Accura Healthcare of O'Neill

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

38.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 42 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 34.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 23 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.10 therapist hours per resident per day in 2025Q4 — more than 7% of the 13,714 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 14% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 84 beds and averages 43.4 residents a day — about 52% occupied, or roughly 41 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.77 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.86 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.55 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.64 hrs/resident/day on weekends vs 4.28 on weekdays — 15% thinner on weekends. RN hours go from 1.09 to 0.59 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 64% is well above the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

35 citations, most serious first. The 12 most serious are shown; the remaining 23 are one tap away and print in full.

• Actual harm · Hcited before2026-06-08 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09Based on record review and interview; the facility failed to implement physicians' orders for Residents 3, 4,12, and 50. The sample size was 12 and the facility census was 45. Findings are: A. Review of the facility policy Provision of Quality Care dated 12/3/25 revealed the facility ensured resident's received treatment and care by qualified persons in accordance with professional standards of practice, the comprehensive person-centered care plans and the resident's choices. Qualified persons provided care and treatment in accordance with professional standards of practice, the residents' care plan, and the residents' choice. B. Review of Resident 12's History and Physical dated 12/12/25 revealed the resident's condition had worsened over the past 4-5 days. The resident presented to the provider with fever, chills, sore throat, cough, and a weight change. The resident was subsequently admitted to the hospital. Review of Resident 12's Hospital Discharge Information…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2026-06-08 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY License Reference Number 175 NAC 12-006.09(J)(i)(1)Based on observation, record review and interview; the facility failed to implement nutrition measures to prevent ongoing weight loss for Residents 1 and 14. The sample size was 3 and the facility census was 45. Findings are:A. Review of the facility policy Weight and Height Measurement last updated 10/25/21 revealed if a resident gained or lost three or more pounds the resident needed to be reweighed with nurse supervision. If the nurse verified the weight change, then the nurse would notify the physician and nursing leadership. B. Review of Resident 14's Minimum Data Set (MDS-a federally mandated assessment tool used in care planning) dated 3/12/26 revealed the resident was admitted on [DATE]; diagnoses included Non-Traumatic Brain Dysfunction, Schizophrenia (a serious mental health condition that affects how people think, feel and behave), Disorder, and Stroke; had severe cognitive impairment; required assistance with setup for eating, and was dependent with…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-06-08 · tag F0865 — failed to run a quality-improvement (QAPI) program — widespread
  Have a plan that describes the process for conducting QAPI and QAA activities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.02(I)Based on record review and interview; the facility failed to ensure the Quality Assurance Performance Improvement (QAPI) plan was effective in addressing recently identified deficient practice and preventing repeat deficient practice with similar concerns. This had the potential to affect all facility residents. The facility census was 45. Findings are: Review of the facility policy Quality Assurance and Performance Improvement Plan (QAPI)/ and Assurance (QAA) dated 5/23/23 revealed the facility developed a process for conducting quality activity and identification and correction of deficiencies as well as opportunities for improvement through continuous attention to quality of care, quality of life, and resident safety. -Principles of the system included outcomes of quality of life and quality of care, accountability for professional performance and practice, identification of process and system gaps, identification of root cause of concerns, timely and clinically sounds services, and a culture that supported performance…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-06-08 · tag F0552 — pattern
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.05(E)Based on record review and interview; the facility failed to obtain the required comprehensive (including an appropriate diagnosis for use, potential affects, adverse effects and alternate treatment options) informed consent for the use of psychotropic (substance that affects how the brain works, altering a person's mood, thoughts, feelings, or behavior) medications for Residents 2, 3, 4, 14, and 29. The sample size was 5 and the facility census was 45. Findings are: A. Review of the facility Resident's Rights undated policy revealed the facility residents had the right to be fully informed, the right to complain, the right to participate in one's own care, the right to make independent choices, the right to privacy and confidentiality, the right to transfer and discharge, the right to respect, dignity, and freedom, and the right to visits. B. Review of the facility policy Use of Psychotropic Medication(s) with a revision date of 4/21/25 revealed the following: -The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-06-08 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.12 (D)(i)Based on observation, record review and interview; the facility failed to provide safe storage of drugs as: 1) Medications were left on top of the medication cart and unattended, 2) The medication cart was left unlocked with no staff in attendance. This had the potential to affect any mobile resident passing by the medication cart. The facility census was 45.Finding are:A. Review of the facility policy Medication Storage in the Facility with a revised date 11/18 revealed the following:-Medication and biologicals were stored safely, securely, and properly. The medication supply would be accessible only to licensed facility personnel, pharmacy personnel or facility personnel lawfully authorized to administer medications.-Medication rooms, carts, and medication supplies were locked when not attended by people with authorized access. B. An observation on 6/3/26 at 8:00 AM revealed the following:-The medication cart was parked in the hall by the activity room door unlocked and unsupervised with residents ambulating or pushing self in a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-06-08 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 006.11 (E)Based on observation, record review and interview; the facility staff failed to store, prepare and serve food in a manner to prevent the potential for cross contamination and/or food borne illness. These practices had the potential to affect all residents who were served meals from the kitchen. The facility census was 45.Findings are:A. Review of the facility policy Food Storage reviewed 2021 revealed the following:-Leftover food must be used within 7 days or discarded per the 2017 Federal Food Code. -All refrigerated foods would be covered, labeled, dated and routinely monitored to ensure that leftovers would be consumed by their safe use by dates or discarded. Review of the facility policy Cleaning and Sanitation of Dining and Food Service Areas reviewed 2021 revealed the following:-The food and nutrition service staff would maintain the cleanliness and sanitation of the dining and food service areas through compliance with written and comprehensive cleaning schedule.