Federal inspection record · CMS data as of October 1, 2026
Emerald Nursing & Rehab Lakeview
1405 West Hwy 34, Grand Island, NE · (308) 382-6397
- Certified beds
- 95
- Residents per day
- 75
- Ownership
- For-Profit
- Chain
- Emerald Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 1, 1991
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Nebraska.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 1)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nebraska homes
Emerald Nursing & Rehab Lakeview carries 116.25 inspection points. That is fewer than 11% of Nebraska's 178 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Nebraska: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–31 pts
- 3★ 31–50 pts
- 2★ 50–94.25 pts
- 1★ over 94.25 pts
Bars show every rated home in Nebraska by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
22 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Everything else, by area of care
Quality of Life and Care6D
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide 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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights5E
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
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.
- E
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.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary3F
- E
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.
- D
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services2F
- F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- D
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Environmental1E
- E
Have enough outside ventilation via a window or mechanical ventilation, or both.
Pharmacy Service1D
- D
Ensure medication error rates are not 5 percent or greater.
Inspection history
2026-01-29
10 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-12-05
8 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-11-02
4 health deficiencies · 5 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 34 min of nursing staff time a day, 24 min of it from a registered nurse.
This home
3 h 34 min
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 49% of nursing staff and 14% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$13,426 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-01-29 | Fine | $13,426 |
| 2026-01-29 | Payment Denial · 15 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts worse | 2.2 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts worse | 2.3 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.1 pts worse | 87.9% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.4 pts worse | 94.2% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.9 pts better | 1.6% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.5 pts better | 0.9% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.4 pts better | 4.7% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.3 pts worse | 19.3% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication13.4 pts worse | 34.1% | 20.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.9 pts better | 7.9% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased13.2 pts better | 5.8% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts worse | 1.9% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3 pts worse | 5.7% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.1 pts worse | 28.1% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.9 pts worse | 7.9% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.3 pts worse | 76.0% | 81.3% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.1 pts worse | 17.9% | 10.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts worse | 2.2% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8 pts better | 81.9% | 73.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.8 pts worse | 26.9% | 21.1% | 23.4% |
·
Who owns and runs it
38 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bank Of Oklahoma | Operational/Managerial Control · Organization | 0% | 4 facilities |
| Bank Of Oklahoma | Adp Of The SNF · Organization | 0% | 4 facilities |
| Chafetz, Adina | Indirect Ownership Interest · Individual | 0% | 5 facilities |
| Chafetz, Yisroel | Indirect Ownership Interest · Individual | 0% | 16 facilities |
| Chafetz, Yisroel | Operational/Managerial Control · Individual | 0% | 16 facilities |
| Chafetz, Yisroel | Adp Of The SNF · Individual | 0% | 16 facilities |
| Emerald Healthcare LLC | Operational/Managerial Control · Organization | 0% | 10 facilities |
| Emerald Healthcare LLC | Adp Of The SNF · Organization | 0% | 10 facilities |
| Evolve Therapy Services LLC | Operational/Managerial Control · Organization | 0% | 11 facilities |
| Evolve Therapy Services LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Fleischmann, David | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Fleischmann, David | Adp Of The SNF · Individual | 0% | 11 facilities |
| Franklin, Brenda | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Franklin, Brenda | Adp Of The SNF · Individual | 0% | 6 facilities |
| Goff, Kiley | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Goff, Kiley | Adp Of The SNF · Individual | 0% | 3 facilities |
| Gopin, Brian | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Gopin, Brian | Adp Of The SNF · Individual | 0% | 12 facilities |
| Guerrero, Jessica | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Guerrero, Jessica | Adp Of The SNF · Individual | 0% | 2 facilities |
| Hinrikus, Adam | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hinrikus, Adam | Adp Of The SNF · Individual | 0% | 1 facilities |
| Limestone Fiscal Services LLC | Operational/Managerial Control · Organization | 0% | 11 facilities |
| Limestone Fiscal Services LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Merch Pay Inc | Operational/Managerial Control · Organization | 0% | 9 facilities |
| Merch Pay Inc | Adp Of The SNF · Organization | 0% | 9 facilities |
| Sattar, Arif | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Sattar, Arif | Adp Of The SNF · Individual | 0% | 13 facilities |
| Saul N Friedman & Company | Operational/Managerial Control · Organization | 0% | 13 facilities |
| Saul N Friedman & Company | Adp Of The SNF · Organization | 0% | 13 facilities |
| Segal, Caryn | Indirect Ownership Interest · Individual | 0% | 3 facilities |
| Wellsky Corporation | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Wellsky Corporation | Adp Of The SNF · Organization | 0% | 8 facilities |
| Wichman, Jeri Jo | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Wichman, Jeri Jo | Adp Of The SNF · Individual | 0% | 5 facilities |
| Ycne Operations, LLC | Direct Ownership Interest · Organization | 0% | 2 facilities |
| Zimmet Healthcare Services Group LLC | Operational/Managerial Control · Organization | 0% | 15 facilities |
| Zimmet Healthcare Services Group LLC | Adp Of The SNF · Organization | 0% | 15 facilities |
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Fire safety
21 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6E
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
Miscellaneous5F
- F
Have simulated fire drills held at unexpected times.
- E
Have restrictions on the use of flammable curtains.
- F
Provide a written emergency evacuation plan.
- F
Have restrictions on the use of portable space heaters.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems5F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
Egress3E
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Emergency Preparedness2F
- F
Implement emergency and standby power systems.
- F
Implement emergency and standby power systems.
·
Other homes nearby
-
Eventide Prairie Commons Care Center
Grand Island, NE
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 5 h 8 min
- Fines
- $24,676
-
CHI Health St. Francis
Grand Island, NE
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- —
- Fines
- $0
-
Adept Nursing & Rehab of Grand Island
Grand Island, NE · Avid Healthcare Group · Special Focus
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 35 min
- Fines
- $16,801