The home failed to properly label and securely store medications and biologicals. Cited July 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: F
Nursing home report
Emerald Nursing & Rehab Cozad
Cozad, NE · Medicare-certified · 67 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Emerald Nursing & Rehab Cozad has a 1-star overall rating, with a 1-star staffing rating and reported nurse staffing below the federal benchmark (3.50 vs 4.1 hours per resident per day). It has no fines in the last 24 months, but it carries the lowest-overall-rating flag and recent inspection citations in medication storage, infection prevention, and food/nutrition staffing.
Facility ratings
Health inspections
Staffing
3.5014 hrs/resident/day
Quality measures
Last inspection: November 13, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5014.
Staffing detail
- Registered nurses
- 0.43
- Licensed practical nurses
- 0.83
- Nurse aides
- 2.24
- Weekend nursing
- 3.12
Hours per resident per day.
Total staff turnover: 65%
Registered nurse turnover: 80%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
27.3%33.3%Worsening
Residents with a fall causing major injury
2.9%3.2%No change
Residents with pressure ulcers (bedsores)
6.2%5.7%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
7.4%12%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.7%16.7%No change
Residents whose ability to walk got worse
—17.6%—
Long-stay residents on antianxiety or sleep medication
23.3%20%Improving
Short-stay residents newly given an antipsychotic
—12.2%—
Residents with a long-term catheter
5.8%0%Improving
Residents with new or worsening incontinence
10.1%19.9%Worsening
Residents with depressive symptoms
0%3.4%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
82.9%83.9%Improving
Short-stay residents given the seasonal flu vaccine
—80%—
Short-stay residents given the pneumonia vaccine
69.6%68.2%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited July 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited April 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
The nursing home failed to keep medication mistakes below the allowed level. Cited July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · May 1, 2019
Now operated by Cozad Operations LLC, previously Cozad Care and Rehabilitation Center LLC.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of EMERALD HEALTHCARE · 14 homes · 1.4 stars avg
- Occupancy
- 38.7 residents on an average day (58% of 67 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 36 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.