than 31% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 67 beds and averages 38.7 residents a day — about 58% occupied, or roughly 28 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.50 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.43 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.24 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.12 hrs/resident/day on weekends vs 3.66 on weekdays — 15% thinner on weekends. RN hours go from 0.47 to 0.35 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 65% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.

• Potential for harm · Dcited before2025-11-13 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09(I)(i)Based on record review and interview the facility failed to ensure that post fall procedures were followed for 1 of 4 sampled residents (Resident 1). The facility census was 36.Findings are:Record review of the facility policy titled Falls Management dated 1/2024 revealed that in the event of a fall a complete head to toe assessment must be performed. Obtain vital signs. The nurse will complete documentation to include vital signs. Contact the physician and family and document in the medical record, including time and person spoken with. The resident fall will be documented for 24 hours for post fall monitoring. Record review of the Minimum Data Set (MDS) (a mandatory comprehensive assessment tool used for care planning) for Resident 1 dated 11/4/25 revealed that Resident 1 admitted into the facility on [DATE]. The MDS revealed that Resident 1 had two falls with no injury, and one fall with injury since the previous MDS assessment (dated 9/19/25). Record review…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-07-22 · tag F0761 — failed to label and store drugs safely — widespread
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.12(D) Based on observations, interviews, and record reviews; the facility failed to store medications in a sanitary manner which had the potential to affect all residents, and failed to label medications with an opened and/or expiration date for 1 resident (Resident 10) of 4 sampled residents. The facility census was 37.A.In an observation completed on 07/17/2025 at 11:00 AM of the facility medication storage room the following was observed:-In a refrigerator kept in the medication storage room there was a clear plastic bin on the top shelf of the refrigerator labeled insulin containing 5 clear Ziplock bags with insulin (an injectable medication) in them. In the same refrigerator on the bottom shelf were multiple white plastic containers with the manufacturer label attached Ensure (a liquid supplement that is drank).-On the counter of the room there were multiple open boxes containing dressing supplies.-On the counter there were 3 plastic, green lidded bins with opened and partially used medications belonging to multiple residents. In an…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-07-22 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.04(A)(ii) Licensure Reference Number 175 NAC 1-005.06(E)&(D) Based on record review, observations, and interviews, the facility failed to ensure health history screenings were completed and reviewed prior to starting employment for 2 of 5 staff reviewed. The facility failed to follow contact precautions for 1 resident (Resident 17), the facility failed to complete hand sanitization for 5 (Residents 28, 35, 20, 26, and 12) of 5 sampled residents during medication administration, and failed to ensure proper hand hygiene was completed after providing care to 1 resident (Resident 3). The facility identified a census of 37. Findings are: A. A record review of a facility policy titled, Infection Prevention and Control Program with a revision date of 01/2024 revealed a policy statement of, It is a policy of this facility to establish and maintain an infection prevention and control program designed to provide a safe, and sanitary, and comfortable environment and to help prevent…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-07-22 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.10(D)Based on observation, interview, and record review the facility failed to have a medication error rate of less than 5%. This affected 3 residents (Residents 12, 20, and 35) of 5 sampled residents. The facility census was 37. Findings are:Record review of an undated facility document titled Medication Administration revealed medications will be administered to the right resident in the correct dose by the correct route in the correct strength and the correct medication.In an observation completed on 07/17/2025 at 8:15 AM Medication Aide (MA)-J was observed to prepare Resident 35 medication which included Omeprazole (a medication used to reduce the amount of acid produced in the stomach), 20 milligrams (mg) tablet with instructions for the medication to be given 60 minutes before meals.In an observation completed on 07/17/2025 at 8:20 AM, Resident 35 was observed to be sitting at the dining table taking bites of hot cereal from a bowl sitting on the table. The resident was also to be observed with 1/2 a piece of toasted bread on the plate…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-07-22 · tag F0803 — failed to meet residents' dietary needs — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.11Based on observation, record review, and interview the facility failed to follow the dietary menu to ensure that residents received the required serving size for 6 (Residents 31, 36, 17, 7, 3, and 13) of 6 residents observed. This prevented residents from receiving the required amount of food to meet their nutritional needs. The facility census was 37.Findings are:Record review of the facility policy titled Menus and Adequate Nutrition dated 1/2024 revealed that the purpose is to assure that menus are developed and prepared to meet resident choices and resident's nutritional needs using established guidelines. The facility will ensure that menus are followed. Observation on 7/17/25 at 11:47 AM in the facility kitchen revealed that Dietary Cook-E (DC-E) removed clear wrap from the pans of food items in the steam table to begin serving meals. DC-E placed a gray #8 (4 ounce) scoop into the pan of pureed lasagna (pureed is a cooked food item that has been ground with a blender into a smooth consistency for residents with difficulty chewing or…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-22 · tag F0679 — failed to provide activities — isolated
