Emerald Nursing & Rehab Cozad

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(I)(i)Based on record review and interview the facility failed to ensure that post fall procedures were followed for 1 of 4 sampled residents (Resident 1). The facility census was 36.

Inspectors wroteLicensure 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. [...]

Inspectors wroteLicensure 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.

Inspectors wroteLicensure 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.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.11Based on observation, record review, and interview the facility failed to follow the dietary menu to ensure that residents received the required serving size for 6 (Residents 31, 36, 17, 7, 3, and 13) of 6 residents observed. This prevented residents from receiving the required amount of food to meet their nutritional needs. The facility census was 37.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H)(iv)(2)Based on record review, observation, and interview the facility failed to provide a meaningful activity program for 1 (Resident 35) of 1 sampled residents. The facility census was 37.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.18 Based on observation and interview, the facility failed to ensure exhaust fans in 4 (Rooms 101, 103, 105, and 107) of 18 sampled resident bathrooms were operational and ensure the cleanliness of the laundry area of the facility which had the potential to affect all of the residents residing in the facility that have laundry done by the facility. The facility stated census was 43.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D Based on observation, interview, and record review the facility failed to implement nonpharmacological interventions prior to the use of as needed psychotropic medications and re assess the use of psychotropic medications for 3, (Resident #10, #34, and #21) of 4 sampled residents. The facility states census was 43.

Inspectors wroteLicensure Reference Number 175NAC 12-006.05(12) Based on observation, interview, and record review the facility failed to treat 2 residents (Resident #10 and Resident #34) of 5 sampled residents with dignity. The facility stated census was 43.

Inspectors wroteLicensure Reference Number: 175 NAC 12-006.09D Based on record reviews and interviews, the facility failed to ensure follow up was completed for 1 sampled Resident (Resident 21) with abnormal blood glucose readings in accordance with physician orders. Sample size was 1. Facility census was 44.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09D7b(3) Based on observation, interview, and record review the facility failed to ensure that interventions to prevent resident falls were in place for 2 residents (Resident 14 and 36). This had the potential to allow residents to experience falls with injury. The facility census was 43.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.10D Based on observation, record review, and interview the facility failed to ensure a medication error rate of less than 5% (2 errors out of 40 opportunities resulting in an error rate of 5.0%) affecting 1 Resident (Resident #2), of 6 sampled residents. The facility stated census was 43.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.17D Based on observation, interview, and record review the facility failed to esure hand wasing for 20 seconds and complete hand sanitization while performing personal cares for 1 (Resident #34) of 5 sampled residents. Facility stated census of 43.

Inspectors wroteLICENSURE 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.

Inspectors wroteLicensure Reference Number 175NAC 12-006.05(5) Based on record review and interview, the facility failed to ensure that the ombudsman (a state appointed advocate for residents of nursing homes) was notified of resident transfers for 3 of 3 residents (Residents 10, 15, and 9). The facility census was 42.

Inspectors wroteLicensure Reference Number 175NAC 12-006.11E Based on observation, record review, and interview; the facility failed to ensure that staff served food in a manner to prevent the potential for cross contamination and foodborne illness for 8 residents (Residents 30, 25, 22, 96, 18, 2, 15, and 3). The facility census was 42.

Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.09D8b Based on interview and record review; the facility failed to implement interventions to prevent significant weight loss for Resident 6. This affected 1 of 3 sampled residents. The facility identified a census of 42 at the time of survey.

Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.09D Based on interview and record review; the facility failed to monitor for potential adverse side effects of a blood thinner including ensuring medical provider ordered laboratory tests were performed as ordered for Resident 6. This affected 1 of 5 sampled residents. The facility identified a census of 42 at the time of survey.