Occupancy rate
68%
In line with Nebraska averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in Nebraska
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Accura HealthCare of Hartington
Nursing Home in Nebraska
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Accura HealthCare of Hartington
Accura Healthcare of Hartington provides short-term rehabilitation, skilled nursing, and long-term care in Hartington, NE. The facility is committed to offering exceptional, person-centered healthcare in a supportive environment. Residents can expect a full continuum of care tailored to their individual needs.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
47
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
68.1%
Residents per day (avg)
31
Occupancy rate
68.1%
Residents per day (avg)
31
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
71% of new residents, usually for short-term rehab.
Typical stay
22 days
Private pay
25% of new residents, often for short stays.
Typical stay
2 - 3 years
Medicaid
4% of new residents, often for long-term daily care.
Typical stay
5 - 6 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$4.5M
Operating loss
-$124.8K
Privately-owned community
Operated by a business corporation.
Home revenue
$4.5M
Operating loss
-$124.8K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.8M
47-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy
In line with Nebraska averageOccupied beds
32 / 47
Average residents
54 per day
Facility TypeNursing Home
CountyCEDAR
CMS Certification Number285088
Certification TypeCertification
Accura HealthCare of Hartington is administrated by Trishtian McNeill, Administrator.
Owner NameACCURA HEALTHCARE OF HARTINGTON,
Rehabilitation Services
Respite Care
Short-Term Rehab
Skilled Nursing
24-Hour Staffing
Rehabilitation
Hospice Care
Fax(402) 254-3963
24-Hour Skilled Nursing Care
Rehabilitation Services
Respite Care Stays
Life Enrichment Program
Private And Semi-Private Rooms
On-Site Beauty And Barber Shop
Welcoming Common Areas
Community-Wide Wi-Fi
Family Hospice Room
Outdoor Patio And Courtyard
Specific ProgramsSkilled Nursing, Long-Term Care, Rehabilitation, Hospice Care, Respite Care, Memory Care
Operating HoursMonday-Friday: 9am-5pm
Inspection History
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.
18 visits/inspections
4 visits/inspections triggered by complaints
2 routine inspections
Results
9 with issues
9 without issues
Show Inspection Reports
Latest inspection
Date
May 1, 2025
52 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Nebraska average: 52 deficiencies
Health Inspection History
Inspections
Total health inspections
3
Nebraska average 4.3
Last Health inspection on Feb 2025
Total health citations
7
Nebraska average 18.2
Citations per inspection
2.33
Nebraska average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 7 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Nebraska averageNebraska average: 0.2
Serious Health citations
0
0
100% better than Nebraska averageNebraska average: 0.5
0 critical citations
0 serious citations
6 moderate citations
1 minor citation
Citations history (last 3 years)
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Feb 03, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Feb 03, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Feb 03, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Feb 03, 2025
Corrected
Abuse/Neglect minor citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jan 31, 2024
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jan 31, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jan 31, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Jan 31, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Nebraska The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
Filter by care type
Accura HealthCare of Hartington
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Hartington
67
63.6%
-10%
4.13
-7%
0
7
2.3
0
31
-
-
Klaasmeyer, Kenneth
$3.7M
$2.1M
57.9%
285088
Accura HealthCare of Tekamah
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Tekamah
46
72.0%
+2%
3.83
-14%
0
12
4.0
0
30
-
-
Geis, Heather
$3.1M
$2.1M
66.4%
285118
Arbor Care Center-Valhaven, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Valley
66
72.4%
+3%
4.08
-8%
0
18
4.5
1
50
A+
-
-
$5.0M
$3.2M
64%
285117
Arbor Care Centers-Countryside LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Madison
70
53.5%
-24%
-
-
0
23
4.6
1
36
-
-
Kezzar, Joseph
$3.9M
$2.3M
59.8%
285207
Arbor Care Centers – Ord, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Ord
60
51.8%
-26%
3.76
-16%
0
29
7.3
1
35
-
-
Luth, Kurt
$2.9M
$1.5M
52.9%
285294
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
89
Employees
65
Contractors
24
Staff to resident ratio
2.70:1
25% better than Nebraska averageNebraska average ratio: 2.15:1
Avg staff/day
20
Average shift
6.8 hours
13% worse than Nebraska averageNebraska average: 7.8 hours
Total staff hours (quarter)
12,334
