Emerald Healthcare

Phoebe J
PBJ Takeaway: Emerald Healthcare

14 Facilities3 States100% For-ProfitAvg. Overall Rating: 1.6Avg. Staffing Rating: 2.3Staffing Rating: 2.3

Emerald Healthcare operates 14 nursing homes across 3 states, all classified as for-profit. Its average CMS overall rating is 1.6 stars.

Across the portfolio, facilities report an average of 3.60 total nurse HPRD, including 0.40 RN hours, below the national ratio of 3.77 HPRD.

64% of Emerald Healthcare facilities meet PBJ320 high-riskPBJ320 assigns nursing homes as high-risk when CMS designates them as: Special Focus Facility (SFF), SFF candidate, 1-star overall rating, or with an abuse icon. criteria (e.g. special focus facility, one-star overall, abuse icon). CMS reports a total of 50 fines ($743,050) for the chain's nursing homes.

320 Consulting
Emerald Healthcare Key Metrics
Providers
14
States
3
Avg. Rating
1.6
Total Fines
$743,050
High-Risk FacilitiesPBJ320 assigns nursing homes as high-risk when CMS designates them as: Special Focus Facility (SFF), SFF candidate, 1-star overall rating, or with an abuse icon. – Emerald Healthcare
Special Focus Facilities (SFFs)
0
SFF Candidates
2
1-Star Overall
9
Cited for Abuse
0
Avg. CMS 5-Star Rating – Emerald Healthcare
Overall
1.6
Health Inspection
1.7
Staffing
2.3
Quality Measures
1.7
Emerald Healthcare Facilities

Nursing homes affiliated with this entity. Latest quarter staffing from CMS PBJ data. Click column headers to sort.

StateProviderCityTotal HPRDRN HPRDOverall RatingStaffing Rating
KYPikeville Nursing and Rehab CenterPikeville3.320.6733
NEEmerald Nursing & Rehab Brookside Llc 1 starLincoln3.610.4212
NEEmerald Nursing & Rehabilitation Mercy 1 starOmaha3.430.3111
NEEmerald Nursing & Rehab ColumbusColumbus3.860.3032
NEEmerald Nursing & Rehab Cozad 1 starCozad3.820.3912
NEEmerald Nursing & Rehab Omaha 1 star, SFF CandidateOmaha3.640.3813
NEEmerald Nursing & Rehab LakeviewGrand Island3.750.4523
NEEmerald Nursing & Rehab Legacy Pointe LlcOmaha3.490.5323
NEEmerald Nursing & Rehab Lancaster Llc 1 star, SFF CandidateLincoln3.800.2712
OKEmerald Care Center Tulsa 1 star, SFF CandidateTulsa3.580.4012
OKEmerald Care Center MidwestMidwest City3.790.3123
OKEmerald Care Center Southwest Llc 1 starOklahoma City3.270.4112
OKEmerald Care Center Claremore 1 starClaremore3.550.2212
OKMemory Care Center at Emerald 1 starClaremore3.510.1612
Methodology

This dashboard uses CMS Payroll-Based Journal (PBJ) data (2017–2025), along with other public datasets (Provider Information, Affiliated Entity). State staffing standards via MACPAC (2022).

Metrics

  • Hours Per Resident Day (HPRD): Total staff hours ÷ average residents. Example: 350 hours for 100 residents = 3.5 HPRD.
  • Direct Care (excl. Admin, DON): Hours per resident day for direct care staff only (RN, LPN, CNA, NAtrn, MedAide), excluding administrative and supervisory roles.
  • Contract Staff %: Share of hours provided by contract staff.
  • Census: Average number of residents during the period.

Note: Some states set minimums (e.g., NJ, CA, NY at 3.5 HPRD); a federal 3.48 minimum was recently overturned (2025). A 2001 federal study linked 4.1 HPRD to better outcomes in that study. Staffing needs vary by resident acuity (case-mix), day, and shift. Estimates on PBJ Takeaway assume roughly 60% of staff are CNAs.

Data transparency

The PBJ Dashboard pulls directly from CMS data and is carefully vetted for accuracy. Still, sometimes a bug sneaks into the jelly. That could mean: a systemic CMS data reporting issue (e.g., Q2 2017 contract staffing, missing data in 2020 due to COVID) or there could be a coding error on our part. If you spot something that looks off, please let me know via the contact form so I can set things right.

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