1/5
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.
1/5
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 Lancaster LLC is a skilled nursing home in Lincoln, Nebraska, with 293 beds. Lancaster Opco Holdings LLC owns and operates it. The facility is located on South Street in a very walkable neighborhood, so most errands can be accomplished on foot.
The home has been operating for 56 years and accepts Medicare, Medicaid, and private pay. It specializes in rehabilitation and short-term post-acute care. Most residents stay an average of 109 days, reflecting a population focused on recovery rather than long-term residence.
The home’s clinical strength is in its rehabilitation programs. It offers post-surgical, orthopedic, and cardiac rehabilitation. There is also specialized care in areas such as pain management, diabetes, nutritional support, and palliative and hospice services. IV medication management, lymphedema services, and a secure memory unit are available for residents with Alzheimer’s and dementia. There is also an outdoor terrace for activities and fresh air.
Daily nurse staffing averages roughly 3 hours and 41 minutes per resident. It is distributed across registered nurses, nurse aides, and licensed practical nurses. The home staff includes licensed mental health practitioners. It also has on-site medical specialists, including a physician, a registered dietitian, an optometrist, an audiologist, a podiatrist, and a dentist. This range of in-house services reduces the need for outside appointments during recovery or ongoing care. Notably, the home holds a Veterans Administration contract as it serves veterans in the region.
State inspection records have documented recent improvements and earlier challenges. The facility received a new license. It had no deficiencies following a recent ownership transition. However, prior inspections identified concerns regarding resident safety and care-planning protocols. Families touring the facility can ask how it supports residents with secure exit protocols and how care plans are developed and monitored.
Emerald Nursing & Rehab’s long history, focus on rehabilitation, depth of on-site services, and walkable location make it best suited for residents and families seeking active recovery support in a well-resourced setting.
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 94th out of 130 homes in Nebraska for nurse hours. 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.
| 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.
|
19m per day | ▼ 56% 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.
|
43m per day | ■ Avg 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 37m per day | ▼ 6% State avg: 2h 46m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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 13m per day | ▼ 11% 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 | ▲ 3% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
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 | ▼ 51% State avg: 29m per day · National avg: 28m per day |
Emerald Nursing & Rehab Lancaster LLC is administered 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, 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.
Deficiencies
|
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).↑ 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).↑ 73% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Nebraska 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 average
Nebraska average: 0.2
300% worse than Nebraska average
Nebraska average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Nebraska average
0% compared with Nebraska average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
39 total: 10 full-time employees and 29 contractors.
39
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Assists with medical care and medications.
64 total: 14 full-time employees and 50 contractors.
64
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Helps with daily care and mobility.
119 total: 114 full-time employees and 5 contractors.
119
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
7,324 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 114 | 5 | 119 | 26,810 | 92 | 100% | 7.6 |
