nursing home in Fullerton, NE
Accura Healthcare of Fullerton
202 North Esther, Fullerton, NE 68638 · (308) 536-2488
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★2
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Accura Healthcare of Fullerton at a glance
Accura Healthcare of Fullerton is a 75-bed for-profit nursing home in Fullerton, Nebraska (Nance County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Nebraska average of 2.8.
Residents receive about 2.9 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 4 hours.
Its most recent standard health inspection (April 2, 2026) found 4 health citations. The Nebraska average is 7.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 41.9% per year (state average 48.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 75
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Accura Healthcare
- Medicare-certified since
- February 1, 1992
- Resident/family council
- Resident
- County
- Nance County
- CMS Certification Number
- 285115
Ratings
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 2.9 / 5 | 3.8 / 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) | 2.93 hrs | 3.98 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.27 hrs | 0.67 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.10 hrs | 2.64 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.63 hrs | 3.48 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 41.9% | 48.7% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 71.4% | 44.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 4 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 32 | 57.3 | 80.6 | Better |
Penalties
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 0 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $11,975 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 75 | 76 | 107 | |
| Average residents per day | 63 | 55 | 86 | |
| Occupancy | 84% | 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) | 5.8% | 4.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.9% | 4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 39.3% | 20.7% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 3.8% | 2.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.4% | 1.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 16.4% | 19% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 13.3% | 18.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 4.1% | 5.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 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) | 32.6% | 19.3% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 24.3% | 25.9% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 96.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.2% | 93% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 70% | 80.9% | 82% | Worse |
Inspection citations
State inspectors cited this home for 19 health deficiencies and 20 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 2, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected April 15, 2026 |
| April 2, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected April 15, 2026 |
| April 2, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected April 15, 2026 |
| April 2, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected April 15, 2026 |
| April 2, 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 | F Potential harm, widespread | Corrected April 10, 2026 |
| April 2, 2026 Complaint | Have enough outside ventilation via a window or mechanical ventilation, or both. Environmental Deficiencies · Tag F0923 | D Potential harm, isolated | Corrected April 10, 2026 |
| April 2, 2026 Complaint | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected April 10, 2026 |
| April 2, 2026 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected April 10, 2026 |
| January 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 February 20, 2025 |
| January 6, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected February 20, 2025 |
| January 6, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected February 20, 2025 |
| January 6, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected February 20, 2025 |
| January 6, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected February 20, 2025 |
| January 6, 2025 Fire safety | 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. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected February 20, 2025 |
| January 6, 2025 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | E Potential harm, pattern | Corrected February 20, 2025 |
| January 6, 2025 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 | F Potential harm, widespread | Corrected February 20, 2025 |
| January 6, 2025 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected February 20, 2025 |
| January 6, 2025 Complaint | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected February 20, 2025 |
| January 6, 2025 Standard | 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 | D Potential harm, isolated | Corrected February 20, 2025 |
| January 17, 2024 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | E Potential harm, pattern | Corrected February 8, 2024 |
| January 17, 2024 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 February 15, 2024 |
| December 19, 2023 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected February 2, 2024 |
| December 19, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected February 2, 2024 |
| December 19, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected February 2, 2024 |
| December 19, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected February 2, 2024 |
| December 19, 2023 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | F Potential harm, widespread | Corrected February 2, 2024 |
| December 19, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected February 2, 2024 |
| December 19, 2023 Fire safety | Have horizontal exits used in accordance with safety requirements. Egress Deficiencies · Tag K0226 | E Potential harm, pattern | Corrected February 2, 2024 |
| December 19, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected February 2, 2024 |
| December 19, 2023 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 | F Potential harm, widespread | Corrected February 2, 2024 |
| December 19, 2023 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0801 | F Potential harm, widespread | Corrected February 2, 2024 |
| December 19, 2023 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected February 2, 2024 |
| December 19, 2023 Standard | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0606 | E Potential harm, pattern | Corrected February 2, 2024 |
| December 19, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected February 2, 2024 |
| December 19, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected February 2, 2024 |
| December 19, 2023 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected February 2, 2024 |
| December 19, 2023 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected February 2, 2024 |
| December 19, 2023 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 February 2, 2024 |
| December 19, 2023 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected February 2, 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 no federal fines or payment denials in the past three years.
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 | 05/01/2025 |
| AVIV HEALTHCARE OF THE MIDWEST LLC Organization | adp of the snf | NOT APPLICABLE | 06/30/2025 |
| AVIV HEALTHCARE PROPERTIES OPERATING PARTNERSHIP I LP Organization | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| FRANCIS, SARA 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 |
| SNYGG, CARRIE Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| TOTI, LISA Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| LENEAVE, TED Individual | corporate officer | NOT APPLICABLE | 05/01/2025 |
| TOTI, LISA Individual | corporate officer | 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 |
| FRANCIS, SARA 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 |
| SNYGG, CARRIE 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 Fullerton
- ★★★★★2Below average
Cloverlodge Care Center
301 North 13th Street, St Edward, NE 68660 · 15.3 mi
Non-profit · 47 beds · Part of Vetter Senior Living
★★★★★4Above averageLitzenberg Memorial County Hospital
1715 26th Street, Central City, NE 68826 · 18.1 mi
Government · 46 beds · Part of Good Samaritan Society
★★★★★4Above averageAdept Nursing & Rehab of Central City
2720 South 17th Avenue, Central City, NE 68826 · 18.2 mi
For-profit · 63 beds · Part of Avid Healthcare Group
★★★★★2Below averageGood Samaritan Society - Albion
1222 South 7th Street, Albion, NE 68620 · 21.8 mi
Non-profit · 60 beds · Part of Good Samaritan Society
- CMS high performer
★★★★★5Much above averageGood Samaritan Society - Osceola
600 Center Drive, Osceola, NE 68651 · 25.1 mi
Non-profit · 47 beds · Part of Good Samaritan Society
★★★★★5Much above average
Frequently asked questions
What is Accura Healthcare of Fullerton's rating?
Accura Healthcare of Fullerton has 3 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 Fullerton receive?
Its most recent standard health inspection found 4 citations, compared with a Nebraska average of 7.4. Every citation is listed on this page with its severity.
Does Accura Healthcare of Fullerton 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 Fullerton?
It is for profit - corporation and part of Accura Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Accura Healthcare of Fullerton and how do I contact it?
Accura Healthcare of Fullerton is at 202 North Esther, Fullerton, NE 68638. Phone: (308) 536-2488.
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.