Federal inspection record · CMS data as of October 1, 2026
Accura Healthcare of O'Neill
1102 North Harrison Street, O' Neill, NE · (402) 336-2384
- Certified beds
- 84
- Residents per day
- 44
- Ownership
- For-Profit
- Chain
- Accura Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 1, 1991
1
How this home got 1 star
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
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nebraska homes
Accura Healthcare of O'Neill carries 128 inspection points. That is fewer than 8% 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
35 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.
Harm and immediate-jeopardy citations (2)
-
H
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Provide enough food/fluids to maintain a resident's health.
Everything else, by area of care
Resident Rights6E
- E
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Infection Control6F
- E
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- F
Implement a program that monitors antibiotic use.
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation6D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- C
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- C
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service5E
- E
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Quality of Life and Care4E
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Assessment and Care Planning3D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration1F
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
Inspection history
2026-06-08
17 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
2025-05-06
10 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-04-18
8 health deficiencies · 6 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 44 min of nursing staff time a day, 41 min of it from a registered nurse.
This home
3 h 44 min
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 66% of nursing staff and 33% 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
Fines and payment denials
$71,750 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-06-08 | Fine | $71,750 |
| 2026-06-08 | Payment Denial · 10 day denial | $0 |
6
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 days0.2 pts better | 1.5 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.5 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.5 pts better | 97.5% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.4 pts better | 100.0% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts better | 3.1% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1 pts better | 3.4% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.8 pts worse | 7.9% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication24.8 pts worse | 43.8% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.8 pts worse | 31.5% | 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 worsened4.2 pts worse | 21.0% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.1 pts better | 17.9% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.2 pts worse | 3.5% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 1.9% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.8 pts worse | 26.8% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts worse | 4.1% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.4 pts better | 96.7% | 81.3% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.2 pts better | 7.6% | 10.8% | 11.8% |
| 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 vaccine3.4 pts better | 77.3% | 73.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.9 pts better | 19.2% | 21.1% | 23.4% |
·
Who owns and runs it
23 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 |
| Aviv Financing Ii LLC | Adp Of The SNF · Organization | 0% | 13 facilities |
| Aviv Healthcare Properties Operating Partnership I LP | Adp Of The SNF · Organization | 0% | 13 facilities |
| Boettcher, Tammy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Boettcher, Tammy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Glaser, Kristopher | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Glaser, Kristopher | Adp Of The SNF · Individual | 0% | 13 facilities |
| Kleinsasser, Megan | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Kleinsasser, Megan | Adp Of The SNF · Individual | 0% | 12 facilities |
| Kohl, Sean | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Kohl, Sean | Adp Of The SNF · Individual | 0% | 2 facilities |
| Leneave, Ted | Operational/Managerial Control · Individual | 0% | 44 facilities |
| Leneave, Ted | Adp Of The SNF · Individual | 0% | 44 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 |
| Taylor, Pamela | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Taylor, Pamela | Adp Of The SNF · Individual | 0% | 1 facilities |
| Toti, Lisa | Operational/Managerial Control · Individual | 0% | 33 facilities |
| Toti, Lisa | Adp Of The SNF · Individual | 0% | 33 facilities |
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Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- D
Provide properly protected cooking facilities.
- D
Install a fire alarm system that can be heard throughout the facility.
- F
Provide properly protected cooking facilities.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Provide properly protected cooking facilities.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems3E
- E
Meet requirements for the use and maintenance of medical gas equipment.
- D
Ensure that sources of ignition are removed from patients receiving respiratory therapy.
- D
Meet requirements for the use and maintenance of medical gas equipment.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Egress1F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Emergency Preparedness1F
- F
Provide family notifications of emergency plan.
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Other homes nearby
-
Good Samaritan Society - Atkinson
Atkinson, NE · Good Samaritan Society
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 43 min
- Fines
- $22,653
-
Parkside Manor
Stuart, NE · Rural Health Development
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 46 min
- Fines
- $0
-
Alpine Village Retirement Center
Verdigre, NE · Rural Health Development
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 4 min
- Fines
- $0