Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency
across a group says more about an operator than any single building.
Homes
14
States
3
Beds
1,851
Avg score
58.9
Avg turnover
60%
Federal fines
$793,896
Flags across this group
2 of the group's homes carry a CMS abuse icon.
3 homes are in or a candidate for the Special Focus Facility programme.
Pikeville Nursing and Rehab runs 106 certified beds under individual for-profit ownership, and its staffing sits at 3.06 nurse hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 14% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the bright spot: 22.9% against a national average near 46%, meaning far fewer familiar faces disappear each year. The current record shows 14 deficiencies, none causing harm, though two are abuse-related, and the last inspection was October 2024. Quality measures score 2 of 5 stars, and that gap between steady staff and middling outcomes is the real story here.
Emerald Care Center Claremore runs 3.43 nurse hours per resident day, roughly 11% under the national average, and weekend coverage dips about 4% below its own weekday level. That thin margin shows up in the numbers: 56.2% annual staff turnover against a national 45.8%, meaning more than half the nursing staff turns over each year. The current record carries 47 deficiencies, five tied to abuse, though none rose to harm or jeopardy level. Inspectors were last on site December 18, 2025. This is a for-profit limited liability company with 129 certified beds, and both its health inspection and quality measure ratings sit at two out of five stars.
Emerald Care Center Midwest runs 116 certified beds under for-profit LLC ownership, and the staffing picture is the first thing worth noticing. Nurse hours come in at 3.71 per resident day, a bit under the national average, and weekends drop roughly 7% below the home's own weekday coverage, so the days families visit most are the thinnest. Annual turnover of 64.4% sits well above the 45.8% national figure, meaning aides and nurses cycle through steadily. The inspection record shows 31 deficiencies, three tied to abuse, though none reached harm or jeopardy level, and a single $4,017 fine. The most recent inspection was in April 2025, so the record is current.
Emerald Nursing & Rehab Cozad runs on thinner nurse coverage than most homes, 3.50 hours per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday level, so the hours when families visit are often the leanest. Annual turnover of 65.3% sits well above the 45.8% national figure, which matters because aides who know residents are the ones who notice changes first. Eighteen deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in July 2025. The for-profit LLC structure and a one-star CMS staffing rating point to the same underlying issue: enough bodies to pass, not enough consistency to feel settled.
Emerald Nursing & Rehab Lakeview carries 23 deficiencies on its current record, including one serious enough to cause actual harm, and a single fine of $13,426. All three CMS star ratings, health inspections, quality measures, and staffing, sit at the lowest possible score. Staffing tells its own story: 3.50 nurse hours per resident day, roughly 9% under the national average, with weekends running about 11% thinner than weekdays. Turnover at 43.1% is slightly better than the 45.8% national figure, but that's a small comfort against everything else. The last inspection was in January 2026, so the record is current, not stale. A 95-bed for-profit corporate home with this pattern deserves close, specific questions before you consider it.
Emerald Nursing & Rehab in Omaha runs on thinner staffing than most homes, at 3.43 nurse hours per resident day against a national average of 3.86. Weekends drop further, about 11% below its own weekday levels, so coverage is stretched exactly when families tend to visit. The 60.3% turnover rate matters too, well above the 45.8% national figure, meaning the aides and nurses caring for your relative are frequently new. Its inspection record shows 53 deficiencies, including 9 abuse-related and 3 at the harm level, with $87,389 in fines. The most recent inspection was January 2026, so that record is current, not old.
The Memory Care Center At Emerald runs on thinner nursing coverage than most homes nationally, 3.39 hours per resident day against a 3.86 average, and weekends get even leaner, dropping about 6% below its own weekday staffing. Its 68.9% annual turnover is well above the 45.8% national figure, meaning the people caring for residents are frequently new to the building. On inspections, 51 deficiencies sit on the current record, including two at the harm level and five tied to abuse, with $29,001 in fines and a one-star inspection rating; the most recent look was May 2024. For-profit LLC ownership. Families should ask direct questions about weekend coverage, staff retention, and how those abuse-related findings were resolved.
Emerald Care Center Tulsa runs on thinner nurse coverage than most homes in the country, about 3.48 hours per resident per day, roughly 10% under the national average, and weekends drop further below its own weekday staffing. The bigger concern is turnover: 73.6% of staff leaving annually, against a national average near 46%, which means whoever is at the bedside is often new. The inspection record backs that up, 67 deficiencies, two at harm or jeopardy level, three tied to abuse, and ten fines totaling $91,783. A for-profit limited liability company owns it. The most recent inspection was November 2025, so the record is current, not stale.
Emerald Care Center Southwest is a for-profit, individually owned home with 112 certified beds in Oklahoma City. Its 3.33 nurse staffing hours per resident day fall about 14% below the national average, and weekends run roughly 10% leaner than weekdays already are. Annual turnover sits at 65.8% against a national average of 45.8%, so the people caring for residents keep changing. Inspectors have cited 43 deficiencies on the current record, including one at the harm or jeopardy level and one abuse-related, with an $8,278 fine and a December 2024 inspection. CMS gives it 1 of 5 stars for health inspections and 2 for both quality measures and staffing.
Emerald Nursing & Rehab Legacy Pointe runs 108 beds under for-profit LLC ownership, and its nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average of 3.86. Weekends drop about 13% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover is 53.3% against a national 45.8%, which means more than half the staff left within a year. The home carries 29 deficiencies on its current record, including one abuse-related citation, none at the harm level, plus eight fines totaling $56,445. A July 2025 inspection is recent, and the quality measure rating of 3/5 suggests clinical outcomes are middling, not alarming.
Emerald Nursing & Rehabilitation Mercy runs 174 beds under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.28 hours per resident day against a national average of 3.86, roughly 15% below, and weekends drop about 13% below the home's own weekday levels, while annual turnover hits 64.8% against a 45.8% national figure. The inspection history is the heavier weight: 71 deficiencies on the current record, six at harm or jeopardy level, one abuse-related, and $61,867 in fines across three events. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care.
Emerald Nursing & Rehab Columbus runs 145 beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.57 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 9% below what the home itself staffs on weekdays. Turnover is the bigger flag: 60.9% of staff leaving annually against a national 45.8% means caregivers are constantly new, which matters most for residents who need consistent hands. The current record shows 22 deficiencies, two tied to abuse, though none reached harm or jeopardy level. A recent August 2025 inspection is a plus, but quality and staffing measures both land at the bottom.
Emerald Nursing & Rehab Lancaster is a 293-bed for-profit home in Lincoln, and the numbers behind its record are worth knowing before you tour. Nurse staffing sits at 3.39 hours per resident day, roughly 12 percent under the national average, and it drops another 10 percent on weekends when families tend to visit. Staff turnover is 73.5 percent against a national 45.8, most of the people caring for your relative this year likely won't be there next year. The inspection history shows 57 deficiencies, four at harm or jeopardy level, two tied to abuse, and $79,725 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for the country's most persistently troubled homes.
Emerald Nursing & Rehab Brookside is a 173-bed for-profit in Lincoln, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.23 hours per resident per day against a national average of 3.86, and weekends drop about 8% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover runs 62.8%, well above the 45.8% national figure, which matters because unfamiliar caregivers miss changes in a resident's condition. The current inspection record shows 44 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with three fines totaling $37,998 and a survey completed February 11, 2026. All three CMS star ratings land at one out of five.