Occupancy rate
84%
In line with Nebraska averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Emerald Nursing & Rehab Cozad
Nursing Home in Nebraska
CMS overall rating
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.
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.
Emerald Nursing & Rehab Cozad
Nursing Home in Nebraska
CMS overall rating
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.
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.
Emerald Nursing & Rehab Cozad is committed to developing the physical and emotional potential of residents and the community. The facility offers short-term rehabilitation and long-term nursing care in a compassionate environment. The staff is dedicated to providing personalized care to meet the needs of each resident.
Quality ratings
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 111th out of 129 homes in Nebraska.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 111th out of 129 homes in Nebraska.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 32m per day
vs Nebraska avg
-18%
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
67
Avg. Length of Stay
231 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
36% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
16% of new residents, often for short stays.
Typical stay
9 - 10 months
Medicaid
47% of new residents, often for long-term daily care.
Typical stay
11 - 12 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$5.6M
Profit
$245.3K
Privately-owned community
Operated by a business corporation.
Home revenue
$5.6M
Profit
$245.3K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.4M
67-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy
In line with Nebraska averageOccupied beds
56 / 67
Average residents
54 per day
Facility TypeNursing Home
CountyDawson
CMS Certification Number285093
Certification TypeCertification
Emerald Nursing & Rehab Cozad is administrated by Kiley Goff, Administrator.
Owner NameCOZAD OPERATIONS, LLC
Rehabilitation Services
Skilled Nursing
Fax(308) 784-3746
Spacious Private Rooms
Gourmet Dining
Beautiful Patio Areas
Telehealth Services
Specific ProgramsPhysical Therapy, Occupational Therapy, Speech Therapy, IV Therapy, Stroke Care, Peg Tubes, Life-vest, Cardiac Rehab, Oncology Care, Pain Management, Orthopedic Injuries, Tracheostomy Care, Post-Surgery Recovery, Pulmonary Impairment, Stroke and Neurological Conditions, Joint Replacement and Amputation.
Religious ServicesChapel Services, Pastoral Services.
Food DescriptionGourmet dining with personalized menus.
Inspection History
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.
23 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Show Inspection Reports
Latest inspection
Date
January 18, 2024
Renewal75 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Nebraska average: 52 deficiencies
Inspection Report Summary for Emerald Nursing & Rehab Cozad
The most recent inspection-related documents from January 18, 2024, and December 1, 2023, showed no deficiencies and confirmed the facility’s licensure renewal and certification status. Earlier inspection reports from 2014 through 2020 included various deficiencies primarily related to resident care documentation, medication administration, staff training and competency, infection control, housekeeping, and fire safety compliance. Complaint investigations during that period sometimes substantiated issues such as failure to provide discharge notices, insufficient staffing, grooming, and grievance resolution, while many other complaints were found unsubstantiated. Enforcement actions such as fines or license suspensions were not listed in the available reports. The trend indicates improvement over time, with recent inspections showing no deficiencies after a history of mixed findings.
Health Inspection History
Inspections
Total health inspections
4
Nebraska average 4.3
Last Health inspection on Nov 2025
Total health citations
18
Nebraska average 18.2
Citations per inspection
4.5
Nebraska average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
16 of 18 citations resulted from standard inspections; 1 of 18 resulted from complaint investigations; and 1 of 18 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Nebraska averageNebraska average: 0.2
Serious Health citations
0
0
100% better than Nebraska averageNebraska average: 0.5
0 critical citations
0 serious citations
18 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 13, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 13, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 22, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 22, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 22, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 22, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 22, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 22, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Nebraska The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
Filter by care type
| Accura HealthCare of Hartington |
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. | Hartington (Precinct 9) | 67 | 63.6% | -10% | 4.13 | -7% | -7% | 0 | 7 | 2.3 | 0 | 31 | - | - | Klaasmeyer, Kenneth | $3.7M | $2.1M | 57.9% | 285088 | ||||
| Accura HealthCare of Tekamah |
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. | Tekamah | 46 | 72.0% | +2% | 3.83 | +19% | -14% | 0 | 12 | 4.0 | 0 | 30 | - | - | Geis, Heather | $3.1M | $2.1M | 66.4% | 285118 | ||||
| Arbor Care Center-Valhaven, 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. | Valley (Platte Valley Precinct) | 66 | 72.4% | +3% | 4.08 | -2% | -8% | 0 | 18 | 4.5 | 1 | 50 | A+ | - | - | $5.0M | $3.2M | 64% | 285117 | ||||
| Arbor Care Centers – Ord, 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. | Ord | 60 | 51.8% | -26% | 3.76 | +15% | -16% | 0 | 29 | 7.3 | 1 | 35 | - | - | Luth, Kurt | $2.9M | $1.5M | 52.9% | 285294 | ||||
| Emerald Nursing & Rehab Cozad |
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. | Cozad | 89 | 49.0% | -30% | 3.54 | -44% | -21% | 0 | 18 | 4.5 | 0 | 40 | - | - | Cozad Operations Llc | $5.5M | $2.6M | 48.3% | 285093 |
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
74
Employees
74
Contractors
0
Staff to resident ratio
2.00:1
7% worse than Nebraska averageNebraska average ratio: 2.15:1
Avg staff/day
27
Average shift
7.7 hours
0% compared with Nebraska averageNebraska average: 7.8 hours
Total staff hours (quarter)
18,982
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
4
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
29
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0%
0 contractor hours this quarter
No contractor roles were reported this quarter.
