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Nursing home report

Emerald Nursing & Rehab Lancaster LLC

Lincoln, NE · Medicare-certified · 293 beds

Needs attention
Special Focus candidateFor-profitChain member
Data as of July 1, 2026
1 of 5 overall

Emerald Nursing & Rehab Lancaster LLC has a 1-star overall rating, with 1-star health inspection and staffing ratings, and 2-star quality measures. It is a Special Focus Facility candidate/attention flag, had $62,924 in fines in the last 24 months, and reported nurse staffing of 3.39 hours per resident per day versus the 4.1 federal benchmark.

Facility ratings

Health inspections

Staffing

3.3902 hrs/resident/day

Quality measures

Last inspection: April 22, 2026Penalties, last 24 months: $62,924special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3902.

Staffing detail

Registered nurses
0.26
Licensed practical nurses
0.67
Nurse aides
2.46
Weekend nursing
3.05

Hours per resident per day.

Total staff turnover: 74%
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

22%24%Worsening

Residents with a fall causing major injury

5.6%3.2%Improving

Residents with pressure ulcers (bedsores)

4.3%3.7%Improving

Residents with a urinary tract infection

2%1.9%No change

Residents who lost too much weight

5.2%5.3%No change

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

14.9%11.5%Improving

Residents whose ability to walk got worse

25.1%18.5%Improving

Long-stay residents on antianxiety or sleep medication

27.6%23.1%Improving

Short-stay residents newly given an antipsychotic

0%2%Worsening

Residents with a long-term catheter

1.6%0.5%Improving

Residents with new or worsening incontinence

26.1%42.9%Worsening

Residents with depressive symptoms

4.7%3.5%Improving

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

77.1%

Long-stay residents given the pneumonia vaccine

85.8%77.2%Worsening

Short-stay residents given the seasonal flu vaccine

70.2%

Short-stay residents given the pneumonia vaccine

64.3%60.9%Worsening

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited October 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: G

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited April 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 725 — 42 CFR §483.35 — S/S: F

The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited January 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 727 — 42 CFR §483.35 — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  4. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  6. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  7. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  8. PENALTY

    A federal payment denial was recorded.

  9. PENALTY

    A federal fine of $51,324 was recorded.

  10. PENALTY

    A federal fine of $11,600 was recorded.

  11. PENALTY

    A federal payment denial was recorded.

Penalties & enforcement

On record with Medicare: 3 fines · $79,725 in total fines · 3 payment denials.

  • Medicare/Medicaid payment denial

    Oct 29, 2024

    13 days
  • Federal fine

    Oct 29, 2024

    $51,324
  • Federal fine

    Jul 8, 2024

    $11,600
  • Medicare/Medicaid payment denial

    May 7, 2024

    16 days
  • Medicare/Medicaid payment denial

    Jan 23, 2024

    4 days
  • Federal fine

    Jan 23, 2024

    $16,801

Operator & ownership

Recent ownership change · Apr 29, 2022

Now operated by Emerald Nursing & Rehab Lancaster, previously Lancaster Rehabilitation Center.

Ownership
For profit - Limited Liability company
Chain
Part of EMERALD HEALTHCARE · 14 homes · 1.4 stars avg
Occupancy
185.3 residents on an average day (63% of 293 beds)
Resident voice
Resident council
Medicare history
Certified for 19 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.