Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Emerald Nursing & Rehab Lancaster LLC

Lincoln, NE · 293 certified beds · Last Life Safety survey July 8, 2025

CMS Certification Number 285275 · first certified August 2007

Ownership

Operated by EMERALD HEALTHCARE · For profit - Limited Liability company

  • Ownership changed April 29, 2022 (change of ownership)from LANCASTER SNF OPERATIONS LLC
One or more citations below are marked by CMS as under Informal Dispute Resolution.
47
Citations on file
Rolling three-year window
4
Life Safety surveys
In the same window
16
Tags cited more than once
Across separate surveys
15
Inspection & testing records
Of the citations on file

Position within NE

47 citations — more than 97% of the 180 certified nursing homes in NE. Compared within NE rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 15. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (July 2026 to September 2026). Most NE facilities have been surveyed by October 2026. This facility’s last Life Safety survey was July 2025. Facilities in NE are typically surveyed 12–14 months after the last one (median 13), measured over 271 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

6 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 47 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

16 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 47 Life Safety citations above. The Physical Environment Index

  • F-0584 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.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

How that compares

Citations on file over three years

Compared with the median facility in NE, and nationally. Surveyors differ markedly between states, so the NE figure is the meaningful one.

This facility47NE median15National median11
Citations on file over three years, compared
MeasureCitations
This facility47
Median facility in NE15
Median facility nationally11

Survey history

Citations at each Life Safety survey
192023-02122024-01142025-0122025-07
Citations at each Life Safety survey
Survey dateCitations
February 28, 202319
January 23, 202412
January 30, 202514
July 8, 20252

Most-cited tags

Most-cited tags at this facility
K-02113K-03213K-03633K-09203K-03542K-07122K-09182K-03242
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.32025-07-08
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.32025-01-30
K-0363Install corridor and hallway doors that block smoke.32025-01-30
K-0920Ensure proper usage of power strips and extension cords.32025-01-30
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.22025-01-30
K-0712Have simulated fire drills held at unexpected times.22025-01-30
K-0918Have generator or other power source capable of supplying service within 10 seconds.22024-01-23
K-0324Provide properly protected cooking facilities.22024-01-23

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 16
  • Gas, Vacuum, and Electrical Systems Deficiencies 10
  • Miscellaneous Deficiencies 9
  • Egress Deficiencies 5
  • Other 7
Citations by CMS category
CategoryCitations
Smoke Deficiencies16
Gas, Vacuum, and Electrical Systems Deficiencies10
Miscellaneous Deficiencies9
Egress Deficiencies5
Services Deficiencies5
Emergency Preparedness Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

July 8, 2025 — 2 citations

Citations issued on July 8, 2025
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (August 19, 2025) · under dispute
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (August 19, 2025) · under dispute

January 30, 2025 — 14 citations

Citations issued on January 30, 2025
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (April 9, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (March 16, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 16, 2025)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (March 16, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 16, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (April 9, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (March 16, 2025)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (March 16, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (March 16, 2025)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (April 9, 2025)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (March 16, 2025)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (March 16, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 16, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (March 16, 2025)

January 23, 2024 — 12 citations

Citations issued on January 23, 2024
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (March 28, 2024)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (March 5, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (March 28, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (March 5, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 28, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 5, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (March 5, 2024)
K-0500Meet other general requirements that are deficient.Deficient, Provider has date of correction (March 5, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (March 5, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 28, 2024)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (March 5, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 5, 2024)

February 28, 2023 — 19 citations

Citations issued on February 28, 2023
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (April 14, 2023)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (April 14, 2023)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (April 14, 2023)
K-0311Have an enclosure around a vertical opening shaft.Waiver has been granted (April 14, 2023)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (April 14, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (April 14, 2023)
K-0344Have an alternate power supply for its alarm system.Waiver has been granted (April 14, 2023)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (April 14, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 14, 2023)
K-0500Meet other general requirements that are deficient.Deficient, Provider has date of correction (April 14, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 14, 2023)
K-0541Install properly constructed and protected linen or trash chutes.Waiver has been granted (April 14, 2023)
K-0700Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.Deficient, Provider has date of correction (April 14, 2023)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (April 14, 2023)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (April 14, 2023)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (April 14, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 14, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 14, 2023)
K-0922Meet requirements for the use and maintenance of medical gas equipment.Deficient, Provider has date of correction (April 14, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.