Nursing HomeMedicaid Investigative

Emerald Nursing & Rehab Lancaster LLC

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

1001 South Street, Irvingdale · Lincoln, NE 68502|293 beds|Licensed & Active

1/5

Medicare

Inspection

Quality

Staffing

Google rating

3.8/5

based on 167 Google reviews

(402) 441-7101 Directions Website

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9/ 10

critical Risk

Quality Concerns Identified

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

Special Focus Facility (under heightened CMS scrutiny)
Low overall rating (1/5 stars)
Low staffing rating (2/5 stars)
Above-median deficiencies (15 vs median 5)
High staff turnover (73%)
High RN turnover (91%)

Bottom 25% in NE · Critically understaffed (RN) · Very high staff turnover · Worst in EMERALD HEALTHCARE chain · $79,725 in fines · Special Focus Facility (CMS)

Source: Medicare data

What this means for your family

This facility's physical therapy team is frequently cited as a major strength, making it a potential option for short-term rehab. However, the recurring, serious reports of neglect and understaffing, particularly in memory care and on weekends, are major red flags. If you choose this facility, you must be prepared to visit frequently and advocate daily for your loved one's basic needs.

Google Reviews

167 reviews on Google

“Emerald Nursing & Rehab Lancaster presents a highly polarized experience for families. While many reviewers praise the physical therapy team and individual staff members for their kindness, a significant number of reports highlight severe neglect, including issues with hygiene, medication management, and understaffing. Families should be prepared to be highly involved advocates, as the quality of care appears to vary significantly depending on the unit and shift.”

Quality Themes

Tap a score for details

Strengths

Dedicated and skilled physical therapy team
Friendly and helpful individual staff members
Clean and well-maintained common areas
Engaging resident activities and social programs

Concerns

Chronic understaffing leading to neglect (mentioned by 12 reviewers)
Poor hygiene and lack of assistance with personal care (mentioned by 8 reviewers)
Inconsistent medication management (mentioned by 3 reviewers)
Facility maintenance issues (HVAC, odors, dated rooms) (mentioned by 6 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 169 analyzed

How They Respond to Reviews

30%response rate

This facility responds to some reviews.

Questions for Your Tour

1I noticed the facility has a large capacity of 293 residents; what specific systems do you have in place to ensure each resident receives consistent, personalized attention for their daily hygiene and personal care needs?
2Given the recent feedback regarding staffing levels, could you walk me through how you manage shift coverage to ensure that residents are not waiting long periods for assistance?
3I see that the physical therapy team is highly regarded here; how do you integrate those therapy services into the daily activity schedule to keep residents engaged and mobile?
4Regarding medication management, what protocols are currently in place to ensure accuracy and timely administration for residents with complex health needs?
5I appreciate that the leadership team actively responds to feedback online; how do you use that resident and family input to drive improvements in facility maintenance and room comfort?
6With the current CMS health inspection ratings, what specific steps is the facility taking to address those findings and improve the overall quality of care?

Personalized based on this facility's data

Key Review Excerpts

“The only good staff at the home is the physical rehab employees. They even go beyond their duties to help because place is so under staffed!”

Family member · 2024★☆☆☆☆

“Well... Overall it's not the worst, if you are available effectively 24/7 to advocate on behalf of your loved one. Definitely one of the places where you need to be a squeaky wheel, and constantly.”

Family member · 2024★★★☆☆

“The PT , OT people are good , dedicated. Therapy is helpfull. Nursing very short staffed.”

Family member · 2023★★☆☆☆

Source: 167 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.32hrs

42%

Registered nurses for medical care

Total Nursing

3.65hrs

89%

All nurses + aides combined

Staff Turnover

71%

Lower is better (< 30% = good)

RN Turnover

86%

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

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

Medicare Rating

1/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

💉

Residents vaccinated for the flu

↑ Higher is better

This Facility77.1%

Worse than Avg

Here

77.1%

95.5%

96.1%

Lancaster

94.9%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility81.4%

Worse than Avg

Here

81.4%

93.4%

92.9%

Lancaster

91.2%

😔

Residents with depression symptoms

↓ Lower is better

This Facility2.2%

Better than Avg

Here

2.2%

12.1%

4.3%

Lancaster

4.1%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility27.3%

Worse than Avg

Here

27.3%

19.5%

19.3%

Lancaster

20.2%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility13.2%

Better than Avg

Here

13.2%

14.4%

19.5%

Lancaster

20.6%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility26.5%

Mixed vs Avgs

Here

26.5%

19.4%

26.3%

Lancaster

27.5%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility66.4%

Worse than Avg

Here

66.4%

81.8%

80.5%

Lancaster

76.3%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility70.2%

Worse than Avg

Here

70.2%

79.8%

75.9%

Lancaster

76.2%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility2.1%

Mixed vs Avgs

Here

2.1%

1.6%

2.3%

Lancaster

1.5%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

16deficiencies

6penalties

Well above state avg (6.7)

36 complaint-triggered

$79,725 in fines

This facility has concerning patterns with families frequently filing complaints that trigger inspections. Recurring issues include accident prevention and safety supervision, infection control, and food safety, with these same problems appearing repeatedly across multiple surveys since 2023. While the facility corrects deficiencies when cited, the persistence of safety and infection control violations suggests ongoing operational challenges that families should carefully evaluate before choosing this facility.

Apr 22, 2026Complaint1 finding

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.

Apr 14, 2026Complaint3 findings

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0773Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Jan 8, 2026Complaint1 finding

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

Jul 8, 2025Complaint2 findings

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0919Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

Jun 24, 2025Complaint1 finding

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.

Apr 14, 2025Complaint1 finding

0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Federal Penalties

Fine

Oct 29, 2024

$51,324

Payment Denial

Oct 29, 2024

13-day denial

Fine

Jul 8, 2024

$11,600

Payment Denial

May 7, 2024

16-day denial

Fine

Jan 23, 2024

$16,801

Payment Denial

Jan 23, 2024

4-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Emerald Nursing & Rehab Lancaster LLC

Organization Type

for profit

Chain Affiliation

Chain Name

Emerald Healthcare

Chain Size

14 facilities nationwide

Chain avg rating: 1.5/5 · Rank 7 of 14 (Worst)

Ownership & Management

Owners

Lancaster Opco Holdings LLC

Owner (parent company) · Organization

100%

Key personnel

Graff, JenniferW-2 Managing EmployeeChafetz, YisroelOfficer / DirectorWalden, JacobOfficer / DirectorChafetz, YisroelManagerWalden, JacobManager

Source: Medicare provider data

Contact

Get in Touch

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

(402) 441-7101

lancasteremerald.com

1001 South Street

Lincoln, NE 68502

Get Directions View on Google Maps

References & Resources

Medicare Care Compare

Official Medicare quality ratings, inspections & staffing data

Google Maps

Photos, directions & neighborhood info

Google Reviews

167 reviews from families & visitors

Official Website

Visit lancasteremerald.com

Medicare data downloads

Original nursing home datasets

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.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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