Nursing home
Emerald Nursing & Rehab Cozad (Skilled Nursing)
318 West 18Th Street, Cozad, NE 69130 · Map
For profit - Limited Liability company · Part of Emerald Healthcare (14 facilities) · 67 certified beds
Emerald Nursing & Rehab Cozad (Skilled Nursing) is a Medicare-certified nursing home in Cozad, Nebraska. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.82 hours per resident per day, below the Nebraska average of 4.17. Its most recent inspection on Jul 22, 2025 cited 6 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Emerald Nursing & Rehab Cozad (Skilled Nursing) compares
This facility vs. the Nebraska and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Nebraska avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.82 | 4.17 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.39 | 0.71 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.58 | 2.76 | 2.34 | below avg |
| Nursing staff turnover | 65.5% | 49.3% | 46.4% | above avg |
| Deficiencies cited, last inspection | 6.0 | 6.7 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the November 13, 2025 inspection was corrected by December 12, 2025
What inspectors found at Emerald Nursing & Rehab Cozad (Skilled Nursing)
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 13, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 22, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Jul 22, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Jul 22, 2025 · Full report (PDF) - Potential for harm
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.
Nutrition and Dietary Deficiencies · Jul 22, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Jul 22, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Jun 13, 2024 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Jun 13, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jun 13, 2024 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Jun 13, 2024 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jun 13, 2024 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Jun 13, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 318 West 18Th Street
Cozad, NE 69130 - CMS certification #
- 285093
- Ownership
- For profit - Limited Liability company
- Certified beds
- 67
- Avg residents/day
- 38.5
- Provider type
- Medicare and Medicaid
- First certified
- 1989-10-01
- Chain
- Emerald Healthcare (14 facilities)
- Setting
- Rural
Part of Emerald Healthcare
Emerald Healthcare operates 14 nursing facilities across the United States. View all Emerald Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Emerald Nursing & Rehab Cozad (Skilled Nursing) using Google Maps.
Other public records
- Website says 3 meals a day
Full public records, with dates and sources
Care and services
From the community’s website
What Emerald Nursing & Rehab Cozad (Skilled Nursing) says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- 3 meals a day.
Three delicious meals each day
(page, checked Oct 15, 2026) - Apartment types named: private room.
To enhance the recovery process, we offer an array of amenities including Spacious Private Rooms, gourmet dining with personalized menu’s and beautiful patio areas to enjoy some fresh air.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Cozad Community Hospital, Cozad. 0.5 miles away, straight line.
- Nearest Medicare nursing home
- Hilltop Estates, Gothenburg. 9.9 miles away, straight line.
- Nearest home health agency office
- Central Plains Home Health, Cozad. 0.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Shopko. 9.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 69130 as rural (rural area).
- Hospice
- 2 Medicare hospices tell CMS they serve ZIP code 69130.
Central Plains Hospice, office in Cozad, 0.6 miles away, straight line - Nearest geriatric medicine practice
- Unmc Physicians, Omaha. 199.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively moderate, wildfire relatively low, tornado very high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Emerald Nursing & Rehab Cozad (Skilled Nursing) a good nursing home?
CMS gives Emerald Nursing & Rehab Cozad (Skilled Nursing) an overall rating of 1 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Emerald Nursing & Rehab Cozad (Skilled Nursing) staffed?
Emerald Nursing & Rehab Cozad (Skilled Nursing) reports 3.82 total nurse hours per resident per day, compared with the Nebraska average of 4.17.
Has Emerald Nursing & Rehab Cozad (Skilled Nursing) had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does Emerald Nursing & Rehab Cozad (Skilled Nursing) have?
Emerald Nursing & Rehab Cozad (Skilled Nursing) is certified for 67 beds.