Nursing homeActiveSpecial Focus Facility candidate · what this means

Emerald Nursing & Rehab Lancaster LLC

1001 South Street, Lincoln, NE 685024024417101293 certified beds · 185 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
20
since 2023
Deficiencies
58
0544
Penalties · 3 yrs
$79,725
3 fines · 3 actions
Last survey
2026-06-17
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 1
Quality 2
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Nebraska DHHS · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-06-17Complaint010CMS-2567 (Care Compare)
2026-04-22Complaint010CMS-2567 (Care Compare)
2026-04-14Complaint030CMS-2567 (Care Compare)
2026-01-08Complaint010CMS-2567 (Care Compare)
2025-06-24Complaint010CMS-2567 (Care Compare)
2025-04-14Complaint010CMS-2567 (Care Compare)
2025-03-04Complaint020CMS-2567 (Care Compare)
2025-01-30Standard0100CMS-2567 (Care Compare)
2024-11-20Complaint030CMS-2567 (Care Compare)
2024-10-29Complaint001CMS-2567 (Care Compare)
2024-09-19Complaint010CMS-2567 (Care Compare)
2024-07-08Complaint011CMS-2567 (Care Compare)
2024-05-28Complaint020CMS-2567 (Care Compare)
2024-05-07Complaint001CMS-2567 (Care Compare)
2024-03-28Complaint001CMS-2567 (Care Compare)
2024-03-13Complaint010CMS-2567 (Care Compare)
2024-02-12Complaint010CMS-2567 (Care Compare)
2024-01-23Standard080CMS-2567 (Care Compare)
2023-08-27Complaint050CMS-2567 (Care Compare)
2023-02-28Standard0120CMS-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.

2026-06-17Complaint survey · 1 deficiencyOfficial report
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 DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 285275-20260617-F584
2026-04-22Complaint survey · 1 deficiencyOfficial report
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 2026-05-20Record 285275-20260422-F812
2026-04-14Complaint survey · 3 deficienciesOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-25Record 285275-20260414-F580
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-25Record 285275-20260414-F658
F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-25Record 285275-20260414-F773
2026-01-08Complaint survey · 1 deficiencyOfficial report
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-02-13Record 285275-20260108-F812
2025-06-24Complaint survey · 1 deficiencyOfficial report
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 2025-08-01Record 285275-20250624-F689
2025-04-14Complaint survey · 1 deficiencyOfficial report
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-04-25Record 285275-20250414-F725
2025-03-04Complaint survey · 2 deficienciesOfficial report
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 285275-20250304-F677
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 2025-03-14Record 285275-20250304-F880
2025-01-30Standard survey · 10 deficienciesOfficial report
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 2025-03-14Record 285275-20250130-F584
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 285275-20250130-F623
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 285275-20250130-F641
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 285275-20250130-F679
F680Ensure the activities program is directed by a qualified professional.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 285275-20250130-F680
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 285275-20250130-F695
F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 285275-20250130-F727
F730Observe each nurse aide's job performance and give regular training.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 285275-20250130-F730
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-03-14Record 285275-20250130-F812
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 2025-03-14Record 285275-20250130-F880
2024-11-20Complaint survey · 3 deficienciesOfficial report
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 2024-12-10Record 285275-20241120-F684
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 2024-12-10Record 285275-20241120-F880
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-12-02Record 285275-20241120-F882
2024-10-29Complaint survey · 1 deficiencyOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-11-26Record 285275-20241029-F686
2024-09-19Complaint survey · 1 deficiencyOfficial report
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-18Record 285275-20240919-F561
2024-07-08Complaint survey · 2 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-07-23Record 285275-20240708-F689
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-23Record 285275-20240708-F610
2024-05-28Complaint survey · 2 deficienciesOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-20Record 285275-20240528-F580
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 2024-06-20Record 285275-20240528-F684
2024-05-07Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-05-30Record 285275-20240507-F689
2024-03-28Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-04-01Record 285275-20240328-F689
2024-03-13Complaint survey · 1 deficiencyOfficial report
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 2024-04-01Record 285275-20240313-F689
2024-02-12Complaint survey · 1 deficiencyOfficial report
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-04Record 285275-20240212-F561
2024-01-23Standard survey · 8 deficienciesOfficial report
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 2024-03-04Record 285275-20240123-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 2024-03-04Record 285275-20240123-F584
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-04Record 285275-20240123-F609
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-04Record 285275-20240123-F641
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 2024-03-04Record 285275-20240123-F684
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 DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-04Record 285275-20240123-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-03-04Record 285275-20240123-F812
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 2024-03-04Record 285275-20240123-F880
2023-08-27Complaint survey · 5 deficienciesOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-11Record 285275-20230827-F580
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 2023-10-11Record 285275-20230827-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-11Record 285275-20230827-F690
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 EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-11Record 285275-20230827-F761
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-11Record 285275-20230827-F921
2023-02-28Standard survey · 12 deficienciesOfficial report
F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-14Record 285275-20230228-F569
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-14Record 285275-20230228-F623
F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-14Record 285275-20230228-F625
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-14Record 285275-20230228-F641
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-14Record 285275-20230228-F644
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 2023-04-14Record 285275-20230228-F684
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-14Record 285275-20230228-F688
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 2023-04-14Record 285275-20230228-F689
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-14Record 285275-20230228-F725
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 EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-14Record 285275-20230228-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-04-14Record 285275-20230228-F812
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 2023-04-14Record 285275-20230228-F880

Penalties & enforcement

DateActionAmountSource
2024-10-29Civil money penalty$51,324CMS · Penalties
2024-10-29Denial of payment for new admissions
Payment denial for 13 days, from 2024-11-27
CMS · Penalties
2024-07-08Civil money penalty$11,600CMS · Penalties
2024-05-07Denial of payment for new admissions
Payment denial for 16 days, from 2024-06-04
CMS · Penalties
2024-01-23Civil money penalty$16,801CMS · Penalties
2024-01-23Denial of payment for new admissions
Payment denial for 4 days, from 2024-03-28
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.26
Facility
Nebraska
National
Nebraska 0.67 · National 0.69
Total nurse hours per resident day3.39
Facility
Nebraska
National
Nebraska 3.98 · National 3.86
Weekend total nurse hours3.05
Facility
Nebraska
National
Nebraska 3.49 · National 3.42
Total nursing staff turnover74%
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
MeasureFacilityNebraskaNational
Percentage of long-stay residents with pressure ulcers
lower is better
4.1%4.0%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
5.1%4.5%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
21.8%20.7%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
3.3%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
12.3%19.0%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
6.1%5.1%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
27.0%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)
EntityRoleInterestSinceRegistry
Lancaster Opco Holdings LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST100%
Chafetz, Yisroel
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Walden, Jacob
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Chafetz, Yisroel
Individual
CORPORATE DIRECTORNOT APPLICABLE
Graff, Jennifer
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Walden, Jacob
Individual
CORPORATE DIRECTORNOT APPLICABLE
Part of a chain
Emerald Healthcare14 facilities
View chain record

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 Lancaster.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Sumner Place
Lincoln
0.8 mi2025-05-13030
Heartland Ridge Care Center
Lincoln
2.3 mi2025-05-220180
Ambassador Health of Lincoln
Lincoln
2.6 mi2026-05-120160
Eventide Williamsburg
Lincoln
3.3 mi2026-04-02080
Eventide Lincoln Care Center
Lincoln
2.9 mi2026-06-250261
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

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01