F

Emerald Nursing & Rehab Brookside LLC

4735 South 54th Street, Lincoln, NE 68516
Score: 4 / 100

Emerald Nursing & Rehab Brookside Llc has received an F grade based on CMS data, with a score of 4/100 — placing it among the lowest-rated nursing facilities in Nebraska. Families considering this Lincoln facility should carefully review its inspection history and quality metrics.

Staffing at Emerald Nursing & Rehab Brookside Llc is near the national average, with 3.61 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 49 deficiencies at Emerald Nursing & Rehab Brookside Llc, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: provide and implement an infection prevention and control program..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 3 / 15 pts
1 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.61 3.8 Average
Registered Nurses (RN) 0.42 0.7 Below Average
Licensed Practical Nurses (LPN) 0.50 0.7 Below Average
Certified Nursing Assistants (CNA) 2.69 2.4 Above Average
Weekend Total Nursing 3.35 3.8 Below Average
Weekend RN Hours 0.37 0.7 Below Average

🔍 Inspection & Deficiency History

49
Total Deficiencies
Nov 17, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 46 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Nov 17, 2025 · Infection Control Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Sep 14, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0761 Severity D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Jun 1, 2025 · Pharmacy Service Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Jun 1, 2025 · Infection Control Deficiencies
  • Tag 0641 Severity E
    Ensure each resident receives an accurate assessment.
    Apr 2, 2025 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 2.1% 4.5% Better
Falls with major injury 4.5% 3.0% Worse
On antipsychotic medication 22.1% 14.5% Worse
Urinary tract infections 3.4% 2.5% Worse
ADL decline (daily activities) 26.5% 14.0% Worse
Excessive weight loss 4.8% 7.5% Better
New/worsened incontinence 32.7% 45.0% Better

⚠️ Penalties & Fines

4 penalties recorded by CMS

Total fines: $53,267

How This Grade Was Calculated

This facility's grade of F is based on a score of 4 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 1★ → 3 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -5 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
173
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Aug 21, 2024
Deficiencies (Cycle 1)
15

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