Complaint Investigation

Emerald Nursing & Rehab Cozad

November 13, 2025 · Cozad, NE · 318 West 18th Street

Citations 1

CMS Rating 1/5

Beds 67

Provider ID 285093

Healthcare Facility

Emerald Nursing & Rehab Cozad

Cozad, NE · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

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

FF0689

Quality of Life and Care Deficiencies

Potential for More Than Minimal Harm

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.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Cozad, NE, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Emerald Nursing & Rehab Cozad or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.