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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 80th out of 108 homes in Nebraska.| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 16m per day | ▼ 63% State avg: 43m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 49m per day | ▲ 14% State avg: 43m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 43m per day | ■ Avg State avg: 2h 46m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 1m per day | ▼ 16% State avg: 3h 37m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ■ Avg State avg: 3m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 14m per day | ▼ 52% State avg: 29m per day · National avg: 28m per day |
Most residents stay for extended periods and receive ongoing daily care.
29% of new residents, usually for short-term rehab.
12% of new residents, often for short stays.
59% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #7 / 111Payroll — State benchmarkedThis home is ranked 7th out of 111 homes in Nebraska.Shows total annual staff payroll benchmarked to the Nebraska average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Nebraska average: 70.3%Emerald Nursing & Rehab Lancaster LLC is administrated by Administrator Michael Aubrey.
Key information about the people who lead and staff this community.
In Nebraska, the Department of Health and Human Services, Division of Public Health conducts regular inspections to ensure nursing and assisted living facilities meet state and federal standards.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Nebraska state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 91 | 52 | This facility has 75% more total deficiencies than a typical Nebraska nursing home (91 vs. NE avg 52). Click this badge to view the full Nebraska ranking.↑ 75% worse |
|
Deficiencies per year
Average deficiencies per year since 2010.
| 5.7 | 3.3 | This facility has 73% more deficiencies per year than a typical Nebraska nursing home (5.7 vs. NE avg 3.3). Click this badge to view the full Nebraska ranking.↑ 73% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on June 16, 2025, resulted in the issuance of a new Skilled Nursing Facility/Nursing Facility license due to a change of ownership, with no deficiencies noted. Prior inspections show a mixed history, including a disciplinary action in July 2024 related to failure to implement interventions to prevent resident elopement, which led to probation and a temporary admission moratorium. Earlier reports cited recurring issues with resident care planning, medication management, food safety, and life safety code violations, particularly door latching and fire safety concerns. Complaint investigations over the years were mostly unsubstantiated, with no fines or license suspensions listed in the available reports. The facility’s record shows some improvement in recent years, with the latest renewal and licensing inspections free of deficiencies until the 2024 probation event.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNebraska average 4.3
Last Health inspection on Jun 2025
Nebraska average 18.2
Nebraska average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
22 of 58 citations resulted from standard inspections; 28 of 58 resulted from complaint investigations; and 8 of 58 came from combined inspections (standard and complaint).
900% worse than Nebraska averageNebraska average: 0.2
300% worse than Nebraska averageNebraska average: 0.5
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Emerald Nursing & Rehab Lancaster LLC is located in LINCOLN, Nebraska.
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1.7 miles from city center
Estimated distance in miles from Lincoln's city center to Emerald Nursing & Rehab Lancaster LLC's address, calculated via Google Maps.
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Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
9% better than Nebraska average
0% compared with Nebraska average
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
12,262 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| Certified Nursing Assistant | 92 | 99 | 191 | 29,109 | 91 | 100% | 7.8 |
| Medication Aide/Technician | 41 | 1 | 42 | 12,425 | 91 | 100% | 8.8 |
| Physical Therapist | 44 | 0 | 44 | 10,891 | 91 | 100% | 6.1 |
| Licensed Practical Nurse | 7 | 60 | 67 | 7,922 | 91 | 100% | 9.3 |
| RN Director of Nursing | 9 | 1 | 10 | 4,028 | 76 | 84% | 8.3 |
| Registered Nurse | 6 | 22 | 28 | 2,822 | 91 | 100% | 8.7 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,909 | 78 | 86% | 7.3 |
| Mental Health Service Worker | 4 | 0 | 4 | 1,886 | 79 | 87% | 7.3 |
| Physical Therapy Assistant | 5 | 0 | 5 | 1,177 | 70 | 77% | 7.6 |
| Speech Language Pathologist | 5 | 0 | 5 | 860 | 65 | 71% | 6.5 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 836 | 66 | 73% | 7 |
| Qualified Social Worker | 2 | 0 | 2 | 677 | 69 | 76% | 5.5 |