| Medication Aide/Technician | 48 | 0 | 48 | 12,965 | 92 | 100% | 8.9 |
| Physical Therapist | 45 | 0 | 45 | 10,614 | 92 | 100% | 6.1 |
| Licensed Practical Nurse | 14 | 50 | 64 | 9,008 | 92 | 100% | 9.2 |
| Registered Nurse | 10 | 29 | 39 | 4,291 | 92 | 100% | 9.1 |
| RN Director of Nursing | 4 | 0 | 4 | 2,024 | 65 | 71% | 8 |
| Mental Health Service Worker | 4 | 0 | 4 | 1,833 | 67 | 73% | 7.6 |
| Other Dietary Services Staff | 7 | 0 | 7 | 1,609 | 75 | 82% | 7.4 |
| Physical Therapy Assistant | 3 | 0 | 3 | 1,230 | 68 | 74% | 7.1 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 787 | 68 | 74% | 7.3 |
| Physical Therapy Aide | 2 | 0 | 2 | 779 | 65 | 71% | 6.5 |
| Occupational Therapy Aide | 2 | 0 | 2 | 745 | 66 | 72% | 7.7 |
| Speech Language Pathologist | 4 | 0 | 4 | 597 | 66 | 72% | 5.9 |
| Nurse Practitioner | 1 | 1 | 2 | 560 | 67 | 73% | 8.1 |
| Qualified Social Worker | 2 | 0 | 2 | 542 | 67 | 73% | 5.2 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
Includes penalties issued in 2024
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 average
Nebraska average: $33K
176% more fines than Nebraska average
Nebraska 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 average
Nebraska 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, 2024
Last updated: Jan 2026
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 average
Nebraska average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.4
18% worse than Nebraska average
Nebraska 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 average
Nebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
29.2%
32% worse than Nebraska average
Nebraska average: 22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.8%
In line with Nebraska average
Nebraska average: 26.9%
Percent of long-stay residents experiencing one or more falls with major injury
4.0%
10% better than Nebraska average
Nebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
4.2%
In line with Nebraska average
Nebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
3.4%
11% worse than Nebraska average
Nebraska average: 3.1%
Percent of long-stay residents who lose too much weight
5.2%
In line with Nebraska average
Nebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
2.6%
40% better than Nebraska average
Nebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
21.7%
9% worse than Nebraska average
Nebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
79.5%
15% worse than Nebraska average
Nebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
77.1%
20% worse than Nebraska average
Nebraska average: 96.1%
Number of hospitalizations per 1,000 long-stay resident days.
2.74
52% worse than Nebraska average
Nebraska average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.68
37% worse than Nebraska average
Nebraska 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 average
Nebraska average: 80.7%
Percent of short-stay residents who newly received an antipsychotic medication
3.0%
24% worse than Nebraska average
Nebraska average: 2.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
70.2%
8% worse than Nebraska average
Nebraska average: 75.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.7%
In line with Nebraska average
Nebraska average: 20.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.4%
41% worse than Nebraska average
Nebraska average: 11.6%
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
In line with Nebraska average
Nebraska average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
34.6%
36% worse than Nebraska average
Nebraska average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
50.2%
In line with Nebraska average
Nebraska average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
176
Residents 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.
Historical financial and operational data for Emerald Nursing & Rehab Lancaster LLC from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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."
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."
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."
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."
