Federal inspection record · CMS data as of October 1, 2026
Accura Healthcare of Franklin
1006 M Street, Franklin, NE · (308) 425-6262
- Certified beds
- 42
- Residents per day
- 32
- Ownership
- For-Profit
- Chain
- Accura Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 11, 1990
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Nebraska.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nebraska homes
Accura Healthcare of Franklin carries 44 inspection points. That is fewer than 49% of Nebraska's 178 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Nebraska: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–31 pts
- 3★ 31–50 pts
- 2★ 50–94.25 pts
- 1★ over 94.25 pts
Bars show every rated home in Nebraska by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
16 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Infection Control4E
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- E
Provide and implement an infection prevention and control program.
Nutrition and Dietary3F
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights3E
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Quality of Life and Care2D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nursing and Physician Services2E
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Resident Assessment and Care Planning2D
- D
Ensure each resident receives an accurate assessment.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspection history
2026-07-28
7 health deficiencies · 10 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
2025-03-20
6 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-02-29
3 health deficiencies · 7 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 2 h 57 min of nursing staff time a day, 37 min of it from a registered nurse.
This home
2 h 57 min
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 57% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.9 pts worse | 2.6 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.5 pts worse | 3.4 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine9.3 pts worse | 83.7% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.8 pts better | 96.4% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts better | 3.8% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.4 pts better | 1.0% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight6.1 pts worse | 11.2% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.5 pts worse | 27.5% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.4 pts worse | 21.1% | 20.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.3 pts better | 10.5% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.5 pts better | 18.5% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder3.2 pts worse | 4.5% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts better | 2.0% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.6 pts better | 14.4% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts worse | 4.7% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine22.3 pts worse | 59.0% | 81.3% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.8 pts worse | 57.1% | 73.9% | 80.1% |
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Who owns and runs it
31 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Accura Management Consulting Services LLC | Operational/Managerial Control · Organization | 0% | 12 facilities |
| Accura Management Consulting Services LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Allen, Brady | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Allen, Brady | Adp Of The SNF · Individual | 0% | 12 facilities |
| Avenue94 LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Aviv Financing Ii LLC | Adp Of The SNF · Organization | 0% | 13 facilities |
| Aviv Healthcare Holdings LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Aviv Healthcare Of The Midwest LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Aviv Healthcare Properties Operating Partnership I LP | Adp Of The SNF · Organization | 0% | 13 facilities |
| Aviv Op Limited Partner LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Glaser, Kristopher | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Glaser, Kristopher | Adp Of The SNF · Individual | 0% | 13 facilities |
| Grams, Kim | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Grams, Kim | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kimmons Healthcare Investments LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Kleinsasser, Megan | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Kleinsasser, Megan | Adp Of The SNF · Individual | 0% | 12 facilities |
| Ktl Enterprises LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Leneave, Ted | Operational/Managerial Control · Individual | 0% | 44 facilities |
| Leneave, Ted | Adp Of The SNF · Individual | 0% | 44 facilities |
| Little River Investments LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Mazour, Linda | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mazour, Linda | Adp Of The SNF · Individual | 0% | 1 facilities |
| Meade, Deborah | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Meade, Deborah | Adp Of The SNF · Individual | 0% | 1 facilities |
| Nebraska SNF Facilities, LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Ohi Healthcare Properties Limited Partnership | Adp Of The SNF · Organization | 0% | 15 facilities |
| Omega Healthcare Investors Inc | Adp Of The SNF · Organization | 0% | 33 facilities |
| Toti, Lisa | Operational/Managerial Control · Individual | 0% | 33 facilities |
| Toti, Lisa | Adp Of The SNF · Individual | 0% | 33 facilities |
| Zrr Opco LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
·
Fire safety
20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install corridor and hallway doors that block smoke.
Egress4F
- F
Add 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.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Meet other general requirements that are deficient.
- E
Install proper backup exit lighting.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Meet requirements for the use and maintenance of medical gas equipment.
- D
Meet requirements for the use and maintenance of medical gas equipment.
Emergency Preparedness3C
- C
Develop Emergency Preparedness policies and procedures.
- C
Develop a communication plan.
- C
Develop and maintain an Emergency Preparedness Program (EP).
Miscellaneous1E
- E
Have restrictions on the use of highly flammable decorations.
·
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