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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.
Emerald Nursing & Rehab Lakeview is a nursing home at 1405 West Highway 34, Grand Island, Hall County, Nebraska, administered by Tammy Weston and privately owned. The facility provides short-term rehabilitation and long-term nursing care, serving primarily Medicaid residents (60 percent of admissions), Medicare short-term rehabilitation (32 percent), and private pay (8 percent). Average length of stay is 130 days.
Staffing is below state averages across most categories. Registered nurses provide 27 minutes per resident per day, 37 percent below the Nebraska average of 43 minutes. Licensed practical nurses deliver 40 minutes per day, 7 percent below the state average of 43 minutes. Nurse aides work 2 hours 38 minutes per day, 5 percent below the Nebraska average of 2 hours 46 minutes. Total adjusted nursing hours are 3 hours 23 minutes per day, 22 percent below the state average of 4 hours 20 minutes and ranked 114th of 129 Nebraska nursing homes. Weekend total nursing hours reach 3 hours 8 minutes per day, 13 percent below the state average of 3 hours 37 minutes. Weekend registered nurse coverage is notably constrained at 16 minutes per day, 45 percent below the state average of 29 minutes. Physical therapy is a strength at 4 minutes per resident per day, 33 percent above the state average of 3 minutes.
CMS ratings place Emerald at 3 of 5 stars overall (0.2 points above Nebraska average of 2.8). Health inspection rating is 3 of 5 stars (0.2 points above state average); staffing rating is 2 of 5 stars (1.1 points below state average); quality measures rating is 2 of 5 stars (0.7 points below state average). The facility generated $8.7 million in revenue and allocated $3.6 million to payroll (40.9 percent of revenue), ranked 50th among 132 Nebraska nursing homes by payroll. This payroll percentage falls below the 55-65 percent benchmark typical of well-operated facilities, potentially signaling constrained staffing resources.
Inspection history and occupancy data are not available.
Families should request the facility’s inspection history and ask about registered nurse availability, weekend clinical staffing, and protocols for managing care with below-average RN hours.
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 106th out of 117 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 #40 / 120Payroll — state benchmarkedThis home is ranked 40th out of 120 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 Administrator Tammy Weston.
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.
| 115 | 52 | This facility has 121% more total deficiencies than a typical Nebraska nursing home (115 vs. NE avg 52).↑ 121% worse |
|
Deficiencies per year
Average deficiencies per year since 2010.
| 7.2 | 3.3 | This facility has 118% more deficiencies per year than a typical Nebraska nursing home (7.2 vs. NE avg 3.3).↑ 118% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNebraska 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.
Emerald Nursing & Rehab Lakeview is located in GRAND ISLAND, Nebraska.
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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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
| 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 | +272% | +54% | 0 | 7 | 2.3 | - | 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 | - | 73 | 0 | 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 | - | 73 | 15 | Grand Island Lakeview Operations LLC | $8.7M | $3.6M | 40.9% | 285106 |
Historical financial and operational data for Emerald Nursing & Rehab Lakeview based on CMS SNF Cost Reports.
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The legal owner and operator of Emerald Nursing & Rehab Lakeview is LLC.
Emerald Nursing & Rehab Lakeview's occupancy is 58%.
Administrator Tammy Weston is the administrator of Emerald Nursing & Rehab Lakeview.
Emerald Nursing & Rehab Lakeview has 95 beds.
Yes — there are 6 photos of Emerald Nursing & Rehab Lakeview in the photo gallery on this page.
Emerald Nursing & Rehab Lakeview is located at 1405 West Hwy 34.
(308) 382-6397 will put you in contact with the team at Emerald Nursing & Rehab Lakeview.
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