Emerald Nursing & Rehab Cozad

In the surveyor’s words

From the most serious findings on record at Emerald Nursing & Rehab Cozad, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF761Jul 22, 2025

  Licensure Reference Number 175 NAC 12-006.12(D) Based on observations, interviews, and record reviews; the facility failed to store medications in a sanitary manner which had the potential to affect all residents, and failed to label medications with an opened and/or expiration date for 1 resident (Resident 10) of 4 sampled residents. The facility census was 37.A.In an observation completed on 07/17/2025 at 11:00 AM of the facility medication storage room the following was observed:-In a refrigerator kept in the medication storage room there was a clear plastic bin on the top shelf of the refrigerator labeled insulin containing 5 clear Ziplock bags with insulin (an injectable medication) in them. […]

• No harm, potential for more than minimal, widespreadF880Jul 22, 2025

  Licensure Reference Number 175 NAC 12-006.04(A)(ii) Licensure Reference Number 175 NAC 1-005.06(E)&(D) Based on record review, observations, and interviews, the facility failed to ensure health history screenings were completed and reviewed prior to starting employment for 2 of 5 staff reviewed. The facility failed to follow contact precautions for 1 resident (Resident 17), the facility failed to complete hand sanitization for 5 (Residents 28, 35, 20, 26, and 12) of 5 sampled residents during medication administration, and failed to ensure proper hand hygiene was completed after providing care to 1 resident (Resident 3). The facility identified a census of 37. […]

• No harm, potential for more than minimal, widespreadF801Apr 4, 2023

  LICENSURE REFERENCE NUMBER 175 NAC 12-12-006.04D2a Based on observation, interviews, and record review; the facility failed to ensure the facility DM (Dietary Manager) had the credentials to be a dietary manager or have a registered dietitian (RD)working full time. This had the potential to affect all of the residents in the facility. The facility identified a census of 62 at the time of survey. Findings are: Interview with the facility DM (Dietary Manager) on 4/03/23 at 2:30 PM revealed they were not a certified dietary manager and had not completed a formal education program to meet the requirements for a DM. The DM revealed they did not monitor the resident weights as the DM was not certified. […]

• No harm, potential for more than minimal, widespreadF888Apr 21, 2022

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.17 Based on observation, record review, and interview; the facility failed to ensure that contingency measures (additional precautions intended to mitigate the transmission and spread of COVID-19) for all staff who were not fully vaccinated for COVID-19 were in place. This had the potential to affect all facility residents. The facility census was 37. Findings are: The facility policy titled COVID-19 Policy Revision #22 dated 3/16/22 revealed that the objective of the policy was to decrease the prevalence and incidence of residents being exposed to COVID-19 and to prevent the spread of COVID-19 within the facility. […]

• No harm, potential for more than minimal, patternF759Jul 22, 2025

  Licensure Reference Number 175 NAC 12-006.10(D)Based on observation, interview, and record review the facility failed to have a medication error rate of less than 5%. This affected 3 residents (Residents 12, 20, and 35) of 5 sampled residents. The facility census was 37. Findings are:Record review of an undated facility document titled Medication Administration revealed medications will be administered to the right resident in the correct dose by the correct route in the correct strength and the correct medication.In an observation completed on 07/17/2025 at 8:15 AM Medication Aide (MA)-J was observed to prepare Resident 35 medication which included Omeprazole (a medication used to reduce the amount of acid produced in the stomach), 20 milligrams (mg) tablet with instructions for the… […]