Nebraska › Dawson County › Cozad
Emerald Nursing & Rehab Cozad
318 West 18th Street, Cozad, NE 69130
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 67 beds, Emerald Nursing & Rehab Cozad serves Cozad in Dawson County, Nebraska and has taken Medicare and Medicaid residents since 1989.
CMS gives it 1 of 5 stars overall, below the Nebraska median of 3; the health inspection rating is 2, staffing 1 and quality measures 3.
Inspectors recorded 18 health deficiencies across the three most recent survey cycles (6, 7, 5 by cycle, most recent first), none at the actual-harm level. That is 26.9 per 100 beds, about the same as the state median of 23.7.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.5 hours per resident per day (0.4 RN), close to the Nebraska median of 3.9; nursing staff turnover is 65.3%.
Compared with county, state and nation
| Measure | This facility | Dawson Co. median | Nebraska median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 18 | 18 | 15 | 28.7 |
| Citations per 100 beds | 26.9 | 26.9 | 23.7 | 26.8 |
| Total nurse hours per resident day | 3.5 | 4.1 | 3.9 | 3.9 |
| RN hours per resident day | 0.4 | 0.7 | 0.6 | 0.7 |
| Nursing staff turnover | 65.3% | 65.3% | 47.1% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (2 in the county, 180 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Nebraska average per facility for the same cycle, as published by CMS. Standard health survey dates: 22 Jul 2025, 13 Jun 2024.
Severity mix: D ×9 E ×6 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 13 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 12 Dec 2025 |
| 22 Jul 2025 | F0761 | 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. | F | Standard survey | 4 Sep 2025 |
| 22 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 4 Sep 2025 |
| 22 Jul 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Complaint investigation | 4 Sep 2025 |
| 22 Jul 2025 | F0803 | 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. | E | Standard survey | 4 Sep 2025 |
| 22 Jul 2025 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 4 Sep 2025 |
| 13 Jun 2024 | F0584 | 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. | E | Standard survey | 26 Jul 2024 |
| 13 Jun 2024 | F0758 | 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. | E | Standard survey | 26 Jul 2024 |
| 13 Jun 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 26 Jul 2024 |
| 13 Jun 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 26 Jul 2024 |
| 13 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 26 Jul 2024 |
| 13 Jun 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 26 Jul 2024 |
| 13 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 26 Jul 2024 |
| 4 Apr 2023 | F0801 | 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. | F | Standard survey | 10 May 2023 |
| 4 Apr 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 10 May 2023 |
| 4 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 10 May 2023 |
| 4 Apr 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 10 May 2023 |
| 4 Apr 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 10 May 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Nebraska average. Turnover: nursing staff 65.3%, RNs 80.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Nebraska median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.7% | 18.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.2% | 0.9% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.3% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.9% | 4.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 12.2% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.6% | 17.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.7% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 32.2% | 19.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Cozad Operations Llc. Chain: Emerald Healthcare (14 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Jw Nebraska Operations, LLC | Direct ownership interest | NOT APPLICABLE | 11/01/2023 |
| Ycne Operations, LLC | Indirect ownership interest | NOT APPLICABLE | 11/01/2023 |
| Bank of Oklahoma | Operational/managerial control | NOT APPLICABLE | 05/01/2022 |
| Emerald Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 03/17/2017 |
| Evolve Therapy Services LLC | Operational/managerial control | NOT APPLICABLE | 05/01/2019 |
| Limestone Fiscal Services LLC | Operational/managerial control | NOT APPLICABLE | 07/01/2024 |
| Merch Pay Inc | Operational/managerial control | NOT APPLICABLE | 05/01/2019 |
| Nexus Service Group LLC | Operational/managerial control | NOT APPLICABLE | 05/01/2019 |
| Saul N Friedman & Company | Operational/managerial control | NOT APPLICABLE | 05/01/2019 |
| Zimmet Healthcare Services Group LLC | Operational/managerial control | NOT APPLICABLE | 05/01/2019 |
| Bank of Oklahoma | Adp of the snf | NOT APPLICABLE | 04/09/2025 |
| Emerald Healthcare LLC | Adp of the snf | NOT APPLICABLE | 04/09/2025 |
| Evolve Therapy Services LLC | Adp of the snf | NOT APPLICABLE | 04/09/2025 |
| Limestone Fiscal Services LLC | Adp of the snf | NOT APPLICABLE | 04/09/2025 |
| Merch Pay Inc | Adp of the snf | NOT APPLICABLE | 04/09/2025 |
| Nexus Service Group LLC | Adp of the snf | NOT APPLICABLE | 04/09/2025 |
| Saul N Friedman & Company | Adp of the snf | NOT APPLICABLE | 04/09/2025 |
| Zimmet Healthcare Services Group LLC | Adp of the snf | NOT APPLICABLE | 04/09/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Dawson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Hilltop Estates | Gothenburg | 64 | 2 | 2 | 4 | 15 | 23.4 | — | 16 Jun 2026 |
All 2 facilities in Dawson County
Questions and answers
How many deficiencies has Emerald Nursing & Rehab Cozad been cited for?
18 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Nebraska median is 15 per facility.
Has Emerald Nursing & Rehab Cozad been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Emerald Nursing & Rehab Cozad compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Nebraska median of 3.9 and a national average of 3.9.
Who operates Emerald Nursing & Rehab Cozad?
It is part of the Emerald Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Jw Nebraska Operations, LLC, Ycne Operations, LLC and Bank of Oklahoma. Individual owners and managers are not listed on this site.
When was Emerald Nursing & Rehab Cozad last inspected?
The most recent survey or investigation in the CMS record is dated 13 Nov 2025; the most recent standard health survey was 22 Jul 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.