Emerald Nursing & Rehab Cozad
318 West 18th Street · Cozad, NE · 69130 · 3087843715
67 certified beds For profit - Limited Liability company Chain: Emerald Healthcare
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
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Red flags
65% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.67 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.35 | 0.55–0.75 |
| Weekend hours / resident-day | 3.24 | ≈ weekday level |
| Nursing turnover / year | 65% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (18 in the current record)
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Potential for harm · D November 13, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 12, 2025 · Quality of Life and Care
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Potential for harm · D July 22, 2025
Provide activities to meet all resident's needs.
Corrected September 4, 2025 · Quality of Life and Care
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Potential for harm · F July 22, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected September 4, 2025 · Pharmacy Service
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Potential for harm · E July 22, 2025
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected September 4, 2025 · Nutrition and Dietary
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Potential for harm · F July 22, 2025
Provide and implement an infection prevention and control program.
Corrected September 4, 2025 · Infection Control
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Potential for harm · E July 22, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected September 4, 2025 · Pharmacy Service
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Potential for harm · D June 13, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 26, 2024 · Resident Rights
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Potential for harm · E June 13, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected July 26, 2024 · Resident Rights
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Potential for harm · D June 13, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 26, 2024 · Quality of Life and Care
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Potential for harm · D June 13, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 26, 2024 · Quality of Life and Care
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Potential for harm · E June 13, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected July 26, 2024 · Pharmacy Service
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Potential for harm · D June 13, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected July 26, 2024 · Pharmacy Service
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Potential for harm · D June 13, 2024
Provide and implement an infection prevention and control program.
Corrected July 26, 2024 · Infection Control
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Potential for harm · E April 4, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 10, 2023 · Resident Rights
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Potential for harm · D April 4, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected May 10, 2023 · Quality of Life and Care
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Potential for harm · D April 4, 2023
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 10, 2023 · Pharmacy Service
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Potential for harm · F April 4, 2023
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected May 10, 2023 · Nutrition and Dietary
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Potential for harm · E April 4, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 10, 2023 · Nutrition and Dietary
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285093 · certified since October 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.