| Administrator | 2 | 0 | 2 | 560 | 65 | 71% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 541 | 65 | 71% | 8.3 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Physical Therapy Aide | 1 | 0 | 1 | 447 | 62 | 68% | 7.2 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 208 | 22 | 24% | 9.5 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
176Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.6
20% worse than Nebraska averageNebraska average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.4
18% worse than Nebraska averageNebraska average: 23.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
25.3%
21% worse than Nebraska averageNebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
29.2%
32% worse than Nebraska averageNebraska average: 22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.8%
In line with Nebraska averageNebraska average: 26.9%
Percent of long-stay residents experiencing one or more falls with major injury
4.0%
10% better than Nebraska averageNebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
4.2%
In line with Nebraska averageNebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
3.4%
11% worse than Nebraska averageNebraska average: 3.1%
Percent of long-stay residents who lose too much weight
5.2%
In line with Nebraska averageNebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
2.6%
40% better than Nebraska averageNebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
21.7%
9% worse than Nebraska averageNebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
79.5%
15% worse than Nebraska averageNebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
77.1%
20% worse than Nebraska averageNebraska average: 96.1%
Number of hospitalizations per 1,000 long-stay resident days.
2.74
52% worse than Nebraska averageNebraska average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.68
37% worse than Nebraska averageNebraska average: 1.95
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
72.8%
10% worse than Nebraska averageNebraska average: 80.7%
Percent of short-stay residents who newly received an antipsychotic medication
3.0%
24% worse than Nebraska averageNebraska average: 2.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
70.2%
8% worse than Nebraska averageNebraska average: 75.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.7%
In line with Nebraska averageNebraska average: 20.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.4%
41% worse than Nebraska averageNebraska average: 11.6%
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
In line with Nebraska averageNebraska average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
34.6%
36% worse than Nebraska averageNebraska average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
50.2%
In line with Nebraska averageNebraska average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
268% higher than Nebraska averageNebraska average: $33K
176% more fines than Nebraska averageNebraska average: 1.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
3
313% more payment denials than Nebraska averageNebraska average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
6 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 29, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 29, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 8, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 7, 2024Last updated: Jan 2026
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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| Gateway Vista |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Lincoln (Culler) | 80 | 83.2% | +18% | 4.84 | -40% | +9% | $8.7k | 10 | 3.3 | 1 | 67 | A+ | 71 | Mikel Ardley | $25.2M | $7.0M | 27.7% | 285266 | ||||
| Ambassador Health of Lincoln |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Lincoln | 122 | 57.6% | -18% | 4.72 | -31% | +6% | $9.8k | 13 | 4.3 | - | 76 | - | 18 | Sean Barry | $16.2M | $8.8M | 54.1% | 285066 | ||||
| Emerald Nursing & Rehab Brookside LLC |
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| Emerald Nursing & Rehab Lancaster LLC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Lincoln (Irvingdale) | 293 | 67.7% | -4% | 3.69 | -30% | -17% | $120.4k | 58 | 3.1 | 4 | 172 | A+ | 76 | Lancaster Opco Holdings LLC | $24.6M | $11.7M | 47.5% | 285275 |
Historical financial and operational data for Emerald Nursing & Rehab Lancaster LLC based on CMS SNF Cost Reports.
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Emerald Nursing & Rehab Lancaster LLC is in the Irvingdale neighborhood of LINCOLN.
The legal owner and operator of Emerald Nursing & Rehab Lancaster LLC is Emerald Nursing & Rehab Lancaster LLC.
Emerald Nursing & Rehab Lancaster LLC has a walk score of 76. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Emerald Nursing & Rehab Lancaster LLC's occupancy is 14%.
Administrator Michael Aubrey is the administrator of Emerald Nursing & Rehab Lancaster LLC.
Emerald Nursing & Rehab Lancaster LLC has 293 beds.
Yes — there are 6 photos of Emerald Nursing & Rehab Lancaster LLC in the photo gallery on this page.
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