Staff by category
| Certified Nursing Assistant | 29 | 0 | 29 | 5,500 | 91 | 100% | 7.6 |
| Physical Therapist | 10 | 0 | 10 | 3,110 | 91 | 100% | 7 |
| Medication Aide/Technician | 13 | 0 | 13 | 3,030 | 90 | 99% | 8.8 |
| Licensed Practical Nurse | 6 | 0 | 6 | 2,549 | 91 | 100% | 9.9 |
| Registered Nurse | 4 | 0 | 4 | 1,089 | 88 | 97% | 8.1 |
| RN Director of Nursing | 2 | 0 | 2 | 891 | 68 | 75% | 7.9 |
| Other Dietary Services Staff | 2 | 0 | 2 | 680 | 60 | 66% | 6.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 440 | 57 | 63% | 7.7 |
| Administrator | 1 | 0 | 1 | 438 | 57 | 63% | 7.7 |
| Nurse Practitioner | 2 | 0 | 2 | 432 | 53 | 58% | 7.8 |
| Physical Therapy Assistant | 2 | 0 | 2 | 410 | 67 | 74% | 6.1 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 388 | 65 | 71% | 6 |
| Qualified Social Worker | 1 | 0 | 1 | 25 | 23 | 25% | 1.1 |
29 Certified Nursing Assistant
% of Days
100%
10 Physical Therapist
% of Days
100%
13 Medication Aide/Technician
% of Days
99%
6 Licensed Practical Nurse
% of Days
100%
4 Registered Nurse
% of Days
97%
2 RN Director of Nursing
% of Days
75%
2 Other Dietary Services Staff
% of Days
66%
1 Mental Health Service Worker
% of Days
63%
1 Administrator
% of Days
63%
2 Nurse Practitioner
% of Days
58%
2 Physical Therapy Assistant
% of Days
74%
1 Respiratory Therapy Technician
% of Days
71%
1 Qualified Social Worker
% of Days
25%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
37
Medicare
5
13.5% of residents
Medicaid
5
13.5% of residents
Private pay or other
27
73% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.8
In line with Nebraska averageNebraska average: 11.3
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.5
29% better than Nebraska averageNebraska average: 23.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
11.3%
Percent of long-stay residents whose need for help with daily activities has increased
11.3%
46% better than Nebraska averageNebraska average: 20.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
20.3%
Percent of long-stay residents whose ability to move independently worsened
20.3%
8% better than Nebraska averageNebraska average: 22.1%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.8%
34% better than Nebraska averageNebraska average: 26.9%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
In line with Nebraska averageNebraska average: 4.5%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
9.6%
Percent of long-stay high risk residents with pressure ulcers
9.6%
124% worse than Nebraska averageNebraska average: 4.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.1%
Percent of long-stay residents with a urinary tract infection
4.1%
35% worse than Nebraska averageNebraska average: 3.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
13.0%
Percent of long-stay residents who lose too much weight
13.0%
139% worse than Nebraska averageNebraska average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Nebraska averageNebraska average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
25.7%
Percent of long-stay residents who received an antipsychotic medication
25.7%
30% worse than Nebraska averageNebraska average: 19.8%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
83.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
83.4%
10% worse than Nebraska averageNebraska average: 93.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Nebraska averageNebraska average: 96.1%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
68.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
68.6%
15% worse than Nebraska averageNebraska average: 80.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
4.4%
Percent of short-stay residents who newly received an antipsychotic medication
4.4%
83% worse than Nebraska averageNebraska average: 2.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.0%
5% better than Nebraska averageNebraska average: 75.9%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Emerald Nursing & Rehab Cozad based on CMS SNF Cost Reports.
Occupancy Rate
49.0%
↑ 3.1pp vs 2022
Net Income
$245.3K
↓ ~$422.7K vs 2022
Total Payroll
$3.1M
↑ ~$285.4K vs 2022
Profit Margin
4.5%
↓ 9.0pp vs 2022
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