Emerald Nursing & Rehab Cozad
Nursing Home, Assisted Living & Skilled Nursing · Cozad, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Emerald Nursing & Rehab Cozad

Nursing Home, Assisted Living & Skilled Nursing · Cozad, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Emerald Nursing & Rehab Cozad accepts Medicare, Medicaid, and private pay.

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.

Since 2011 · 15 years of data 75 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, deficiency, 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.

Since 2011 vs. Nebraska state average
Overall vs. NE average 2 Worse Metrics worse than Nebraska average:
• Total deficiencies (44% above)
• Deficiencies per year (43% above)
0 Better No metrics in this bucket.
Latest Inspection January 18, 2024 Renewal

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityNE Averagevs. NE Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 7552 This facility has 44% more total deficiencies than a typical Nebraska assisted living residence (75 vs. NE avg 52).↑ 44% worse
Deficiencies per year Info Average deficiencies per year since 2011. 53.5 This facility has 43% more deficiencies per year than a typical Nebraska assisted living residence (5 vs. NE avg 3.5).↑ 43% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The most recent inspection on January 18, 2024, confirmed licensure renewal with no deficiencies or complaints reported.
  • The September 12, 2018, annual survey found 19 deficiencies including medication errors, infection control lapses, improper restraint use, and multiple fire safety violations.
  • A January 13, 2020, complaint investigation found all allegations unsubstantiated, confirming compliance with diabetes management, staffing, medication administration, and resident rights.

Health Inspection History

Inspections since 2023
Total health inspections 4

State average N/A


Last Health inspection on Nov 2025

Total health citations
18 Rank #70 / 131Health citations — State benchmarkedThis home is ranked 70th out of 131 homes in Nebraska for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Nebraska State average, with a ranking across all 131 NE facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
4.5 Rank #83 / 131Citations per inspection — State benchmarkedThis home is ranked 83rd out of 131 homes in Nebraska for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Nebraska mean across 131 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


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
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

18 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 3 years)
Quality of Care moderate citation Nov 13, 2025
Corrected

Infection Control moderate citation Jul 22, 2025
Corrected

Nutrition moderate citation Jul 22, 2025
Corrected

Pharmacy moderate citation Jul 22, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 80
Employees 74
Contractors 6
Staff to resident ratio 2.16 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 25
Average shift 7.8 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 17,844

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 8 total: 7 full-time employees and 1 contractor. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 11 total: 6 full-time employees and 5 contractors. 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 21 CNA Staff are full-time employees. No contractors work on this role. 21
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

5.2%

931 contractor hours this quarter

Licensed Practical Nurse: 5 Registered Nurse: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant210214,72792100%8.3
Medication Aide/Technician140143,30892100%8.5
Physical Therapist120123,09792100%6.5
Licensed Practical Nurse65112,37192100%8.5
Other Dietary Services Staff2027016166%6.5
RN Director of Nursing2026976470%7.8
Registered Nurse7186946773%8.9
Administrator1015206571%8
Nurse Practitioner2024645560%8
Mental Health Service Worker1014555964%7.7
Physical Therapy Assistant2023856470%6
Respiratory Therapy Technician2023675762%6.4
Qualified Social Worker101473942%1.2
Speech Language Pathologist1011155%2.3
21 Certified Nursing Assistant
% of Days 100%
14 Medication Aide/Technician
% of Days 100%
12 Physical Therapist
% of Days 100%
11 Licensed Practical Nurse
% of Days 100%
2 Other Dietary Services Staff
% of Days 66%
2 RN Director of Nursing
% of Days 70%
8 Registered Nurse
% of Days 73%
1 Administrator
% of Days 71%
2 Nurse Practitioner
% of Days 60%
1 Mental Health Service Worker
% of Days 64%
2 Physical Therapy Assistant
% of Days 70%
2 Respiratory Therapy Technician
% of Days 62%
1 Qualified Social Worker
% of Days 42%
1 Speech Language Pathologist
% of Days 5%

Penalties and fines

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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 Info 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 State average

State average: 11.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 16.5
29% better than State average

State average: 23.3

Long-stay resident measures
Significantly below average State avg: 2.8 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 11.3%
46% better than State average

State average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 20.3%
8% better than State average

State average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 17.8%
34% better than State average

State average: 26.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.6%
In line with State average

State average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 9.6%
124% worse than State average

State average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 4.1%
35% worse than State average

State average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 13.0%
139% worse than State average

State average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than State average

State average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 25.7%
30% worse than State average

State average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 83.4%
10% worse than State average

State average: 93.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with State average

State average: 96.1%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.22
23% worse than State average

State average: 1.80

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 3.02
55% worse than State average

State average: 1.95

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 68.6%
15% worse than State average

State average: 80.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 4.4%
83% worse than State average

State average: 2.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 80.0%
5% better than State average

State average: 75.9%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 10.0%
52% better than State average

State average: 20.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 3.0%
74% better than State average

State average: 11.6%

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

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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.3M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$120.0K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.3M Rank #79 / 129Revenue — State benchmarkedThis home is ranked 79th out of 129 homes in Nebraska for Revenue. Shows this facility's annual revenue compared to the Nebraska average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$120.0K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$125.2K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #85 / 129Payroll — State benchmarkedThis home is ranked 85th out of 129 homes in Nebraska for Payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.0M 55.7% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #78 / 129Payroll % — State benchmarkedThis home is ranked 78th out of 129 homes in Nebraska for Payroll %. Shows payroll as a percentage of revenue versus the Nebraska average. Well-run Nebraska facilities typically land around 66–74% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.3M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$5.2M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under Medicaid (47% of admissions), and a typical Medicaid stay runs around 11 - 12 months.

Admissions
74 total

Coverage residents most often arrive under.

Medicare 36%
Private pay 16%
Medicaid 47%
Discharges
69 total

Coverage residents most often leave under.

Medicare 20%
Private pay 26%
Medicaid 54%

Places of interest near Emerald Nursing & Rehab Cozad

Address 0.0 miles from city center Info Estimated distance in miles from Cozad's city center to Emerald Nursing & Rehab Cozad's address, calculated via Google Maps.

Calculate Travel Distance to Emerald Nursing & Rehab Cozad

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Frequently Asked Questions about Emerald Nursing & Rehab Cozad

Who is the owner of Emerald Nursing & Rehab Cozad?

Emerald Nursing & Rehab Cozad is legally operated by Cozad Operations, LLC, and administered by Administrator Kiley Goff.

Is Emerald Nursing & Rehab Cozad in a walkable area?

Emerald Nursing & Rehab Cozad has a walk score of 60. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at Emerald Nursing & Rehab Cozad?

Emerald Nursing & Rehab Cozad's occupancy is 84%.

Are pets allowed at Emerald Nursing & Rehab Cozad?

No, Emerald Nursing & Rehab Cozad has a no-pet policy.

Does Emerald Nursing & Rehab Cozad operate as a for-profit or non-profit?

Emerald Nursing & Rehab Cozad is registered as a for-profit in NE.

Who is the administrator of Emerald Nursing & Rehab Cozad?

Administrator Kiley Goff is the administrator of Emerald Nursing & Rehab Cozad.

How many beds does Emerald Nursing & Rehab Cozad have?

Emerald Nursing & Rehab Cozad has 67 beds.

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