Emerald Nursing & Rehab Cozad

    318 W 18th St, Cozad, NE, 69130
    4.4 · 31 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Beautiful facility but inconsistent, concerning

    I found the facility beautiful and safe, with many compassionate, responsive staff who coordinated a smooth move, good therapy, meals, and clear communication. However I also saw alarming inconsistency - rude or inattentive nurses and CNAs, residents left unattended, dirty/unkempt care, lost hearing aids, communication problems from masking, and even suspected medication errors/theft that coincided with my mom's decline after the move. I'm thankful for the kind caregivers we met but deeply concerned by the serious lapses; overall a mixed experience that makes me cautious.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    4.35 · 31 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.0
    • Staff

      4.3
    • Meals

      5.0
    • Amenities

      4.4
    • Value

      4.4

    Pros

    • Compassionate and caring staff
    • Attentive and responsive caregivers
    • Dedicated, hardworking CNAs and nurses
    • Smooth admission/transfer coordination
    • Empathetic and communicative director
    • Regular family communication and weekly updates
    • Use of FaceTime/virtual visits
    • Strong rehab and therapy services
    • Home-like, community-focused atmosphere
    • Familiar faces and continuity of staff (reported)
    • Safe environment reported by several reviewers
    • Good food and dining experience
    • Willingness to allow private family time at end of life
    • High overall ratings from many families
    • Small-town, community-oriented feel
    • Plans for facility updates and improvements
    • Prompt phone responsiveness

    Cons

    • Allegations of neglect and abuse by some reviewers
    • Reports of improper medication administration and medicine theft
    • Serious allegation of a fatal outcome tied to care
    • Inconsistent staff attitude and professionalism
    • Residents reportedly unattended at times
    • Poor supervision and staff excuses for problems
    • Dirty or unkempt linens and rooms reported
    • CNAs observed watching TV, complaining, using obscene language
    • Incidents of staff yelling at residents
    • Hearing aids lost while in facility
    • Communication barriers due to mask use
    • Some families report health decline after the move
    • Residents becoming nervous, stopped eating or speaking after transfer
    • Mixed reports on nursing staff courtesy (some called rude/lazy)
    • Polarized experiences—highly positive and strongly negative reviews

    Summary review

    Overall sentiment across these reviews is mixed but leans positive: a majority of summaries praise the staff’s compassion, dedication and responsiveness, the quality of therapy and rehab services, and the facility’s community-oriented, home-like atmosphere. Many families specifically call out an empathetic director, smooth move-in coordination, regular updates (including weekly reports and FaceTime options), and willingness to provide private family time at end of life. Several reviewers explicitly state they would recommend the facility, describe the care as excellent, and express gratitude for attentive moments and good food.

    Care quality and clinical themes: Many reviewers report high-quality clinical care, effective rehabilitation, and attentive caregiving. Positive comments highlight responsive phone communication, individualized attention, and satisfaction with nursing/therapy outcomes. However, there are serious outlier reports alleging neglect, medication errors, medicine theft by staff, and an alleged fatal outcome tied to care failures. These allegations are starkly at odds with the majority of positive testimonials and represent a critical concern that families should investigate further. Another recurring issue is residents’ health decline reported by some families after transfer—symptoms cited include increased confusion, reduced eating, and loss of speech—likely reflecting stress from moving and transitions of care.

    Staff behavior and supervision: The dominant positive theme is that staff are compassionate, hardworking, and familiar to residents, creating a community-like environment. Multiple reviews praise CNAs and nurses for being patient and caring. Conversely, other reviews describe unprofessional conduct: CNAs observed watching TV in common areas, using obscene language, complaining about residents, and one account of a CNA yelling at a resident. Several reviews mention poor supervision, excuses from management, and inconsistent staff attitudes. The coexistence of very positive and very negative accounts suggests variability in staff performance—potentially due to shift differences, individual employees, or episodic staffing shortages—rather than a single uniform culture.

    Operations, communication, and environment: Many families appreciate proactive communication (FaceTime visits, weekly updates) and an empathetic leadership presence during admissions and transitions. The facility’s COVID response was noted: staff tested positive but apparently no residents were affected in the reported case, and the facility plans physical updates. Positive descriptors include a safe environment, beautiful facility, and community-focused operations. Criticisms center on hygiene and upkeep in some instances (dirty sheets, unkempt rooms) and loss of residents’ personal items (hearing aids). Mask-related communication challenges were also noted, making interactions harder for residents with hearing or cognitive needs.

    Polarization and risk indicators: The reviews show a polarized pattern—many strongly positive endorsements versus several severe negative allegations. The positive cluster emphasizes caring relationships, good rehab outcomes, and strong family communication. The negative cluster raises red flags about resident safety, medication handling, hygiene, and mistreatment. Given this mix, prospective residents and families should balance the facility’s many favorable attributes against the serious nature of the adverse allegations. Questions to pursue when evaluating the facility in person include: staffing levels and turnover, incident reporting and outcomes, medication administration and inventory controls, oversight and supervision practices, laundering/cleaning protocols, and specific responses to family complaints.

    Conclusion: Emerald Nursing & Rehab Cozad receives numerous commendations for compassionate staff, effective therapy, and a warm, community-focused environment, and many families report positive experiences and recommend the facility. However, several serious and specific negative reports—ranging from poor supervision and hygiene to allegations of medication theft and neglect—underscore inconsistent experiences and potential safety concerns. The pattern suggests generally good care with important exceptions; families should verify current staffing, oversight measures, and how the facility addresses complaints and critical incidents before making placement decisions.

    Location

    Map showing location of Emerald Nursing & Rehab Cozad

    About Emerald Nursing & Rehab Cozad

    Emerald Nursing & Rehab Cozad sits at 318 W 18th St in Cozad, NE, and provides skilled nursing and rehabilitation care for seniors who need support with daily living or complex medical needs, and the facility has 67 certified beds and an experienced team that includes a specially trained Nurse Practitioner who gives residents continuous medical attention, and during weekdays, people can use telehealth services without having to go far, and the staff pays attention to each resident with personalized care plans, often making sure therapy and nursing needs fit the individual person, and, you know, the facility features a home-grown therapy department where the same group of therapists helps folks recover from surgeries, strokes, heart problems, or illnesses, which can make people feel more at ease since they've got familiar faces around, while the nurses and aides work together to create a trusting, compassionate environment, even though the average nurse hours per resident per day are about 3.56, which is a little below the Nebraska state average of 4.0, and the nurse turnover rate stands at 51.2%, just under the state average, so some people stick around but there is staff movement, and you'll find a few issues noted in recent inspection reports-like 16 deficiencies in total, including 2 infections, one on Resident Rights Deficiency F0584 about having a safe, clean place to stay, and one pharmacy-related called F0758, pointing to how they manage medications, especially psychotropic drugs, and while there are always things to work on, the facility does try to create a comfortable daily life for people, with private spacious rooms, pretty patios for enjoying fresh air, and gourmet meals with personal menus, and you'll see some staff who've been working there for over thirty years, putting in the time to help both in recovery and in long-term nursing, and folks who stay at Emerald Nursing & Rehab Cozad can get skilled therapy, help with social services, and nutrition support too, as they focus on helping both the physical and emotional health of each resident and the wider community, and that's how Emerald Nursing & Rehab Cozad operates, managed by Jacob Walden since October 2019, held by Cozad Operations LLC, Yisroel Chafetz, and Jacob Walden with indirect ownership through Ycne Operations LLC, all under the Emerald Healthcare brand.

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