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Emerald Nursing & Rehab Cozad
318 West 18th Street, Cozad, NE 69130 (opens Google Maps) · Dawson County · (308) 784-3715· 67 certified beds · avg 39 residents/day · certified since Oct 1, 1989 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: EMERALD HEALTHCARE (14 facilities, chain avg rating 1.3★)
2/5
Health inspection rating (on-site)
inspected Jul 22, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.38
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 18 inspection findings. Open the full record below to read every finding.
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 F-0689
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. F-0761
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. F-0880
View all 18 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 13, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0689 |
| Jul 22, 2025 | F · Potential for more than minimal harm, widespread | 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. · F-0761 |
| Jul 22, 2025 | F · Potential for more than minimal harm, widespread | 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. · F-0880 |
| Jul 22, 2025 | E · Potential for more than minimal harm, pattern | 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 · F-0759 |
| Jul 22, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0803 |
| Jul 22, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
| Jun 13, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Jun 13, 2024 | E · Potential for more than minimal harm, pattern | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Jun 13, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| Jun 13, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Jun 13, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Jun 13, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0759 |
| Jun 13, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Apr 4, 2023 | F · Potential for more than minimal harm, widespread | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801 |
| Apr 4, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0623 |
| Apr 4, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Apr 4, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Apr 4, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 5).
All citationsSerious citations (G–L)
2023
All citations: 5
Serious citations (G–L): 0
2024
All citations: 7
Serious citations (G–L): 0
2025
All citations: 6
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | F |
| 2024 | 7 | 0 | E |
| 2025 | 6 | 0 | F |
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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityNebraska averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.38
Nebraska average: 4.33
U.S. average: 3.95
Registered Nurse hours
This facility: 0.42
Nebraska average: 0.72
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.01
Nebraska average: 3.79
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Nebraska avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.38 | 4.33 | 3.95 | bottom 12% in Nebraska; bottom 30% in the U.S. |
| Registered Nurse hours | 0.42 | 0.72 | 0.69 | bottom 17% in Nebraska; bottom 25% in the U.S. |
| Weekend total nurse staffing | 3.01 | 3.79 | 3.50 | bottom 16% in Nebraska; bottom 31% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.35 | 0.47 | 0.48 | bottom 37% in Nebraska; bottom 42% in the U.S. |
| Total nursing staff turnover (%) | 65.3 | 48.7 | 45.8 | bottom 16% in Nebraska; bottom 10% in the U.S. |
| RN turnover (%) | 80.0 | 44.1 | 42.9 | bottom 13% in Nebraska; bottom 6% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.50, RN 0.43, weekend 3.12.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.50 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 1/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Emerald Nursing & Rehab Cozad. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| JW Nebraska Operations, LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 11/01/2023 |
| Reisman, 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 |
| 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 | Operational/Managerial Control | NOT APPLICABLE | 03/17/2017 |
| Emerald Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/09/2025 |
| Evolve Therapy Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2019 |
| Evolve Therapy Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/09/2025 |
| Fleischmann, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2023 |
| Fleischmann, David | Individual | ADP of the SNF | NOT APPLICABLE | 01/17/2022 |
| Franklin, Brenda | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/30/2020 |
| Franklin, Brenda | Individual | ADP of the SNF | NOT APPLICABLE | 10/30/2020 |
| Friedrichsen, Natasha | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/23/2022 |
| Friedrichsen, Natasha | Individual | ADP of the SNF | NOT APPLICABLE | 08/23/2022 |
| Goff, Kiley | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2019 |
| Goff, Kiley | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2019 |
| Gopin, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2019 |
Showing 20 of 34 parties CMS has on file for this facility; 14 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Emerald Healthcare — 14 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Emerald Nursing & Rehab Lakeview — Grand Island, NE · overall 1/5
- Emerald Nursing & Rehab Lancaster LLC — Lincoln, NE · overall 1/5SFF
- Emerald Nursing & Rehab Legacy Pointe LLC — Omaha, NE · overall 1/5SFF
- Emerald Nursing & Rehab Omaha — Omaha, NE · overall 1/5SFF
- Emerald Nursing & Rehabilitation Mercy — Omaha, NE · overall 1/5SFF
- Emerald Care Center Claremore — Claremore, OK · overall 2/5
- Emerald Care Center Midwest — Midwest City, OK · overall 2/5
- Emerald Care Center Southwest LLC — Oklahoma City, OK · overall 1/5
Listed by state, then facility name — not a ranking. Showing 8 of the 13 others, continuing from this facility's own place in that list.
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?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Nebraska midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 65% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 34 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Hilltop Estates | 9.9 mi | Gothenburg, NE | ★★☆☆☆ | 2/5 |
Facility data as of CMS processing date 2026-08-01. CCN 285093.