Emerald Nursing & Rehab Lancaster LLC

1001 South Street · Lincoln, NE · 68502 · 4024417101

293 certified beds For profit - Limited Liability company Chain: Emerald Healthcare

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $51,324 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

2 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

$51,324 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

71% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 27
Serious harm & abuse 20% 76
Staffing 20% 54
Federal penalties 15% 3
Trend 10% 83
Context 5% 10

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.653.48 min · 4.1 strong
RN hours / resident-day0.320.55–0.75
Weekend hours / resident-day3.21≈ weekday level
Nursing turnover / year71%median 45%
Fines (3-yr window)3 · $79,725

Inspection citations (59 in the current record)

  • Potential for harm · E April 22, 2026 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 20, 2026 · Nutrition and Dietary

  • Potential for harm · D April 14, 2026 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected May 25, 2026 · Resident Rights

  • Potential for harm · D April 14, 2026 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected May 25, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D April 14, 2026 · found via complaint

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

    Corrected May 25, 2026 · Administration

  • Potential for harm · F January 8, 2026 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 13, 2026 · Nutrition and Dietary

  • Potential for harm · D June 24, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 1, 2025 · Quality of Life and Care

  • Potential for harm · F April 14, 2025 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected April 25, 2025 · Nursing and Physician Services

  • Potential for harm · D March 4, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected March 14, 2025 · Quality of Life and Care

  • Potential for harm · D March 4, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected March 14, 2025 · Infection Control

  • Potential for harm · E January 30, 2025

    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.

    Corrected March 14, 2025 · Resident Rights

  • Potential for harm · D January 30, 2025

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected March 14, 2025 · Resident Rights

  • Potential for harm · D January 30, 2025

    Ensure each resident receives an accurate assessment.

    Corrected March 14, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 30, 2025

    Provide activities to meet all resident's needs.

    Corrected March 14, 2025 · Quality of Life and Care

  • Potential for harm · E January 30, 2025

    Ensure the activities program is directed by a qualified professional.

    Corrected March 14, 2025 · Quality of Life and Care

  • Potential for harm · D January 30, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected March 14, 2025 · Quality of Life and Care

  • Potential for harm · F January 30, 2025

    Observe each nurse aide's job performance and give regular training.

    Corrected March 14, 2025 · Nursing and Physician Services

  • Potential for harm · F January 30, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 14, 2025 · Nutrition and Dietary

  • Potential for harm · F January 30, 2025

    Provide and implement an infection prevention and control program.

    Corrected March 14, 2025 · Infection Control

  • Potential for harm · F January 30, 2025 · found via complaint

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected March 14, 2025 · Nursing and Physician Services

  • Potential for harm · D November 20, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 10, 2024 · Quality of Life and Care

  • Potential for harm · D November 20, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected December 10, 2024 · Infection Control

  • Potential for harm · F November 20, 2024 · found via complaint

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Corrected December 2, 2024 · Infection Control

  • Actual harm · G October 29, 2024 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected November 26, 2024 · Quality of Life and Care

  • Potential for harm · D September 19, 2024 · found via complaint

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected October 18, 2024 · Resident Rights

  • Immediate jeopardy · J July 8, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 23, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
October 29, 2024Fine$51,324
October 29, 2024Payment Denial13 days
July 8, 2024Fine$11,600
May 7, 2024Payment Denial16 days
January 23, 2024Fine$16,801
January 23, 2024Payment Denial4 days

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285275 · certified since August 1, 2007. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.