-A cleaning schedule would be posted for all cleaning tasks and staff…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-06-08 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09.18Based on observations, interview, and record review the facility failed to ensure the facility infection control program was implemented including the use of Enhanced Barrier Precautions ((EBP) -infection control measure in which the use of Personal Protective Equipment (PPE)-specialized gear, clothing, or barrier worn by individuals to protect themselves from hazards such as infection and prevent the spread of infection to others) and Hand Hygiene during the provision of care for Residents 1,4,2,7, and 12. The sample size was 12 and the facility census was 45. Findings are: A. Review of the facility policy Hand Hygiene dated 11/13/24 revealed the facility used proper hand-washing techniques to protect against the spread of infection. Cleaning hands reduced the spread of potentially deadly germs to the resident and reduced the risk of healthcare provider infection. Hand hygiene occurred multiple times during a single care episode following indications, before care…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-06-08 · tag F0881 — failed to use antibiotics responsibly — pattern
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.18 Based on record review and interview; the facility failed to implement their Antibiotic Stewardship Plan to ensure antibiotics had a defined duration of use to prevent potential adverse consequences for Residents 28, 29, and 48. The sample size was 12 and the facility census was 45. Findings are: A. Review of the facility Antibiotic Stewardship Plan dated 11/13/24 revealed the facility plan optimized the treatment of infections by ensuring that residents who required antibiotics, were prescribed the appropriate antibiotic, reducing the risk of adverse effects, including the development of antibiotic resistance organisms, from unnecessary or inappropriate antibiotic use, and to improve resident outcomes. This included surveillance, monitoring and preventative measures to improve outcomes. Antibiotics were prescribed for the correct indication, dose and duration to appropriately treat the resident while also attempting to reduce the development of resistive organisms.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-08 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.02(H)Based on record review and interview; the facility failed to report the potential neglect of Resident 12 (not receiving laboratory work as ordered and IV (Intravenous-administered through an intravenous (placed in a vein) catheter (fluids or medications)) to the State Agency as required. The sample size was 12 and the facility census was 45. Findings are: Review of the facility policy Vulnerable Adult dated 10/19/22 revealed the facility supported zero tolerance for resident abuse, neglect, mistreatment, and/or misappropriation of resident property. The facility reported maltreatment of vulnerable adults in compliance of requirements included suspected abuse. The process included identification, recognition, and reporting. The facility description of neglect was the facility failure to provide goods and services to a resident that were necessary to avoid physical harm, pain, mental anguish, or emotional distress. Reports were made to Department of Health and Human…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-08 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.09ABased on record review and interview; the facility failed to complete an updated Preadmission Screening and Resident Review (PASRR-federally mandated screen used to ensure persons with SMI (Serious Mental Illness), DD (Developmental Disability), or Related Conditions (RC) are appropriately placed in facilities that are able to provide needed specialized services) when Resident 5 was diagnosed with Bipolar Disorder and Schizophrenia. The sample size was 12 and the facility census was 45.Findings are: Review of Resident 5's Level 1 PASARR screen dated 1/29/25 revealed the resident had trouble concentrating, persistence and pacing such as serious difficulty maintaining sustained focus or attention for a long period of time to permit task completion or structures activity. In addition, the resident had a diagnosis of Dementia/Neurocognitive Disorder, Alzheimer's Disease, or an Organic Disorder. There was no indication the resident had signs of a SMI, DD, or RC. Review of Resident 5's Care Plan with a revision date of 2/5/25 revealed the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-08 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09(E)Based on record review and interview; the facility failed to develop and implement and/or review and revise a Comprehensive Care Plan for resident 7's Enhanced Barrier Precautions. The sample size was 3 and the facility census was 45.Findings are:Review of the facility policy Comprehensive Care Plan last updated 12/3/25 revealed it was the policy of the facility to develop and implement a comprehensive person-centered care plan for each resident and included the following:-the comprehensive care plan would be developed within 7 days after the completion of the comprehensive Minimum Data Set (MDS-a federally mandated assessment tool used in care planning) assessment:-any services that would otherwise be furnished, but were not provided due to the resident exercising their rights;-resident specific interventions that reflected the resident's needs and preferences;-the comprehensive care plan would be reviewed and revised by the interdisciplinary team after each…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-08 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY LICENSURE REFERENCE NUMBER 175 NAC 12-006.09(H)(iv)(1)Based on observations, record review, and interview; the facility failed to provide appropriate care and services for the management of Resident 4's indwelling urinary catheter (a flexible plastic tube inserted into the bladder that remains there to provide continuous urinary drainage) to prevent the potential for infections. The sample size was 3 and the facility census was 45.Findings are:A. Review of the facility policy titled Catheter Care with a revision date of 11/13/24 indicated a goal to prevent urinary tract infections and to maintain proper functioning of the urinary drainage system. B. Review of Resident 4's Minimum Data Set (MDS-a federally mandated comprehensive assessment tool used for care planning) dated 3/13/26 revealed the resident was admitted [DATE] with diagnoses of heart failure, Multi-Drug Resistant Organism (MDRO-microorganism which is resistant to multiple antibiotics), anxiety, heart failure, high blood pressure, and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$71,750 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $71,750 — penalty dated 2026-06-08
• Medicare payment denial — starting 2026-07-03 for 10 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to ACCURA HEALTHCARE — 41 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 23 rows in the source record cover these 14 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

6 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NE