Accura HealthCare of Tekamah

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.

Met the expected recovery: 39.1% 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 0.22 therapist hours per resident per day in 2026Q1 — more than 28% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 1% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — 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 44 beds and averages 34.6 residents a day — about 79% occupied, or roughly 9 beds typically open. It usually has some room. 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 2.91 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.37 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.88 is below 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 2.63 hrs/resident/day on weekends vs 3.02 on weekdays — 13% thinner on weekends. RN hours go from 0.39 to 0.34 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 52% is about the same as the national median of 45%.

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.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

• Potential for harm · F2026-02-12 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and interview, the facility failed to ensure Registered Nurse [RN] coverage was provided at least 8 consecutive hours a day for 7 days a week. This had the potential to affect all residents. The facility census was 33. Findings are:Review of the Payroll-Based Journal [PBJ] (a mandatory reporting system requiring long term care facilities to electronically submit direct care staff data-including daily hours worked by employees and contract staff to the Centers for Medicare and Medicaid Services quarterly) Staffing Data Report dated 2/5/26 revealed the Metric 'No RN Hours' triggered for no RN hours on 7/6/25, 7/19/25, 8/2/25, & 8/16/25. In an interview with the Administrator on 2/11/26 at 10:35 AM confirmed there was no RN scheduled 7/6/25, 7/19/25 & 8/2/25.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-02-12 · tag F0947 — failed to train nurse aides adequately — widespread
  Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
  What the surveyor found here — the official record, unedited, may be distressing

  Licensure Reference Number 175 NAC 12-006.04 Based on record review and interview, the facility failed to ensure 12 hours of yearly training was completed for 2 Nursing Assistant (NA) ( D and F) of 5 employees. The facility census was 33. Findings are: A. Record review of an undated list of employee with their date of hire revealed NA F was hired on 7-14-2020. Record review of a form titled Training Hours dated 2/11/26 revealed NA F had completed 6.1 hours annual training. Record review of an Inservice record dated 1/20/26 for Dementia and Behaviors revealed NA F had attended bringing her total yearly in-service hours to 7.1 hours to include 2.5 hours for dementia training and no Abuse training. B. Record review of an undated list of employee with their date of hire revealed NA D was hired on 8-14-2023. The facility was unable to provide information that NA D had completed any yearly training. In an interview with the Administrator on 2/11/26 at 10:35 AM the Administrator confirmed NA D and NA F did not complete the required yearly training and should have.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-02-12 · tag F0605 — failed to not use drugs as a restraint — pattern
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  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(G) Based on interview and record review, the facility failed to monitor for side effects related to psychotropic medication (medications that affect the mind, emotions, and behaviors) use for 3 (Residents 4, 6, and 33) of 5 sampled residents. The facility census was 33. Findings are:A record review of the facility's Use of Psychotropic Medications (s) dated 04/21/2025 revealed the resident's response to medications including the presence or absence of adverse consequences should have been documented in the resident's medical record. A. A record review of Resident 33's Clinical Census dated 02/10/2026 revealed the resident was admitted to the facility on [DATE]. A record review of Resident 33's Medical Diagnosis dated 02/12/2026 reveled the resident had diagnoses of Unspecified Dementia and Generalized Anxiety Disorder. A record review of Resident 33's Minimum Data Set (MDS)(a comprehensive assessment used to develop a resident's care plan) dated 01/22/2026 revealed…

  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 · Ecited before2026-02-12 · tag F0656 — failed to write and follow a full care plan — pattern
  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 observation, record review and interview; the facility failed to develop the Comprehensive Care Plan (CCP, a document that includes measurable objectives and timetables to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment) to include activity of daily living needs for 3 (Resident's 21 and 28 and a Bilevel Positive Airway Pressure (BiPAP, a device that helps you breath by pushing pressurized air into your lungs) for Resident 3 of 26 sampled residents. The facility census was 33. Findings are:A. Record review of a facility Policy entitled Care Plan dated 12/3/25 revealed the comprehensive care plan will describe, at a minimum, the following:1) The services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being. Resident specific interventions that reflect the resident's needs and preferences and align with 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 · E2026-02-12 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.09(H)(vi)(3)(g) Based on observation, interview, and record review, the facility failed to obtain a valid order for Positive Airway Pressure (PAP)(a machine used to treat sleep apnea) device for 3 (Residents 11, 28, and 3) of 3 sampled residents. The facility census was 33. Findings are:A record review of the facility's Continuous Positive Airway (CPAP) and BiLevel Positive Airway Pressure (BiPAP) policy dated 11/18/2025 revealed the facility would obtain an order for the use of the device and settings from the practitioner. A. A record review of Resident 11's Care Plan with an admission date of 01/26/2026 revealed a focus area of CPAP/BiPAP therapy at night related to Obstructive Sleep Apnea (OSA) and oxygen (o2) continuous during waking hours via nasal cannula (a tubing the goes in the nose to deliver oxygen). It did not reveal PAP settings. A record review of Resident 11's Clinical Physician Orders dated 02/11/2026 revealed the resident had an order of: CPAP at current (with o2) connect o2 tubing to mask, apply at night and fill chamber…

