Emerald Nursing & Rehab Lakeview
A nursing home in Grand Island, Nebraska 68801
1405 West Hwy 34, Grand Island, Nebraska 68801. (308) 382-6397.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 10 health citations at the latest inspection cycle Nebraska average: 7.6
- 3.56 nurse hours per resident per day Nebraska average: 4.12
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
10 health citations at the latest inspection cycle
The Nebraska average is 7.6.
Last standard inspection Jan 29, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a standard inspection on Jan 29, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
18 citations in 2 months of the last 36. Last cited Jan 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 18 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 3 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jan 29, 2026: standard inspection10 citations
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Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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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.
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure that the resident and his/her doctor meet face-to-face at all required visits.
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Provide and implement an infection prevention and control program.
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Have enough outside ventilation via a window or mechanical ventilation, or both.
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Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Dec 5, 2024: standard inspection5 citations
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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.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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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.
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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.
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Provide and implement an infection prevention and control program.
Dec 5, 2024: standard and complaint inspection3 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure medication error rates are not 5 percent or greater.
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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.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jun 1, 1991.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 95 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $13,426 in all.
- 1 Medicare payment denial in the last three years.
- 3 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jan 29, 2026 | Medicare payment denial | Not given |
| Jan 29, 2026 | Fine | $13,426 |
Who does the caring?
3.56 nurse hours per resident per day
The Nebraska average is 4.12.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Nebraska average |
|---|---|---|
| Nurse hours per resident per day | 3.56 | 4.12 |
| Of which registered nurses | 0.40 | 0.69 |
| At weekends | 3.08 | 3.57 |
| Nursing staff turnover | 48.8% | 48.5% |
| Registered nurse turnover | 14.3% | 43.5% |
| Administrators who left | 1 | Not given |
Who owns it?
- Jw Nebraska Operations, LLC owns 99% directly since Nov 1, 2023; Ycne Operations, LLC owns 1% directly since Nov 1, 2023.
- Merch Pay Inc. and Evolve Therapy Services LLC and Limestone Fiscal Services LLC and Saul N Friedman & Company and Bank of Oklahoma and Zimmet Healthcare Services Group LLC and Wellsky Corporation and Emerald Healthcare LLC run it.
- 22 owners or officers are people: Jacob I Walden (owns 5% or more through other companies, 98%); Caryn Segal (owns a share through other companies, 1%); Yisroel I Chafetz (owns a share through other companies, 0.95%); Adina Chafetz (owns a share through other companies, 0.05%); Brian Gopin (runs it (operational or managerial control)); Brian Gopin (additional disclosable party (controls, leases property to, or provides services to the home)); David Fleischmann (runs it (operational or managerial control)); David Fleischmann (additional disclosable party (controls, leases property to, or provides services to the home)); Yisroel I Chafetz (runs it (operational or managerial control)); Yisroel I Chafetz (additional disclosable party (controls, leases property to, or provides services to the home)); Jeri Jo Wichman (runs it (operational or managerial control)); Jeri Jo Wichman (additional disclosable party (controls, leases property to, or provides services to the home)); Jessica Guerrero (runs it (operational or managerial control)); Jessica Guerrero (additional disclosable party (controls, leases property to, or provides services to the home)); Adam Hinrikus (runs it (operational or managerial control)); Adam Hinrikus (additional disclosable party (controls, leases property to, or provides services to the home)); Brenda Franklin (runs it (operational or managerial control)); Brenda Franklin (additional disclosable party (controls, leases property to, or provides services to the home)); Arif A Sattar (runs it (operational or managerial control)); Arif A Sattar (additional disclosable party (controls, leases property to, or provides services to the home)); Kiley Goff (runs it (operational or managerial control)); Kiley Goff (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Emerald Healthcare (14 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Jw Nebraska Operations, LLC | Owns 5% or more directly | 99% | Nov 1, 2023 |
| Ycne Operations, LLC | Owns a share directly | 1% | Nov 1, 2023 |
| Merch Pay Inc. | Runs it (operational or managerial control) | Apr 1, 2019 | |
| Merch Pay Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 31, 2025 | |
| Evolve Therapy Services LLC | Runs it (operational or managerial control) | May 1, 2019 | |
| Evolve Therapy Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 27, 2025 | |
| Limestone Fiscal Services LLC | Runs it (operational or managerial control) | Jul 1, 2024 | |
| Limestone Fiscal Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 27, 2025 | |
| Saul N Friedman & Company | Runs it (operational or managerial control) | Apr 1, 2019 | |
| Saul N Friedman & Company | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 27, 2025 | |
| Bank of Oklahoma | Runs it (operational or managerial control) | Mar 3, 2021 | |
| Bank of Oklahoma | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 27, 2025 | |
| Zimmet Healthcare Services Group LLC | Runs it (operational or managerial control) | Apr 1, 2019 | |
| Zimmet Healthcare Services Group LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 27, 2025 | |
| Wellsky Corporation | Runs it (operational or managerial control) | Apr 1, 2023 | |
| Wellsky Corporation | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 27, 2025 | |
| Emerald Healthcare LLC | Runs it (operational or managerial control) | May 1, 2019 | |
| Emerald Healthcare LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 9, 2025 |
How do residents fare?
- CMS rates its quality measures 1 of 5 (Nebraska average 3.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 1 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 23.7 miles, this one had the 4th most health citations at the latest inspection cycle (10; the middle value was 8.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Emerald Nursing & Rehab Lakeview This nursing home | 10 | |
| Eventide Prairie Commons Care Center | 1.6 | 6 |
| Chi Health St. Francis | 2.6 | 2 |
| Adept Nursing & Rehab of Grand Island | 2.8 | 21 |
| Tiffany Square | 2.8 | 4 |
| Good Samaritan Society - Grand Island Village | 3.0 | 10 |
| Westfield Quality Care of Aurora | 17.5 | 11 |
| Memorial Community Care | 17.9 | 1 |
| Good Samaritan Society - Hastings Village | 21.1 | 14 |
| Harvard Rest Haven | 22.8 | 9 |
| Litzenberg Memorial County Hospital | 23.6 | 1 |
| Adept Nursing & Rehab of Central City | 23.7 | 8 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.