Federal inspection record · CMS data as of October 1, 2026

Accura HealthCare of Hartington

401 W Darlene Street, Hartington, NE · (402) 254-3905

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
47
Residents per day
33
Ownership
For-Profit
Chain
Accura Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
April 1, 1989

1

How this home got 5 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Nebraska.

  2. Staffing

    no change (already 5)

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Nebraska homes

Accura HealthCare of Hartington carries 5 inspection points. That is fewer than 95% of Nebraska's 178 rated homes.

5★4★3★2★1★+6 homes above 174.505102550100inspection points → fewer is better on the leftThis home · 5 pts · 5★

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

6 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 3 4 pts
E 0 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

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

Pharmacy Service2D
  1. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    February 3, 2025 · Standard · F757 · Corrected March 20, 2025

  2. D

    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.

    February 3, 2025 · Standard · F761 · Corrected March 20, 2025

Nutrition and Dietary2F
  1. F

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    January 31, 2024 · Standard · F801 · Corrected February 28, 2024

  2. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 31, 2024 · Standard · F812 · Corrected February 28, 2024

Infection Control1D
  1. D

    Implement a program that monitors antibiotic use.

    February 23, 2026 · Standard · F881 · Corrected March 20, 2026

Freedom from Abuse, Neglect, and Exploitation1C
  1. C

    Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

    January 31, 2024 · Standard · F606 · Corrected February 28, 2024

Inspection history

  1. 2026-02-23

    1 health deficiencies · 4 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  2. 2025-02-03

    2 health deficiencies · 3 fire-safety deficiencies

    Top issue: Pharmacy Service (2 deficiencies)

  3. 2024-01-31

    3 health deficiencies · 6 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 27 min of nursing staff time a day, 50 min of it from a registered nurse.

This home

3 h 27 min

Nebraska average

4 h 7 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 41% 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.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.1 pts better98.1%93.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.4 pts better100.0%95.6%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury3.6 pts better0.9%4.5%3.2%
Percentage of long-stay residents who have depressive symptoms4.4 pts better0.0%4.4%13.5%
Percentage of long-stay residents who lose too much weight5.3 pts worse10.4%5.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication9.6 pts better9.4%19.0%19.5%
Percentage of long-stay residents who received an antipsychotic medication2.4 pts worse23.1%20.7%15.4%
Percentage of long-stay residents who were physically restrained0.3 pts better0.0%0.3%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1.2 pts worse18.0%16.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased12.5 pts worse31.5%19.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better0.6%1.3%0.7%
Percentage of long-stay residents with a urinary tract infection2.1 pts worse4.8%2.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence10 pts worse35.0%25.0%18.3%
Percentage of long-stay residents with pressure ulcers1.6 pts better2.4%4.0%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine18.7 pts better100.0%81.3%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.4 pts better9.4%10.8%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts better1.3%2.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine26.1 pts better100.0%73.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission8 pts worse29.1%21.1%23.4%

·

Who owns and runs it

25 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Accura Management Consulting Services LLCOperational/Managerial Control · Organization0%12 facilities
Accura Management Consulting Services LLCAdp Of The SNF · Organization0%12 facilities
Allen, BradyOperational/Managerial Control · Individual0%12 facilities
Allen, BradyAdp Of The SNF · Individual0%12 facilities
Aviv Financing Ii LLCAdp Of The SNF · Organization0%13 facilities
Aviv Healthcare Of The Midwest LLCAdp Of The SNF · Organization0%11 facilities
Aviv Healthcare Properties Operating Partnership I LPAdp Of The SNF · Organization0%13 facilities
Brummer, HeatherOperational/Managerial Control · Individual0%1 facilities
Brummer, HeatherAdp Of The SNF · Individual0%1 facilities
Bullock, KellyOperational/Managerial Control · Individual0%1 facilities
Bullock, KellyAdp Of The SNF · Individual0%1 facilities
Glaser, KristopherOperational/Managerial Control · Individual0%13 facilities
Glaser, KristopherAdp Of The SNF · Individual0%13 facilities
Kleinsasser, MeganOperational/Managerial Control · Individual0%12 facilities
Kleinsasser, MeganAdp Of The SNF · Individual0%12 facilities
Kneifl, JodiOperational/Managerial Control · Individual0%1 facilities
Kneifl, JodiAdp Of The SNF · Individual0%1 facilities
Leneave, TedCorporate Officer · Individual0%44 facilities
Leneave, TedOperational/Managerial Control · Individual0%44 facilities
Leneave, TedAdp Of The SNF · Individual0%44 facilities
Nebraska SNF Facilities, LLCAdp Of The SNF · Organization0%6 facilities
Ohi Healthcare Properties Limited PartnershipAdp Of The SNF · Organization0%15 facilities
Omega Healthcare Investors IncAdp Of The SNF · Organization0%33 facilities
Toti, LisaOperational/Managerial Control · Individual0%33 facilities
Toti, LisaAdp Of The SNF · Individual0%33 facilities

·

Fire safety

13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke7F
  1. F

    Provide properly protected cooking facilities.

    February 23, 2026 · K324 · Corrected March 10, 2026

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    February 23, 2026 · K353 · Corrected March 10, 2026

  3. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    February 23, 2026 · K321 · Corrected March 10, 2026

  4. D

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    February 23, 2026 · K362 · Corrected March 10, 2026

  5. E

    Inspect, test, and maintain automatic sprinkler systems.

    February 3, 2025 · K353 · Corrected March 20, 2025

  6. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    January 31, 2024 · K345 · Corrected February 24, 2024

  7. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    January 31, 2024 · K321 · Corrected February 24, 2024

Gas, Vacuum, and Electrical Systems3E
  1. E

    Ensure proper usage of power strips and extension cords.

    February 3, 2025 · K920 · Corrected March 20, 2025

  2. E

    Ensure proper usage of power strips and extension cords.

    January 31, 2024 · K920 · Corrected February 24, 2024

  3. E

    Ensure that sources of ignition are removed from patients receiving respiratory therapy.

    January 31, 2024 · K925 · Corrected February 24, 2024

Miscellaneous2F
  1. F

    Have simulated fire drills held at unexpected times.

    February 3, 2025 · K712 · Corrected March 20, 2025

  2. F

    Have simulated fire drills held at unexpected times.

    January 31, 2024 · K712 · Corrected February 24, 2024

Egress1E
  1. E

    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.

    January 31, 2024 · K222 · Corrected February 24, 2024

·

Other homes nearby

  1. Worst citation, 3 yrs
    G
    Nursing / resident / day
    3 h 47 min
    Fines
    $34,512
  2. Colonial Manor of Randolph

    Randolph, NE · The Ensign Group

    Worst citation, 3 yrs
    F
    Nursing / resident / day
    3 h 20 min
    Fines
    $0
  3. Good Samaritan Society - Bloomfield

    Bloomfield, NE · Good Samaritan Society

    Worst citation, 3 yrs
    F
    Nursing / resident / day
    3 h 29 min
    Fines
    $0