Emerald Nursing & Rehab Lakeview
1405 West Hwy 34, Grand Island, NE 68801 · Hall County · 95 certified beds · avg 75 residents/day · certified since Jun 1, 1991
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: ★☆☆☆☆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 · Jan 29, 2026 · F-0678
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.
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: Mar 6, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (22)
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 |
|---|---|---|
| Jan 29, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. |
| Jan 29, 2026 | F · Potential for harm, facility-wide | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. |
| Jan 29, 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. |
| Jan 29, 2026 | E · Potential for harm, repeated | The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both. |
| Jan 29, 2026 | 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. |
| Jan 29, 2026 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Jan 29, 2026 | 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. |
| Jan 29, 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. |
| Jan 29, 2026 | D · Potential for harm, one-off | The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule. |
| Jan 29, 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. |
| Dec 5, 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. |
| Dec 5, 2024 | 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. |
| Dec 5, 2024 | E · Potential for harm, repeated | 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. |
| Dec 5, 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 |
| Dec 5, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Dec 5, 2024 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Dec 5, 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. · from a complaint |
| Dec 5, 2024 | D · Potential for harm, one-off | The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. · from a complaint |
| Nov 2, 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 |
| Nov 2, 2023 | 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 |
| Nov 2, 2023 | 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 |
| Nov 2, 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 stayed about the same across the last two inspection cycles (8 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | F |
| 2024 | 8 | 0 | E |
| 2026 | 10 | 1 | J ▲ |
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)
1 fine totaling $13,426, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Jan 29, 2026 | Fine | $13,426 |
| Jan 29, 2026 | Payment Denial | 15 days from Feb 26, 2026 |
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) | 3.32 | 4.33 | 3.95 | bottom 11% in Nebraska; bottom 27% in the U.S. |
| Registered Nurse hours | 0.35 | 0.72 | 0.69 | bottom 8% in Nebraska; bottom 16% in the U.S. |
| Weekend total nurse staffing | 2.94 | 3.79 | 3.50 | bottom 11% in Nebraska; bottom 28% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.15 | 0.47 | 0.48 | bottom 2% in Nebraska; bottom 5% in the U.S. |
| Total nursing staff turnover (%) | 43.1 | 48.7 | 45.8 | top 41% in Nebraska; top 45% in the U.S. |
| RN turnover (%) | 28.6 | 44.1 | 42.9 | top 32% in Nebraska; top 26% 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 0.37, weekend 3.10. 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: 2/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Chafetz, Yisroel | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2023 |
| Reisman, Adina | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2023 |
| Segal, Caryn | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2023 |
| Ycne Operations, LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 11/01/2023 |
| Bank of Oklahoma | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/03/2021 |
| Bank of Oklahoma | Organization | ADP of the SNF | NOT APPLICABLE | 03/27/2025 |
| Chafetz, Yisroel | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/17/2017 |
| Chafetz, Yisroel | Individual | ADP of the SNF | NOT APPLICABLE | 03/17/2017 |
| Emerald Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2019 |
| 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 | 03/27/2025 |
| Fleischmann, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2023 |
| Fleischmann, David | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2023 |
| Franklin, Brenda | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2019 |
| Franklin, Brenda | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2019 |
| Goff, Kiley | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/29/2024 |
| Goff, Kiley | Individual | ADP of the SNF | NOT APPLICABLE | 01/29/2024 |
| Gopin, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2023 |
| Gopin, Brian | Individual | ADP of the SNF | 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.
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
- "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?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "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 Prairie Commons Care Center | 1.6 mi | Grand Island, NE | ★☆☆☆☆ | 1/5 | |
| Chi Health St. Francis | 2.6 mi | Grand Island, NE | ★★★☆☆ | 4/5 | |
| Adept Nursing & Rehab of Grand Island | 2.8 mi | Grand Island, NE | ★☆☆☆☆ | 1/5 | |
| Tiffany Square | 2.9 mi | Grand Island, NE | ★★☆☆☆ | 3/5 | |
| Good Samaritan Society - Grand Island Village | 3.0 mi | Grand Island, NE | ★☆☆☆☆ | 2/5 | |
| Westfield Quality Care of Aurora | 17.6 mi | Aurora, NE | ★☆☆☆☆ | 1/5 | |
| Memorial Community Care | 17.9 mi | Aurora, NE | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 285106.