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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 114th out of 129 homes in Nebraska.| Staff type | Hours / day | 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.
| 27m per day | ▼ 37% 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.
| 40m per day | ▼ 7% 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 38m per day | ▼ 5% 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 8m per day | ▼ 13% 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.
| 4m per day | ▲ 33% 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.
| 16m per day | ▼ 45% State avg: 29m per day · National avg: 28m per day |
Most residents stay for extended periods and receive ongoing daily care.
32% of new residents, usually for short-term rehab.
8% of new residents, often for short stays.
60% 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 #50 / 132Payroll — state benchmarkedThis home is ranked 50th out of 132 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.
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 Lakeview is administrated by Tammy Weston, Administrator.
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.
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.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Nebraska average: 52 deficiencies
The most recent inspection-related document dated June 16, 2025, confirms the issuance of a Skilled Nursing Facility license for Emerald Nursing & Rehab Lakeview due to a change of ownership and included no deficiencies. Earlier inspection reports show a history of deficiencies primarily related to care planning, housekeeping and maintenance, fire safety, medication management, and resident privacy, with some citations also involving staff training and safety protocols. Complaint investigations over the years were mostly unsubstantiated, though a few substantiated findings involved failure to protect residents from adverse behaviors, insufficient staffing, and inadequate enforcement of safety policies; no fines or enforcement actions were listed in the available reports. Prior deficiencies included life safety code violations and care plan issues, but more recent licensing and complaint investigations indicate compliance and corrective actions. The overall trend suggests improvement in regulatory compliance following ownership changes and focused efforts to address earlier cited issues.
Nebraska average 4.3
Last Health inspection on Dec 2024
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.
19 of 25 citations resulted from standard inspections; 1 of 25 resulted from complaint investigations; and 5 of 25 came from combined inspections (standard and complaint).
100% better than Nebraska averageNebraska average: 0.2
0
100% better than Nebraska averageNebraska average: 0.5
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Dec 05, 2024
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Dec 05, 2024
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Dec 05, 2024
Corrected
Issues related to medication management, including how drugs are stored, administered, and monitored.
Dec 05, 2024
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.
| CHI Health St. Francis |
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. | Grand Island (West Faidley Avenue) | 36 | - | - | 6.87 | - | +54% | 0 | 0 | 0.0 | 0 | 15 | - | 47 | - | - | - | - | 285081 | ||||
| Emerald Nursing & Rehab Lakeview |
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. | Grand Island | 95 | 60.8% | -14% | 3.39 | -34% | -24% | 1 | 25 | 6.3 | 0 | 73 | - | - | Grand Island Lakeview Operations Llc | $8.7M | $3.6M | 40.9% | 285106 | ||||
| Grand Island Lakeview Care and Rehabilitation Center |
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. | Grand Island | 111 | 60.8% | -14% | 3.39 | -34% | -24% | 1 | 25 | 6.3 | 0 | 73 | - | 15 | Grand Island Lakeview Operations Llc | $8.7M | $3.6M | 40.9% | 285106 | ||||
| Golden Living Center – Grand Island Park | - |
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. | Grand Island (North Darr Avenue) | - | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | 56 | - | - | - | - | - |
| Good Samaritan Society – Grand Island Village | - |
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. | Grand Island | 67 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - | - |
3.8 miles from city center
Estimated distance in miles from GRAND ISLAND's city center to Emerald Nursing & Rehab Lakeview's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
0% compared with Nebraska averageNebraska average ratio: 2.15:1
0% compared with Nebraska averageNebraska average: 7.8 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 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.
8.8 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.
7.4 hoursThis role is partially covered by contractors.
Total hours from contractors
3,094 contractor hours this quarter
| Certified Nursing Assistant | 32 | 39 | 71 | 9,396 | 91 | 100% | 7.4 |
| Medication Aide/Technician | 24 | 6 | 30 | 7,189 | 91 | 100% | 7.8 |
| Licensed Practical Nurse | 7 | 7 | 14 | 4,430 | 91 | 100% | 8.8 |
| Physical Therapist | 11 | 0 | 11 | 3,855 | 91 | 100% | 7.6 |
| Registered Nurse | 4 | 6 | 10 | 1,559 | 87 | 96% | 9 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,005 | 81 | 89% | 7.3 |
| Nurse Practitioner | 2 | 0 | 2 | 984 | 67 | 74% | 8 |
| RN Director of Nursing | 2 | 0 | 2 | 732 | 65 | 71% | 5.9 |
| Mental Health Service Worker | 3 | 0 | 3 | 618 | 62 | 68% | 7.2 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Physical Therapy Assistant | 1 | 1 | 2 | 476 | 58 | 64% | 7.5 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 458 | 61 | 67% | 7.5 |
| Speech Language Pathologist | 2 | 0 | 2 | 347 | 62 | 68% | 5.6 |
| Physical Therapy Aide | 2 | 0 | 2 | 283 | 63 | 69% | 4.2 |
| Qualified Social Worker | 1 | 1 | 2 | 65 | 26 | 29% | 2.5 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
70Residents 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.
10.8
In line with Nebraska averageNebraska average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.6
12% better 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
15.7%
24% better than Nebraska averageNebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
15.2%
31% better than Nebraska averageNebraska average: 22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.0%
15% worse than Nebraska averageNebraska average: 26.9%
Percent of long-stay residents experiencing one or more falls with major injury
5.0%
12% worse than Nebraska averageNebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
8.1%
89% worse than Nebraska averageNebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
6.0%
96% worse than Nebraska averageNebraska average: 3.1%
Percent of long-stay residents who lose too much weight
9.9%
82% worse than Nebraska averageNebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
3.0%
33% better than Nebraska averageNebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
39.0%
96% worse than Nebraska averageNebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
90.0%
In line with Nebraska averageNebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.7%
7% worse than Nebraska averageNebraska average: 96.1%
Number of hospitalizations per 1,000 long-stay resident days.
2.85
58% worse than Nebraska averageNebraska average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.60
18% better 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
88.6%
10% better than Nebraska averageNebraska average: 80.7%
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
9% better than Nebraska averageNebraska average: 2.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.5%
19% better than Nebraska averageNebraska average: 75.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.9%
29% worse than Nebraska averageNebraska average: 20.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.8%
19% worse than Nebraska averageNebraska average: 11.6%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Nebraska averageNebraska average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
22.7%
58% worse than Nebraska averageNebraska average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
46.3%
9% worse than 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)
60% lower than Nebraska averageNebraska average: $33K
31% fewer fines than Nebraska averageNebraska average: 1.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Nebraska averageNebraska average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 27, 2023Last updated: Jan 2026
Historical financial and operational data for Emerald Nursing & Rehab Lakeview based on CMS SNF Cost Reports.
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