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Nursing HomeMedicaid Investigative

Emerald Nursing & Rehab Cozad

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

318 West 18th Street, Cozad, NE 6913067 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 30 Google reviews

5
4
3
2
1
Emerald Nursing & Rehab Cozad Nursing Home in Cozad, NE — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (6 vs median 5)
  • High staff turnover (66%)

Bottom 25% in NE · Below recommended RN staffing · Worst in EMERALD HEALTHCARE chain · No penalties on record

Source: Medicare data

What this means for your family

Emerald Nursing & Rehab Cozad is highly regarded for its compassionate staff and excellent communication with families, making it a strong choice for those seeking a supportive environment. While the facility is well-rated, we recommend that you observe staff interactions during your tour to address the isolated concerns regarding staff attitude noted by a few reviewers.

Google Reviews

Google Reviews

30 reviews on Google
Emerald Nursing & Rehab Cozad is highly regarded by local families for its compassionate staff and supportive environment. Reviewers frequently highlight the facility's responsiveness, professional communication, and the personalized care provided to residents, though a small minority of negative feedback exists regarding staff attitude.

Quality Themes

Tap a score for details
Food10.0Staff9.0CleanN/AActivitiesN/AMedsN/AMemory10.0Comms10.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Strong, proactive communication with families
  • Effective rehab therapy services
  • Welcoming, home-like atmosphere

Concerns

  • Reports of rude or lazy nursing staff (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.62020(8)4.82021(4)4.52022(8)4.62023(9)5.02024(1)5.02026(1)

Distribution · 31 analyzed

5
25
4
4
3
0
2
0
1
2

How They Respond to Reviews

80%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed that the facility has a very high response rate to online feedback; how do you incorporate that family input into your daily operations and care planning?
  • 2With the current staffing ratings, what specific strategies are you using to ensure that every resident receives consistent, attentive care throughout the day?
  • 3Some families have mentioned mixed experiences regarding staff demeanor; how do you foster a supportive and professional environment for your team to ensure they remain patient and kind during busy shifts?
  • 4Given the recent health inspection findings, what proactive steps has the facility taken to address those specific areas and improve the quality of care?
  • 5What does the daily activity schedule look like to ensure residents feel engaged and part of a home-like community rather than just a clinical environment?
  • 6How does your nursing team coordinate with local medical providers to handle urgent health changes or emergencies, especially during evening or weekend hours?

Personalized based on this facility's data


Key Review Excerpts

I am a former Long Term Care Ombudsman. I am impressed with the care and responsiveness of the staff who care for my family member.

Long-term resident's family · 2023★★★★★

The staff at Emerald take care of my mother like she is family.

Long-term resident's family · 2022★★★★★

My parents love the food and they love the great staff. Emerald is easy to work with and I appreciate all their weekly updates sent out.

Long-term resident's family · 2022★★★★★
Source: 30 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.35hrs
46%
Registered nurses for medical care
Total Nursing
3.67hrs
89%
All nurses + aides combined
Staff Turnover
65%
Lower is better (< 30% = good)
RN Turnover
80%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

6

measures

Worse Than Avg

10

measures

Mixed Results

1

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility81.0%
Worse than Avg
Here
81.0%
US
93.4%
NE
92.9%
Dawson
97.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility30.0%
Worse than Avg
Here
30.0%
US
15.5%
NE
20.8%
Dawson
19.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
NE
4.3%
Dawson
5.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility17.9%
Better than Avg
Here
17.9%
US
19.4%
NE
26.3%
Dawson
19.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility25.4%
Worse than Avg
Here
25.4%
US
19.5%
NE
19.3%
Dawson
18.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility19.2%
Worse than Avg
Here
19.2%
US
15.3%
NE
19.1%
Dawson
11.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility68.6%
Worse than Avg
Here
68.6%
US
81.8%
NE
80.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility8.7%
Worse than Avg
Here
8.7%
US
1.6%
NE
2.3%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility80.0%
Better than Avg
Here
80.0%
US
79.8%
NE
75.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
Near state avg (6.7)
2 complaint-triggered

This facility has recurring deficiencies across multiple surveys, with families filing at least two complaints about medication management and accident prevention. The most frequent problems involve medication management (including high error rates), fire safety systems, and resident care quality. While all issues show correction dates, medication errors and safety concerns persist across multiple surveys from 2023 to 2025, suggesting ongoing challenges with maintaining consistent standards.

Nov 13, 2025Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jul 22, 2025Routine
11
0761Potential for harm · WidespreadCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0026Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

0030Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

List the names and contact information of those in the facility.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0200Potential for harm · IsolatedCorrected

Egress Deficiencies

Meet other general requirements.

0300Potential for harm · IsolatedCorrected

Egress Deficiencies

Meet other general requirements that are deficient.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Jul 22, 2025Complaint
1
0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Jun 13, 2024Routine
11
0035Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide family notifications of emergency plan.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0374Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0758Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Apr 4, 2023Routine
8
0801Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0623Potential for harm · PatternCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Emerald Nursing & Rehab Cozad

Organization Type

for profit

Chain Affiliation

Chain Name

Emerald Healthcare

Chain Size

14 facilities nationwide

Chain avg rating: 1.5/5 · Rank 10 of 14 (Worst)

Ownership & Management

Owners

Jw Nebraska Operations, LLC

Owner · Organization

Ycne Operations, LLC

Owner (parent company) · Organization

Reisman, Adina

Owner (parent company)

Walden, Jacob

Owner (parent company)

Key personnel

Bank of OklahomaManagerEmerald Healthcare LLCManagerEvolve Therapy Services LLCManagerLimestone Fiscal Services LLCManagerMerch Pay INCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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