  Provide activities to meet all resident's needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.09(H)(iv)(2)Based on record review, observation, and interview the facility failed to provide a meaningful activity program for 1 (Resident 35) of 1 sampled residents. The facility census was 37.Findings are:Record review of an undated facility document titled Resident admission Agreement revealed the facility would provide an activities program including, but not limited to, a planned schedule for recreational, motivational, social, and other activities to make the resident's life more meaningful.Record review of a facility document titled Memory Care Unit (MCU) May Calendar revealed for the month of May 2025 an activity of coloring was provided 16 of the 31 days, an activity of story time was offered 5 of the 31 days, an activity involving crafts were offered 2 out of 31 days, and there were no scheduled activities listed on Saturdays and Sundays. There were no listed activities related to religious services or church.Record review of a facility document titled MCU June Calendar revealed for the month of June 2025 an activity of coloring…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-06-13 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.18 Based on observation and interview, the facility failed to ensure exhaust fans in 4 (Rooms 101, 103, 105, and 107) of 18 sampled resident bathrooms were operational and ensure the cleanliness of the laundry area of the facility which had the potential to affect all of the residents residing in the facility that have laundry done by the facility. The facility stated census was 43. Findings are: A. Review of a facility supplied document labeled Regular Maintenance and Safety Inspection dated 06/13/2024 revealed instructions for monthly verification of the operation of all exhaust fans. In an observation completed on 06/13/2024 at 8:58 AM it was observed that the exhaust fans in the bathrooms of rooms 101, 103, 105, and 107 did not pull up a single ply piece of tissue. In an interview conducted on 06/13/2024 at 8:58 AM with the Maintenance Supervisor (MS), and the Housekeeping Supervisor (HS), it was confirmed that the exhaust fans in rooms 101, 103, 105, and 107 could not pull up a single ply piece of tissue indicating they were not…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-06-13 · tag F0758 — failed to limit and justify psychotropic drugs — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.09D Based on observation, interview, and record review the facility failed to implement nonpharmacological interventions prior to the use of as needed psychotropic medications and re assess the use of psychotropic medications for 3, (Resident #10, #34, and #21) of 4 sampled residents. The facility states census was 43. Findings are: Review of a facility supplied document titled Mood and Behavior Policy and Procedure dated 01/2024 revealed, #5 Mood and Behavior Tracking documentation will be completed to identify interventions attempted and outcomes of approaches. A. Review of an admission Record revealed the facility admitted resident #10 on 02/22/2024 with diagnoses that included Dementia, which is the impaired ability to remember, think, or make decisions that interfere with doing everyday activities, pain to the left and right leg, and Osteoporosis which is a condition where bones become weak and brittle. The comprehensive Minimum Data Set (MDS), which is mandatory comprehensive assessment tool that measures the health status of nursing…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-13 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175NAC 12-006.05(12) Based on observation, interview, and record review the facility failed to treat 2 residents (Resident #10 and Resident #34) of 5 sampled residents with dignity. The facility stated census was 43. Findings are: Review of a facility supplied document labeled Residents Rights not dated revealed the resident has the right to privacy and to be treated with respect and dignity. Review of a facility supplied document labeled Skills Check Perineal Care which is the cleansing of the genital and rectal areas of a person's body, and not dated, revealed to gather equipment, and explain the procedure and screen the resident for privacy. A. Review of an admission Record revealed the facility admitted Resident #10 on 02/22/2024 with diagnoses of: Dementia (the impaired ability to remember, think, or make decisions that interfere with doing everyday activities), pain to the left and right leg, and Osteoporosis (a condition where bones become weak and brittle). The comprehensive Minimum Data Set (MDS), which is mandatory comprehensive assessment tool…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-13 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number: 175 NAC 12-006.09D Based on record reviews and interviews, the facility failed to ensure follow up was completed for 1 sampled Resident (Resident 21) with abnormal blood glucose readings in accordance with physician orders. Sample size was 1. Facility census was 44. Findings are: A. Record review of Resident 21's Minimum Data Set (MDS-a federally mandated comprehensive assessment used to develop the resident care plan) dated 04/12/2024 revealed the following: -resident admission date was 10/09/2020. -diagnoses of type 1 diabetes mellitus with unspecified complications (an autoimmune condition in which your immune system mistakenly attacks insulin-producing cells, which turns off insulin production). -cognitive score of 15/15, revealed no cognitive impairment. -resident receives orders for insulin 7 out of 7 days. Record review of Resident 21's Care Plan (CP-a written interdisciplinary comprehensive plan detailing how to provide quality care for a resident) revealed the following: -resident is appropriate for long term care related to the need for 24/7…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to EMERALD HEALTHCARE — 14 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 34 rows in the source record cover these 19 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

10 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 74% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $953K paid to related parties — landlords or management companies under common ownership — equal to about 18% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NE