Federal inspection record · CMS data as of October 1, 2026
Accura HealthCare of Tekamah
823 M Street, Tekamah, NE · (402) 374-1414
- Certified beds
- 44
- Residents per day
- 36
- Ownership
- For-Profit
- Chain
- Accura Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 1, 1992
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
★★★★★no change
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 Tekamah carries 64 inspection points. That is fewer than 34% 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
15 health citations on record since 2023. 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
Resident Assessment and Care Planning4E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Assess the resident when there is a significant change in condition
Nursing and Physician Services3F
- F
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.
- F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Freedom from Abuse, Neglect, and Exploitation2E
- E
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Respond appropriately to all alleged violations.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Environmental2E
- E
Have enough outside ventilation via a window or mechanical ventilation, or both.
- E
Have enough outside ventilation via a window or mechanical ventilation, or both.
Quality of Life and Care1E
- E
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service1D
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspection history
2026-02-12
9 health deficiencies · 5 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2024-10-31
4 health deficiencies · 4 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2023-09-14
2 health deficiencies · 8 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h of nursing staff time a day, 30 min of it from a registered nurse.
This home
3 h
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 58% of nursing staff and 88% of registered nurses left in the past year, along with 1 administrator.
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 daysAbout the same | 1.7 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better | 1.8 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7 pts better | 100.0% | 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 injury0.7 pts worse | 5.2% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.4 pts better | 0.0% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.7 pts worse | 7.8% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.4 pts better | 17.6% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.5 pts better | 15.2% | 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 worsened2.9 pts worse | 19.7% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.3 pts better | 18.7% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.9% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.8 pts better | 0.9% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.3 pts worse | 25.3% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.1 pts better | 1.9% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine18.7 pts better | 100.0% | 81.3% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
·
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
| 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 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 |
| 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 |
| Leneave, Ted | Corporate Officer · Individual | 0% | 44 facilities |
| Leneave, Ted | Operational/Managerial Control · Individual | 0% | 44 facilities |
| Leneave, Ted | Adp Of The SNF · Individual | 0% | 44 facilities |
| Mcneill, Trishtian | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Mcneill, Trishtian | Adp Of The SNF · Individual | 0% | 2 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 |
| Risch, Shayla | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Risch, Shayla | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sattar, Arif | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Sattar, Arif | Adp Of The SNF · Individual | 0% | 13 facilities |
| Toti, Lisa | Operational/Managerial Control · Individual | 0% | 33 facilities |
| Toti, Lisa | Adp Of The SNF · Individual | 0% | 33 facilities |
·
Fire safety
17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
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 Systems5F
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Meet requirements for the use and maintenance of medical gas equipment.
- F
Ensure proper usage of power strips and extension cords.
- F
Ensure that testing and maintenance of electrical equipment is performed.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Egress2F
- D
Install emergency lighting that can last at least 1 1/2 hours.
- F
Install emergency lighting that can last at least 1 1/2 hours.
Emergency Preparedness1F
- F
Conduct risk assessment and an All-Hazards approach.
·
Other homes nearby
-
Oakland Heights
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★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 21 min
- Fines
- $0
-
Good Shepherd Lutheran Community
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- Nursing / resident / day
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- Fines
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-
Crowell Memorial Home
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- —
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