Home›Nebraska›Dawson County›Emerald Nursing & Rehab Cozad
D
Poor

Emerald Nursing & Rehab Cozad

318 West 18th Street · Cozad, NE 69130

3087843715 · For profit - Limited Liability company

67 beds38.5 residents70 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Emerald Nursing & Rehab Cozad receives an overall staffing grade of D (Poor). With 3.8228 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.3939 HPRD, below the recommended 0.75. It is 0.07 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 23.16% compared to weekdays. The facility has low agency staff usage (5.39% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
⚠️RN staffing (0.3939 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
Total Nurse HPRD
3.8228hrs/resident/day▼ 0.07
CMS benchmark: 3.48
RN HPRD
0.3939hrs/resident/day▼ 0.29
Recommended: 0.75
Weekend Drop-off
23.16%
4.0905 weekday → 3.1432 weekend
⚠ Significant weekend reduction
Agency Staff
5.39%
22.98% of RN hours from contractors
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
1.5308hrs/resident/day
Direct care aides
LPN HPRD
0.8475hrs/resident/day
Licensed practical nurses
Consistency
0.6106std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Dawson County Average-0.13 HPRD
3.96
03.82 HPRD
vs. Nebraska State Average-0.31 HPRD
4.14
03.82 HPRD
vs. National Average-0.07 HPRD
3.90
03.82 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Emerald Nursing & Rehab Cozad ★
Cozad · This facility
—
D
3.82280.3939★☆☆☆☆
Hilltop Estates
Gothenburg
9.9 mi
B
4.08910.7964★★★★☆
Elwood Care Center
Elwood
20.5 mi
B
3.98660.6363★★★★★
Callaway Good Life Center, Inc
CALLAWAY
29.3 mi
C
3.42640.7141★★☆☆☆
Bertrand Nursing Home
Bertrand
30.3 mi
B
3.70441.102★★★★★
Brookestone View
Broken Bow
41.2 mi
B
4.1290.6489★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
18
Total Deficiencies
$0
Fines Assessed
Nov 13, 2025Health
1 deficiency cited
▼
Jul 22, 2025Health
5 deficiencies cited
▼
Jun 13, 2024Health
7 deficiencies cited
▼
Apr 4, 2023Health
5 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.