Emerald Nursing & Rehab Cozad
Emerald Nursing & Rehab Cozad in Cozad, NE — inspection on November 13, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
physician notification, or family notification of the fall documented in the medical record for Resident 1's fall on 10/30/25 at 11:10 AM.Interview on 11/13/25 at 11:17 AM with Nurse Aide-A (NA-A) revealed that Resident 1 had developed more confusion and weakness so the staff used the sit to stand lift to transfer the resident. NA-A confirmed that Resident 1 fell out of the lift on 10/30/25.
Interview on 11/13/25 at 1:03 PM with the facility Director of Nursing (DON) confirmed that the facility staff are expected to follow the facility Falls Management policy.
The DON confirmed that after a resident fall (post fall) the nurse is to notify the resident's physician and the resident's family and document the notification in the resident's medical record.
The DON confirmed that Resident 1 fell on [DATE].
The DON confirmed that there was no documentation of Resident 1's fall on 10/30/25 in the progress notes as required.
The DON confirmed that there was no documentation of a head to toe assessment as required.
The DON confirmed that there was no documentation in the facility risk management that the resident family was notified of the fall as required.
Interview on 11/13/25 at 1:41 PM with the Facility Administrator (FA) confirmed that the facility did not have the required documentation for Resident 1's fall on 10/30/25.
The FA confirmed that the facility had no documentation that the POA notification was provided as required.
The FA confirmed that the facility Falls Management policy interventions were not followed by staff as required.
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