  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 · Ecited before2026-02-12 · 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 12.006.18(B)Licensure Reference Number 175 NAC 12.006.18(D)Licensure Reference Number 175 NAC 12.006.19(A)(i) Based on observation, interview, and record review, the facility failed to ensure staff performed hand hygiene (cleaning) and glove changes during wound care on 1 (Resident 11) of 2 sampled residents and insulin administration on 1 (Resident 20) of 1 sampled resident, keep staff clothing off the floor in 1 (Resident 11) of 3 sampled resident's room that was in Enhanced Barrier Precautions (EBP), and clean Positive Airway Pressure (PAP)(a machine used to treat sleep apnea) masks daily for 2 (Residents 28 and 11) of 3 sampled residents to prevent potential cross contamination. The facility census was 33. Findings are: A. A record review of the facility's Hand Hygiene policy dated 11/13/2024 revealed hand washing with soap and water should be performed when going from a contaminated body site to clean body site on the same resident and between tasks and procedures. Hand…

  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 before2026-02-12 · tag F0923 — pattern
  Have enough outside ventilation via a window or mechanical ventilation, or both.
  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 12-007.04D Based on observation and interview, the facility failed to ensure that ventilation systems were operational in resident bathrooms in 12 [Rooms 1E, 5E, 10E, 11E, 15E, 16E, 17E, 18E, 1S, 2S, 3S and 4S] of 27 occupied resident rooms in the facility. The facility census was 33. Findings are:Record review of the facility logbook documentation entitled Exhaust Fans dated completed on 1/28/26 revealed the following information:Check exhaust fans for proper operation1. Check all exhaust fans in bathrooms, shower room, soiled and clean utility rooms, janitor closets, kitchen, sink and laundry areas and oxygen room.2. Ensure the air flow is sufficient to hold a piece of paper to the vent when operating.Observation on 02/11/26 between 1:30 PM - 1:59 PM with the Maintenance Director [MD]and the facility Administrator revealed that the ventilation system did not draw a 1 ply square of toilet paper to the surface of the ventilation cover in resident bathrooms in resident rooms 1,…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-12 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12.006.02(8) Based on observation, record review, and interview; the facility failed to thoroughly investigate and report an injury of unknown origin to Adult Protective Services [APS] and Department of Health and Human Services [DHHS] for 1 (Resident 16) of 1 resident identified with an injury of unknown origin. The facility census was 33. Findings are: A. Record review of a facility policy entitled Policy for Vulnerable Adult 10/19/22 Nebraska revealed the following information: Mandated reporters employed by [facility name] or providing services in our facility shall report abuse, neglect, mistreatment, misappropriation of resident property, exploitation, corporal punishment, involuntary seclusion and any physical or chemical restraints and injuries of unknown source sustained by a vulnerable adult that is not reasonably explained immediately (as soon as possible) after the discovery of the incident.Definitionsa) Vulnerable Adult1) Each adult resident of [facility name].2) Certain other adults that staff may come in contact with when…

  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 · D2026-02-12 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.09(F)(iii)Based on observation, record review and interview; the facility failed to review and revise the Comprehensive Care Plan (CCP, a document that includes measurable objectives and timetables to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment) to include specific interventions related to skin breakdown for 1 (Resident 16) of 26 sampled residents. The facility census was 33. Findings are:A. Record review of a facility Policy entitled Care Plan dated 12/3/25 revealed the comprehensive care plan will describe, at a minimum, the following:1) The services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being.Resident specific interventions that reflect the resident's needs and preferences and align with the resident's cultural identity, as indicatede) The comprehensive care plan will be reviewed and revised by the interdisciplinary team after each comprehensive and quarterly MDS assessment. 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 · Dcited before2024-10-31 · 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

  Licensure reference number 175 NAC 12-006.09E(iii) Based on observation, record reviews and interviews, the facility failed to develop and implement a Comprehensive Care Plan (CCP, a written interdisciplinary comprehensive plan which detailed how to provide quality care for a resident) catheter for 1 (Resident 5) of 1 sampled resident. The facility census was 28. Findings are: Record review of Resident 5's admission record revealed admission was 8/27/24. Record review of Resident 5's diagnosis revealed Neuromuscular Dysfunction of Bladder, unspecified. Record review of Resident 5's Minimum Data Set (Minimum Data Set, a comprehensive assessment of each resident's functional capabilities) Section H, dated 9/3/24 revealed that Resident 5 did have a catheter. Record review of Physician's Orders for Resident 5 dated 08/27/2024 revealed: -Change dry dressing to Suprapubic Foley catheter insertion site daily and PRN. -Ensure catheter cares are completed during your shift. -Irrigate Suprapubic Catheter with 30ml of Normal Saline if clogged as needed. Record review of Physician's Orders for…

  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

“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

No federal fines in the current CMS record.

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 25 rows in the source record cover these 15 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.

7 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