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.
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 #7 / 133Payroll — State benchmarkedThis home is ranked 7th out of 133 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.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.
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 #106 / 133Payroll % — State benchmarkedThis home is ranked 106th out of 133 homes in Nebraska. 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.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.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under Medicaid (59% of admissions), and a typical Medicaid stay runs around 4 - 5 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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.
Add your location
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Tabitha Nursing and Rehabilitation Center |
NH
RC
|
Lincoln (Witherbee) |
197
Facility
197
NE AVG
82
Rank
#5 / 228
|
86.3%
Facility
86.3%
NE AVG
70.3%
Rank
#55 / 196
| +23% |
5.76
Facility
5.76
NE AVG
4.45
Rank
#7 / 130
| -20% | +29% |
$0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 135
|
18
Facility
18
NE AVG
18.2
Rank
#73 / 135
|
4.5
Facility
4.5
NE AVG
4.2
Rank
#85 / 135
| - | 170 | A+ |
59
Facility
59
NE AVG
46
Rank
#85 / 298
| Tabitha, Inc |
$55.1M
Facility
$55.1M
NE AVG
$7.6M
Rank
#1 / 133
|
$37.5M
Facility
$37.5M
NE AVG
$3.5M
Rank
#1 / 133
|
68.2%
Facility
68.2%
NE AVG
49.4%
Rank
#83 / 133
| 285057 | ||||
| Brookside Rehabilitation Center |
NH
HC
PC
RC
|
Redlands | 97 | 88.7% | +5% | 4.27 | -8% | +1% | $0 | 35 | 3.5 | - | 79 | A+ | 0 | Michelle Mora | $13.2M | $7.7M | 58.5% | 56372 | ||||
| Gateway Vista |
NH
AL
IL
PC
RC
|
Lincoln (Culler) |
80
Facility
80
NE AVG
82
Rank
#84 / 228
|
90.0%
Facility
90.0%
NE AVG
70.3%
Rank
#38 / 196
| +28% |
4.84
Facility
4.84
NE AVG
4.45
Rank
#30 / 130
| -20% | +9% |
$8.7k
Facility
$8.7k
NE AVG
$38.1k
Rank
#100 / 135
|
10
Facility
10
NE AVG
18.2
Rank
#31 / 135
|
3.3
Facility
3.3
NE AVG
4.2
Rank
#37 / 135
| 1 | 72 | - |
71
Facility
71
NE AVG
46
Rank
#43 / 298
| Mikel Ardley |
$14.8M
Facility
$14.8M
NE AVG
$7.6M
Rank
#4 / 133
|
$7.0M
Facility
$7.0M
NE AVG
$3.5M
Rank
#18 / 133
|
47.1%
Facility
47.1%
NE AVG
49.4%
Rank
#130 / 133
| 285266 | ||||
| Holmes Lake Rehabilitation & Care Center |
NH
|
Lincoln (Normal Boulevard) |
97
Facility
97
NE AVG
82
Rank
#68 / 228
|
62.9%
Facility
62.9%
NE AVG
70.3%
Rank
#149 / 196
| -11% |
3.51
Facility
3.51
NE AVG
4.45
Rank
#110 / 130
| -25% | -21% |
$0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 135
|
32
Facility
32
NE AVG
18.2
Rank
#118 / 135
|
4.0
Facility
4.0
NE AVG
4.2
Rank
#55 / 135
| - | 53 | - |
21
Facility
21
NE AVG
46
Rank
#245 / 298
| Holmes Lake Operations LLC |
$4.6M
Facility
$4.6M
NE AVG
$7.6M
Rank
#86 / 133
|
$2.8M
Facility
$2.8M
NE AVG
$3.5M
Rank
#92 / 133
|
60.7%
Facility
60.7%
NE AVG
49.4%
Rank
#90 / 133
| 285164 | ||||
| Emerald Nursing & Rehab Lancaster LLC |
NH
HC
MC
NC
PC
|
Lincoln (Irvingdale) |
293
Facility
293
NE AVG
82
Rank
#1 / 228
| - | - |
3.69
Facility
3.69
NE AVG
4.45
Rank
#94 / 130
| +16% | -17% |
$79.7k
Facility
$79.7k
NE AVG
$38.1k
Rank
#131 / 135
|
58
Facility
58
NE AVG
18.2
Rank
#134 / 135
|
3.1
Facility
3.1
NE AVG
4.2
Rank
#34 / 135
| 4 | 40 | A+ |
76
Facility
76
NE AVG
46
Rank
#28 / 298
| Lancaster Opco Holdings LLC |
$23.5M
Facility
$23.5M
NE AVG
$7.6M
Rank
#5 / 133
|
$9.0M
Facility
$9.0M
NE AVG
$3.5M
Rank
#7 / 133
|
38.3%
Facility
38.3%
NE AVG
49.4%
Rank
#106 / 133
| 285275 |
Emerald Nursing & Rehab Lancaster LLC is located in LINCOLN, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
Emerald Nursing & Rehab Lancaster LLC is in the Irvingdale neighborhood of LINCOLN.
Emerald Nursing & Rehab Lancaster LLC is legally operated by Emerald Nursing & Rehab Lancaster LLC, and administered by Administrator Michael Aubrey.
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 67.7%.
Emerald Nursing & Rehab Lancaster LLC is registered as a for-profit in NE.
Administrator Michael Aubrey is the administrator of Emerald Nursing & Rehab Lancaster LLC.
Emerald Nursing & Rehab Lancaster LLC has 293 beds.
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