Emerald Nursing & Rehabilitation Mercy
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 114 Google reviews
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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 (1/5 stars)
- Above-median deficiencies (19 vs median 5)
- High staff turnover (74%)
- High RN turnover (79%)
Bottom 25% in NE · Critically understaffed (RN) · Very high staff turnover · Worst in EMERALD HEALTHCARE chain · $39,481 in fines
What this means for your family
While the facility has a welcoming lobby and a strong physical therapy team, the recent surge in reports regarding medical neglect and staff unprofessionalism is deeply concerning. If you choose to consider this facility, we strongly advise unannounced visits and frequent monitoring of your loved one's medical charts and hygiene to ensure they are receiving the care they require.
Google Reviews
Google Reviews
114 reviews on Google“Emerald Nursing & Rehabilitation Mercy presents a highly polarized experience for families. While some reviewers praise the facility's cleanliness, security staff, and effective physical therapy, a significant number of families report severe neglect, including unaddressed medical needs, poor hygiene, and staff unprofessionalism. Potential visitors should be aware of consistent reports regarding delayed medication, slow response times to call lights, and communication failures with administration.”
Quality Themes
Tap a score for detailsStrengths
- Friendly and helpful security/entry staff
- Effective physical therapy department
- Clean and well-maintained lobby/common areas
- Some highly attentive individual nurses and aides
Concerns
- Neglect and poor hygiene (soiled linens, lack of bathing) (mentioned by 6 reviewers)
- Slow or non-existent response to call lights (mentioned by 5 reviewers)
- Medication management errors or delays (mentioned by 5 reviewers)
- Staff unprofessionalism (swearing, phone usage, ignoring patients) (mentioned by 5 reviewers)
- Poor communication and difficulty reaching staff/admin (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 116 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1We've heard great things about the physical therapy department here; could you tell us more about how the therapists work with residents to maintain their mobility?
- 2How does the nursing team ensure that medication is administered accurately and on schedule every day?
- 3What specific protocols are in place to ensure that call lights are answered promptly and that residents' hygiene and linen needs are met consistently?
- 4Could you describe the daily meal schedule and how the dining experience is managed for the residents?
- 5What is the best way for our family to stay in regular contact with the administration and nursing staff regarding updates on our loved one?
- 6In the event of a medical emergency during the night, what is the immediate process for notifying the family and providing care?
Personalized based on this facility's data
Key Review Excerpts
“The facility is clean and odorless. The security man at the entrance is always very freindly and helpful. My brother-in-law is receiving good care since admitted about 3 weeks ago. Call light is answered in reasonable time.”
“My father in law wasn't even here for 24 hours before he was rushed to the ER due to the staff's incompetence and arrogance... He was in need of insulin, testing over 400 and complain”
“My mom has been here for a couple of years and I almost took her out until 7 months ago. This place has changed for the better! It's not only beautiful but the admin team is great.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
7
measures
5
measures
5
measures
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Emerald Nursing & Rehabilitation Mercy has accumulated 107 deficiencies across 16 surveys, with a concerning 42 complaint-triggered violations indicating families have repeatedly filed reports. The facility struggles most with infection control, care quality, and fire safety issues, with many problems persisting across multiple surveys and years. While the facility has corrected issues when cited, the high volume of complaints and recurring violations in critical areas like medication management and resident safety suggest ongoing quality concerns that families should carefully consider.
Apr 9, 2026Complaint7
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Mar 18, 2026Complaint8
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
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.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nov 18, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jul 28, 2025Complaint3
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Jun 5, 2025Complaint2
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.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Apr 30, 2025Complaint1
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Federal Penalties
Fine
Jul 28, 2025
$34,440
Fine
Nov 14, 2024
$23,491
Fine
Sep 20, 2023
$15,990
Payment Denial
Sep 20, 2023
3-day denial
Ownership & Operations
Who Operates This Facility
Emerald Nursing & Rehabilitation Mercy
for profit
Chain Affiliation
Emerald Healthcare
14 facilities nationwide
Chain avg rating: 1.5/5 · Rank 13 of 14 (Worst)
Ownership & Management
Owners
River City O[cp Holdings LLC
Owner · Organization
Jw River City LLC
Owner (parent company) · Organization
Yc River City LLC
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
114 reviews from families & visitors
Official Website
Visit emeraldmercy.com
Medicare data downloads
Original nursing home datasets
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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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