Nursing homeActive
Emerald Nursing & Rehab Cozad
318 West 18th Street, Cozad, NE 69130308784371567 certified beds · 39 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
18
● 0● 18● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-11-13
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 2
Staffing 1
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Nebraska DHHS · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-11-13 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-07-22 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-06-13 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2023-04-04 | Standard | 050 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Nebraska DHHS publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-12Record 285093-20251113-F689
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-04Record 285093-20250722-F679
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-04Record 285093-20250722-F759
F761Ensure 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.Scope/severity FStandard
Medication
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-09-04Record 285093-20250722-F761
F803Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-04Record 285093-20250722-F803
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-09-04Record 285093-20250722-F880
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-26Record 285093-20240613-F550
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-26Record 285093-20240613-F584
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-26Record 285093-20240613-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-26Record 285093-20240613-F689
F758Implement 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-26Record 285093-20240613-F758
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-26Record 285093-20240613-F759
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-26Record 285093-20240613-F880
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-10Record 285093-20230404-F623
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-10Record 285093-20230404-F692
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-10Record 285093-20230404-F757
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-05-10Record 285093-20230404-F801
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-10Record 285093-20230404-F812
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.43
Facility
Nebraska
National
Nebraska 0.67 · National 0.69
Total nurse hours per resident day3.50
Facility
Nebraska
National
Nebraska 3.98 · National 3.86
Weekend total nurse hours3.12
Facility
Nebraska
National
Nebraska 3.49 · National 3.42
Total nursing staff turnover65%
Facility
Nebraska
National
Nebraska 49% · National 46%
Registered nurse turnover80%
Facility
Nebraska
National
Nebraska 44% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Nebraska | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 6.7% | 4.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.9% | 4.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 32.2% | 20.7% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.3% | 2.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 16.7% | 19.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.5% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 24.6% | 19.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Bank Of Oklahoma Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Emerald Healthcare LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Evolve Therapy Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fleischmann, David Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Franklin, Brenda Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Friedrichsen, Natasha Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Goff, Kiley Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gopin, Brian Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Limestone Fiscal Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Merch Pay Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Nexus Service Group LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sattar, Arif Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Saul N Friedman & Company Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Zimmet Healthcare Services Group LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bank Of Oklahoma Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Chafetz, Yisroel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Emerald Healthcare LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Evolve Therapy Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fleischmann, David Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Franklin, Brenda Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Friedrichsen, Natasha Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Goff, Kiley Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gopin, Brian Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jw Nebraska Operations, LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Limestone Fiscal Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Merch Pay Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nexus Service Group LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Reisman, Adina Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Sattar, Arif Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Saul N Friedman & Company Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Walden, Jacob Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Walden, Jacob Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ycne Operations, LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Zimmet Healthcare Services Group LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Emerald Healthcare — 14 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Nebraska.
No county cost figures on file for Dawson.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Hilltop Estates Gothenburg | 9.9 mi | 2026-06-16 | 0150 |
| Elwood Care Center Elwood | 20.6 mi | 2026-05-06 | 080 |
| Callaway Good Life Center, Inc Callaway | 29.3 mi | 2026-04-22 | 0262 |
| Bertrand Nursing Home Bertrand | 30.4 mi | 2025-05-01 | 020 |
| Brookestone View Broken Bow | 41.2 mi | 2026-06-04 | 0110 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |