Emerald Nursing & Rehab Brookside LLC
4735 South 54th Street, Lincoln, NE 68516 · Lancaster County · 173 certified beds · avg 94 residents/day · certified since Jan 3, 1975
Part of chain: EMERALD HEALTHCARE (14 facilities, chain avg rating 1.3★)
1/5
Health inspection rating (on-site)
1
Serious findings on record
$37,998
Fines, last 3 years
3.14
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Oct 21, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 18, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (44)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 19, 2026 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| May 19, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| May 19, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| May 11, 2026 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Apr 15, 2026 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Feb 11, 2026 | E · Potential for harm, repeated | The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both. |
| Feb 11, 2026 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Feb 11, 2026 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Feb 11, 2026 | C · Minimal risk, facility-wide | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Feb 11, 2026 | C · Minimal risk, facility-wide | The facility has more than 120 beds but did not hire a qualified full-time social worker as required. |
| Nov 18, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Sep 15, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Jun 2, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Jun 2, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Apr 3, 2025 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| Mar 3, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Jan 23, 2025 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
| Oct 21, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 22, 2024 | F · Potential for harm, facility-wide | The facility did not honor residents' right to manage their own money and financial affairs. |
| Aug 22, 2024 | F · Potential for harm, facility-wide | The facility did not observe each nurse aide's job performance or provide regular training as required. · from a complaint |
| Aug 22, 2024 | F · Potential for harm, facility-wide | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint |
| Aug 22, 2024 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 22, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Aug 22, 2024 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Aug 22, 2024 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Aug 22, 2024 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Aug 22, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jul 24, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Apr 9, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Apr 9, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Apr 9, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Feb 6, 2024 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. · from a complaint |
| Feb 6, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Feb 6, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy. · from a complaint |
| Sep 26, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Sep 26, 2023 | F · Potential for harm, facility-wide | The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. |
| Sep 26, 2023 | F · Potential for harm, facility-wide | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
| Sep 26, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Sep 26, 2023 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Sep 26, 2023 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Sep 26, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Sep 26, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Sep 26, 2023 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint |
| Sep 26, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 10 | 0 | F |
| 2024 | 17 | 1 | J ▲ |
| 2025 | 7 | 0 | E |
| 2026 | 10 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
3 fines totaling $37,998, plus 2 Medicare payment denial periods.
| Date | Type | Amount / length |
|---|---|---|
| Oct 21, 2024 | Fine | $26,000 |
| Oct 21, 2024 | Payment Denial | 5 days from Nov 13, 2024 |
| Jan 2, 2024 | Fine | $3,529 |
| Dec 11, 2023 | Fine | $8,469 |
| Sep 26, 2023 | Payment Denial | 44 days from Dec 19, 2023 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Nebraska avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.14 | 4.33 | 3.95 | bottom 5% in Nebraska; bottom 19% in the U.S. |
| Registered Nurse hours | 0.37 | 0.72 | 0.69 | bottom 10% in Nebraska; bottom 18% in the U.S. |
| Weekend total nurse staffing | 2.90 | 3.79 | 3.50 | bottom 10% in Nebraska; bottom 26% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.30 | 0.47 | 0.48 | bottom 28% in Nebraska; bottom 33% in the U.S. |
| Total nursing staff turnover (%) | 62.8 | 48.7 | 45.8 | bottom 25% in Nebraska; bottom 12% in the U.S. |
| RN turnover (%) | 64.3 | 44.1 | 42.9 | bottom 23% in Nebraska; bottom 16% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.23, RN 0.38, weekend 2.98. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Brookside Opco Holdings LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 01/15/2024 |
| Chafetz, Yisroel | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/15/2024 |
| Walden, Jacob | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/15/2024 |
| Chafetz, Yisroel | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/29/2022 |
| Chafetz, Yisroel | Individual | ADP of the SNF | NOT APPLICABLE | 04/29/2022 |
| Emerald Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/29/2022 |
| Emerald Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Evolve Therapy Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/29/2022 |
| Evolve Therapy Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Fish, Amy | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2024 |
| Fish, Amy | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Fleischmann, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/22/2022 |
| Fleischmann, David | Individual | ADP of the SNF | NOT APPLICABLE | 04/22/2022 |
| Gopin, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/22/2022 |
| Gopin, Brian | Individual | ADP of the SNF | NOT APPLICABLE | 04/22/2022 |
| Keybank National Association | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/29/2022 |
| Keybank National Association | Organization | ADP of the SNF | NOT APPLICABLE | 04/15/2025 |
| Limestone Fiscal Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2024 |
| Limestone Fiscal Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Merch Pay INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/29/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How is fresh air circulated through the building, and how is the ventilation system maintained?"
- "How do you make sure resident assessments are completed and submitted to the state on time?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Eventide Williamsburg | 1.6 mi | Lincoln, NE | ★★★★★ | 4/5 | |
| Holmes Lake Rehabilitation & Care Center | 1.6 mi | Lincoln, NE | ★★☆☆☆ | 3/5 | |
| St. Jane de Chantal | 1.7 mi | Lincoln, NE | ★★★★☆ | 3/5 | |
| Ambassador Health of Lincoln | 1.7 mi | Lincoln, NE | ★★☆☆☆ | 2/5 | |
| Heartland Ridge Care Center | 2.8 mi | Lincoln, NE | ★★☆☆☆ | 2/5 | |
| Eventide Lincoln Care Center | 2.8 mi | Lincoln, NE | ★☆☆☆☆ | 1/5 | |
| Hillcrest Firethorn | 2.9 mi | Lincoln, NE | ★★★★☆ | 3/5 | |
| Sumner Place | 3.1 mi | Lincoln, NE | ★★★★☆ | 4/5 | |
| Gateway Vista | 3.4 mi | Lincoln, NE | ★★★☆☆ | 3/5 | |
| Eastmont | 3.4 mi | Lincoln, NE | ★★☆☆☆ | 3/5 | |
| Emerald Nursing & Rehab Lancaster LLC | 3.6 mi | Lincoln, NE | ★☆☆☆☆ | 1/5 | SFF |
| Southlake Village Rehabilitation & Care Center | 3.7 mi | Lincoln, NE | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 285049.