Emerald Nursing & Rehab Cozad
318 West 18th Street, Cozad, NE 69130 · Dawson County · 67 certified beds · avg 39 residents/day · certified since Oct 1, 1989
Part of chain: EMERALD HEALTHCARE (14 facilities, chain avg rating 1.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · 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.
All citations in the current public record (18)
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 |
|---|---|---|
| Nov 13, 2025 | 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 22, 2025 | F · Potential for harm, facility-wide | 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. |
| Jul 22, 2025 | 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. |
| Jul 22, 2025 | E · Potential for harm, repeated | 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 |
| Jul 22, 2025 | E · Potential for harm, repeated | 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. |
| Jul 22, 2025 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Jun 13, 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. |
| Jun 13, 2024 | E · Potential for harm, repeated | 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. |
| Jun 13, 2024 | 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. |
| Jun 13, 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. |
| Jun 13, 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. |
| Jun 13, 2024 | 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. |
| Jun 13, 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. |
| Apr 4, 2023 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Apr 4, 2023 | E · Potential for harm, repeated | 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. |
| Apr 4, 2023 | E · Potential for harm, repeated | 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. |
| Apr 4, 2023 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Apr 4, 2023 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 5).
| 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)
No fines or payment denials in the published 3-year window.
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) | 3.38 | 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, 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. 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: 3/5 · long-stay residents: 1/5 · short-stay residents: 4/5
Who owns this facility
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 |
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?"
- "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 |
|---|---|---|---|---|---|
| Hilltop Estates | 9.9 mi | Gothenburg, NE | ★★☆☆☆ | 2/5 |
Compare this facility with the 1 closest →
Facility data as of CMS processing date 2026-08-01. CCN 285093.