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
3
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
47
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.7 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
7.8%
965 contractor hours this quarter
Qualified Social Worker: 7
Speech Language Pathologist: 6
Respiratory Therapy Technician: 4
Physical Therapy Assistant: 3
Occupational Therapy Aide: 2
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 47 | 0 | 47 | 6,509 | 91 | 100% | 6.7 |
| Registered Nurse | 8 | 0 | 8 | 1,521 | 91 | 100% | 9.1 |
| Licensed Practical Nurse | 3 | 0 | 3 | 760 | 80 | 88% | 7 |
| Medication Aide/Technician | 2 | 0 | 2 | 604 | 52 | 57% | 6.8 |
| Nurse Practitioner | 1 | 0 | 1 | 532 | 65 | 71% | 8.2 |
| Dietitian | 1 | 0 | 1 | 470 | 62 | 68% | 7.6 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 443 | 66 | 73% | 6.7 |
| Administrator | 1 | 0 | 1 | 368 | 46 | 51% | 8 |
| Speech Language Pathologist | 0 | 6 | 6 | 326 | 63 | 69% | 4.9 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 262 | 63 | 69% | 4 |
| Physical Therapy Assistant | 0 | 3 | 3 | 258 | 42 | 46% | 6.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 162 | 21 | 23% | 7.7 |
| Occupational Therapy Aide | 0 | 2 | 2 | 55 | 17 | 19% | 3.2 |
| Qualified Social Worker | 0 | 7 | 7 | 46 | 26 | 29% | 1.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 15 | 3 | 3% | 5 |
| Medical Director | 0 | 1 | 1 | 3 | 3 | 3% | 1 |
47 Certified Nursing Assistant
% of Days
100%
8 Registered Nurse
% of Days
100%
3 Licensed Practical Nurse
% of Days
88%
2 Medication Aide/Technician
% of Days
57%
1 Nurse Practitioner
% of Days
71%
1 Dietitian
% of Days
68%
1 Clinical Nurse Specialist
% of Days
73%
1 Administrator
% of Days
51%
6 Speech Language Pathologist
% of Days
69%
4 Respiratory Therapy Technician
% of Days
69%
3 Physical Therapy Assistant
% of Days
46%
1 Mental Health Service Worker
% of Days
23%
2 Occupational Therapy Aide
% of Days
19%
7 Qualified Social Worker
% of Days
29%
1 Occupational Therapy Assistant
% of Days
3%
1 Medical Director
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
33 residents
Residents by payment source
Medicare
3 residents (9.1%)
Medicaid
13 residents (39.4%)
Private pay or other
17 residents (51.5%)
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.9
6% worse than Nebraska averageNebraska average: 11.3
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.9
24% worse than Nebraska averageNebraska average: 23.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
25.0%
Percent of long-stay residents whose need for help with daily activities has increased
25.0%
20% worse than Nebraska averageNebraska average: 20.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
27.0%
Percent of long-stay residents whose ability to move independently worsened
27.0%
22% worse than Nebraska averageNebraska average: 22.1%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
34.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
34.8%
29% worse than Nebraska averageNebraska average: 26.9%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.9%
Percent of long-stay residents experiencing one or more falls with major injury
1.9%
58% better than Nebraska averageNebraska average: 4.5%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.9%
Percent of long-stay high risk residents with pressure ulcers
1.9%
56% better than Nebraska averageNebraska average: 4.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.0%
Percent of long-stay residents with a urinary tract infection
1.0%
69% better than Nebraska averageNebraska average: 3.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.8%
Percent of long-stay residents who lose too much weight
3.8%
30% better than Nebraska averageNebraska average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.9%
Percent of long-stay residents who have depressive symptoms
2.9%
35% better than Nebraska averageNebraska average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
26.5%
Percent of long-stay residents who received an antipsychotic medication
26.5%
34% worse than Nebraska averageNebraska average: 19.8%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
6% better than Nebraska averageNebraska average: 93.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Nebraska averageNebraska average: 96.1%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.0%
21% better than Nebraska averageNebraska average: 80.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
27% better than Nebraska averageNebraska average: 2.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.6%
23% better than Nebraska averageNebraska average: 75.9%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Accura HealthCare of Hartington based on CMS SNF Cost Reports.
Occupancy Rate
63.6%
↑ 5.2pp vs 2023
Net Income
-$124.8K
↓ ~$806.6K vs 2023
Total Payroll
$2.7M
↑ ~$303.9K vs 2023
Profit Margin
-3.4%
↓ 24.2pp vs 2023
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