Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under private pay (45% of admissions), and a typical private pay stay runs around 9 - 10 months.
Heather Geis owns and operates Accura Healthcare of Tekamah, a 46-bed skilled nursing home located on M Street in Tekamah, Nebraska. The business office processes several financial configurations, accepting Medicare, Medicaid, and private pay. For visitors, the surrounding area is moderately pedestrian-friendly, meaning family members can complete a few routine errands on foot, though a vehicle is still practical for most travel through the neighborhood.
Typical stays here run about 296 days, which points to a caseload heavily focused on permanent clinical care alongside short-term therapy. These ongoing residential needs keep the facility running at a 57 percent occupancy level. Around-the-clock staffing handles the daily clinical routine, providing 3 hours and 50 minutes of direct nursing care per resident each day through a combined team of registered nurses, licensed practical nurses, and nurse aides who cover physical rehabilitation, chronic disease oversight, and temporary respite care.
Regulatory files reveal a history of past documentation and facility maintenance reviews. Follow-up evaluations from the health department confirm that the property adjusted its operational protocols to clear those earlier tracking gaps, and the building maintains an overall cumulative citations-per-inspection rate of zero.
Prospective residents choose between private or semi-private layouts and have access to music therapy, a life enrichment program, an on-site salon, and building-wide Wi-Fi. Meals are planned to meet standard daily nutritional guidelines and are served in a communal dining space.
Accura HealthCare of Tekamah is administered by Administrator Trishtian Mcneill.
In Nebraska, the Department of Health and Human Services, Division of Public Health conducts regular inspections to ensure nursing and assisted living facilities meet state and federal standards.
Deficiencies
| This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
| 56 | 52 | This facility has 8% more total deficiencies than a typical Nebraska assisted living residence (56 vs. NE avg 52).↑ 8% worse |
|
Deficiencies per year
| 3.7 | 3.5 | This facility has 6% more deficiencies per year than a typical Nebraska assisted living residence (3.7 vs. NE avg 3.5).↑ 6% worse |
State average N/A
Last Health inspection on Oct 2024
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
8 of 12 citations resulted from standard inspections; and 4 of 12 came from combined inspections (standard and complaint).
State average: N/A
State average: N/A
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
547 contractor hours this quarter
| Medication Aide/Technician | 10 | 0 | 10 | 3,529 | 92 | 100% | 8.7 |
| Certified Nursing Assistant | 14 | 0 | 14 | 2,279 | 92 | 100% | 7.3 |
| Licensed Practical Nurse | 5 | 0 | 5 | 1,830 | 92 | 100% | 9.5 |
| Nurse Practitioner | 1 | 0 | 1 | 548 | 68 | 74% | 8.1 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Registered Nurse | 8 | 1 | 9 | 498 | 52 | 57% | 8.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 439 | 63 | 68% | 7 |
| Dietitian | 1 | 0 | 1 | 437 | 59 | 64% | 7.4 |
| RN Director of Nursing | 1 | 0 | 1 | 428 | 63 | 68% | 6.8 |
| Physical Therapy Aide | 0 | 1 | 1 | 260 | 64 | 70% | 4.1 |
| Speech Language Pathologist | 0 | 1 | 1 | 154 | 43 | 47% | 3.6 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 51 | 20 | 22% | 2.4 |
| Physical Therapy Assistant | 0 | 2 | 2 | 38 | 31 | 34% | 1.2 |
| Occupational Therapy Aide | 1 | 0 | 1 | 26 | 13 | 14% | 2 |
| Qualified Social Worker | 0 | 2 | 2 | 24 | 14 | 15% | 1.7 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 23 | 3 | 3% | 7.7 |
| Medical Director | 1 | 0 | 1 | 12 | 3 | 3% | 4 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
29% of new residents, usually for short-term rehab.
45% of new residents, often for short stays.
26% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Accura HealthCare of Tekamah from 2011–2024, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under private pay (45% of admissions), and a typical private pay stay runs around 9 - 10 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Tekamah's city center to Accura HealthCare of Tekamah's address, calculated via Google Maps.
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The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
| Accura HealthCare of Tekamah | NH HC MC PC RC | Tekamah | - | 46 | - | 59 | - |
| Emerald Columbus | NH AL HC MC PC | Columbus (40Th Avenue) | - | 145 | A+ | 57 | 1 Bed |
| Risen Son Christian Village | NH AL IL MC | Council Bluffs (Risen Son Boulevard) | - | 102 | A+ | 8 | - |
| Good Samaritan Society – Albion | NH ADC AL HC IL MC RC | Albion | - | 60 | - | 50 | - |
| Northfield Retirement Communities Care | NH AL IL | Scottsbluff | - | 66 | A+ | 80 | - |
Accura HealthCare of Tekamah has a walk score of 59. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Accura HealthCare of Tekamah's occupancy is 57%.
Accura HealthCare of Tekamah is registered as a for-profit in NE.
Administrator Trishtian McNeill is the administrator of Accura HealthCare of Tekamah.
Accura HealthCare of Tekamah has 46 beds.
Yes — there is 1 photo of Accura HealthCare of Tekamah in the photo gallery on this page.
Accura HealthCare of Tekamah is located at 823 M Street, Tekamah, NE 68061.
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