nursing home in O' Neill, NE
Accura Healthcare of O'Neill
1102 North Harrison Street, O' Neill, NE 68763 · (402) 336-2384
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★4
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Accura Healthcare of O'Neill at a glance
Accura Healthcare of O'Neill is a 84-bed for-profit nursing home in O' Neill, Nebraska (Holt County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Nebraska average of 2.8.
Residents receive about 3.8 hours of nursing care per day (0.9 of them from registered nurses), worse than the state average of 4 hours.
Its most recent standard health inspection (June 8, 2026) found 17 health citations. The Nebraska average is 7.4.
Federal regulators fined it 1 time in the past three years, totaling $71,750.
Nursing staff turnover is 63.8% per year (state average 48.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 84
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Accura Healthcare
- Medicare-certified since
- August 1, 1991
- Resident/family council
- Resident
- County
- Holt County
- CMS Certification Number
- 285108
Ratings
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.2 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 2.9 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.1 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.77 hrs | 3.98 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.86 hrs | 0.67 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.55 hrs | 2.64 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.37 hrs | 3.48 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 63.8% | 48.7% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 44.4% | 44.1% | 42.9% | Average |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 17 | 7 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 4 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 128 | 57.3 | 80.6 | Worse |
Penalties
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 0 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $71,750 | $11,975 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 84 | 76 | 107 | |
| Average residents per day | 43 | 55 | 86 | |
| Occupancy | 51.7% | 73% | 80.9% |
Long-stay residents
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5.7% | 4.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.1% | 4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 31.8% | 20.7% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.9% | 2.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2.1% | 1.4% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 18.5% | 19% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 22.2% | 18.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 8.5% | 5.1% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 5.4% | 4.3% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.3% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 43.9% | 19.3% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 29.9% | 25.9% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 95% | 96.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 91.8% | 93% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 6.9% | 75.9% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 91.4% | 80.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 35 health deficiencies and 14 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 8, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected June 10, 2026 |
| June 8, 2026 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | D Potential harm, isolated | Corrected June 10, 2026 |
| June 8, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | H Actual harm, pattern | Corrected July 13, 2026 |
| June 8, 2026 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | G Actual harm, isolated | Corrected July 13, 2026 |
| June 8, 2026 Standard | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | F Potential harm, widespread | Corrected July 13, 2026 |
| June 8, 2026 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | E Potential harm, pattern | Corrected July 13, 2026 |
| June 8, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected July 13, 2026 |
| June 8, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected July 13, 2026 |
| June 8, 2026 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | E Potential harm, pattern | Corrected July 13, 2026 |
| June 8, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected July 13, 2026 |
| June 8, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected July 13, 2026 |
| June 8, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected July 13, 2026 |
| June 8, 2026 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected July 13, 2026 |
| June 8, 2026 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected July 13, 2026 |
| June 8, 2026 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected July 13, 2026 |
| June 8, 2026 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected July 13, 2026 |
| June 8, 2026 Standard | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0606 | C No harm, widespread | Corrected July 13, 2026 |
| June 8, 2026 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | C No harm, widespread | Corrected July 13, 2026 |
| February 26, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected March 20, 2026 |
| May 6, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected June 10, 2025 |
| May 6, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected June 10, 2025 |
| May 6, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected June 10, 2025 |
| May 6, 2025 Fire safety | Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0922 | E Potential harm, pattern | Corrected June 10, 2025 |
| May 6, 2025 Fire safety | Ensure that sources of ignition are removed from patients receiving respiratory therapy. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0925 | D Potential harm, isolated | Corrected June 10, 2025 |
| May 6, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected June 10, 2025 |
| May 6, 2025 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | F Potential harm, widespread | Corrected June 10, 2025 |
| May 6, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected June 10, 2025 |
| May 6, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected June 10, 2025 |
| May 6, 2025 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | E Potential harm, pattern | Corrected June 10, 2025 |
| May 6, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected June 10, 2025 |
| May 6, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 10, 2025 |
| May 6, 2025 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected June 10, 2025 |
| May 6, 2025 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected June 10, 2025 |
| May 6, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected June 10, 2025 |
| May 6, 2025 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected June 10, 2025 |
| April 18, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected June 2, 2024 |
| April 18, 2024 Fire safety | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Tag E0035 | F Potential harm, widespread | Corrected June 2, 2024 |
| April 18, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected June 2, 2024 |
| April 18, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected June 2, 2024 |
| April 18, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected June 2, 2024 |
| April 18, 2024 Fire safety | Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0922 | D Potential harm, isolated | Corrected June 2, 2024 |
| April 18, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected June 2, 2024 |
| April 18, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 2, 2024 |
| April 18, 2024 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected June 2, 2024 |
| April 18, 2024 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected June 2, 2024 |
| April 18, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected June 2, 2024 |
| April 18, 2024 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected June 2, 2024 |
| February 20, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected April 5, 2024 |
| January 24, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected February 15, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $71,750 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| June 8, 2026 | Payment Denial | 10 days from July 3, 2026 |
| June 8, 2026 | Fine | $71,750 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ACCURA MANAGEMENT CONSULTING SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| ALLEN, BRADY Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| AVIV FINANCING II LLC Organization | adp of the snf | NOT APPLICABLE | 05/10/2025 |
| AVIV HEALTHCARE PROPERTIES OPERATING PARTNERSHIP I LP Organization | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| BOETTCHER, TAMMY Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| GLASER, KRISTOPHER Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| KLEINSASSER, MEGAN Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| KOHL, SEAN Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| LENEAVE, TED Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| NEBRASKA SNF FACILITIES, LLC Organization | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP Organization | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| OMEGA HEALTHCARE INVESTORS INC Organization | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| TAYLOR, PAMELA Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| TOTI, LISA Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| ACCURA MANAGEMENT CONSULTING SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| ALLEN, BRADY Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| BOETTCHER, TAMMY Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| GLASER, KRISTOPHER Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| KLEINSASSER, MEGAN Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| KOHL, SEAN Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| LENEAVE, TED Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| TAYLOR, PAMELA Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| TOTI, LISA Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
Other nursing homes near Accura Healthcare of O'Neill
Good Samaritan Society - Atkinson
409 Neely Street, Atkinson, NE 68713 · 16.6 mi
Non-profit · 61 beds · Part of Good Samaritan Society
★★★★★1Much below averageParkside Manor
607 North Main Street, Stuart, NE 68780 · 26.5 mi
Government · 40 beds · Part of Rural Health Development
- CMS high performer
★★★★★5Much above averageAlpine Village Retirement Center
706 James Street, Verdigre, NE 68783 · 32.6 mi
Government · 45 beds · Part of Rural Health Development
- CMS high performer
★★★★★5Much above averageAvera Creighton Care Centre
1603 Main Street, Creighton, NE 68729 · 37.7 mi
Non-profit · 47 beds · Part of Avera Health
★★★★★4Above average- ★★★★★1Much below average
Frequently asked questions
What is Accura Healthcare of O'Neill's rating?
Accura Healthcare of O'Neill has 1 out of 5 stars on the CMS overall star rating. The average for Nebraska nursing homes is 2.8 stars.
How many inspection citations did Accura Healthcare of O'Neill receive?
Its most recent standard health inspection found 17 citations, compared with a Nebraska average of 7.4. Every citation is listed on this page with its severity.
Does Accura Healthcare of O'Neill accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Accura Healthcare of O'Neill?
It is for profit - limited liability company and part of Accura Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Accura Healthcare of O'Neill and how do I contact it?
Accura Healthcare of O'Neill is at 1102 North Harrison Street, O' Neill, NE 68763. Phone: (402) 336-2384.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.