CCN 285093 · Dawson County, Nebraska
Emerald Nursing & Rehab Cozad
318 West 18th Street, Cozad, NE 69130
Emerald Nursing & Rehab Cozad is a 67-bed for-profit nursing home in Cozad, Nebraska, first certified for Medicare or Medicaid in 1989. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 38.7 residents a day, about 58% of its certified beds. It has an active FHA-insured Section 232 loan: $7.8 million originally, at 5.64%, with $7.8 million outstanding as of September 30, 2026 and maturity in January 2061.
Facility facts
- Certified beds
- 67
- Average residents per day
- 38.7 (57.8% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Cozad Operations LLC
- Certified since
- Oct 1, 1989
- Chain or affiliated group
- Emerald Healthcare (14 facilities, chain average 1.3 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Nebraska median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 51 at 1, 38 at 2, 27 at 3, 27 at 4, 35 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 3.50 | 3.94 | 3.68 |
| RN hours per resident per day | 0.43 | 0.62 | 0.58 |
| Weekend nurse hours per resident per day | 3.12 | ||
| Nursing staff turnover | 65.3% | 47.1% | 44.9% |
| Occupancy (residents / beds) | 57.8% | 75.3% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 6 (Jul 22, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Emerald Nursing & Rehab Cozad does not meet it today: overall rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Bank of OklahomaOrganization | Operational / Managerial Control | n/a | 05/01/2022 |
| Emerald Healthcare LLCOrganization | Operational / Managerial Control | n/a | 03/17/2017 |
| Evolve Therapy Services LLCOrganization | Operational / Managerial Control | n/a | 05/01/2019 |
| Limestone Fiscal Services LLCOrganization | Operational / Managerial Control | n/a | 07/01/2024 |
| Merch Pay IncOrganization | Operational / Managerial Control | n/a | 05/01/2019 |
| Nexus Service Group LLCOrganization | Operational / Managerial Control | n/a | 05/01/2019 |
| Saul N Friedman & CompanyOrganization | Operational / Managerial Control | n/a | 05/01/2019 |
| Zimmet Healthcare Services Group LLCOrganization | Operational / Managerial Control | n/a | 05/01/2019 |
| Fleischmann, DavidIndividual | Operational / Managerial Control | n/a | 11/01/2023 |
| Franklin, BrendaIndividual | Operational / Managerial Control | n/a | 10/30/2020 |
| Friedrichsen, NatashaIndividual | Operational / Managerial Control | n/a | 08/23/2022 |
| Goff, KileyIndividual | Operational / Managerial Control | n/a | 05/01/2019 |
| Gopin, BrianIndividual | Operational / Managerial Control | n/a | 05/01/2019 |
| Sattar, ArifIndividual | Operational / Managerial Control | n/a | 05/01/2019 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| May 1, 2019 | Cozad Operations LLC | Cozad Care and Rehabilitation Center LLC |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Dec 18, 2025 | 223(f) refinance or purchaseHUD project name: Emerald Nursing & Rehab Cozad, 86 beds. Lender at endorsement: Greystone Funding Company LLC | $7,840,000 | Active: 5.64%, $7,791,400 balanceMatures Jan 1, 2061. Servicer: Greystone Servicing Company | 10322085 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.