Show Inspection Reports
Total health inspections
3
Nebraska average 4.3
Last Health inspection on Oct 2024
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Accura HealthCare of Tekamah
Nursing Home
Accura HealthCare of Tekamah
Nursing Home
Accura Healthcare of Tekamah provides short-term rehabilitation, skilled nursing, and long-term care in a welcoming community. The facility is committed to offering person-centered healthcare in a supportive environment. Residents receive personalized care plans tailored to their individual needs.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
46
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
72%
Residents per day (avg)
30
Occupancy rate
72%
Residents per day (avg)
30
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
29% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
45% of new residents, often for short stays.
Typical stay
9 - 10 months
Medicaid
26% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Proprietary home
Corporation
Home revenue
$3.1M
Operating loss
-$360.0K
Proprietary home
Corporation
Home revenue
$3,114,616.00
Operating loss
$-360,031.00
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.
$1.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.5M
46-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy Rate
57%
Occupied Beds
26 of 46
Percentage of available beds currently in use by residents.
Facility Type
NURSING HOME
Additional licensing details
CMS Certification Number:
285118
Certification type:
Certification
County:
BURT
Ownership & operating entity
Accura HealthCare of Tekamah is administrated by Trishtian McNeill, Administrator.
Owner name:
ACCURA HEALTHCARE OF TEKAMAH, LLC
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Skilled Nursing
24-Hour Staffing
Contact Information
Fax:
(402) 374-1601
Amenities & Lifestyle
Programs & Activities
Specific Programs
Skilled Nursing, Long-Term Care, Rehabilitation, Respite Care, Hospice Care, Memory Care
Operating Hours
Monday-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.
25 visits/inspections
7 visits/inspections triggered by complaints
1 routine inspections
1 life safety inspections
Results
8 with issues
17 without issues
Latest inspection
Date:May 7, 2025
56 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Compare Nursing Homes around Nebraska
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
Accura HealthCare of Hartington
-7%
-7%
-10%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NE 68739
67
No
KLAASMEYER, KENNETH
63.6%
$3,668,324.00
$2,124,349.00
57.9%
31.40
4.1342
7
-
-7%-7%-10%
Accura HealthCare of Tekamah
+19%
-14%
+2%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NE 68061
46
No
GEIS, HEATHER
72.0%
$3,111,496.00
$2,065,549.00
66.4%
30.00
3.8342
12
-
+19%-14%+2%
Arbor Care Center-Valhaven, LLC
-2%
-8%
+3%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NE 68064
66
No
-
72.4%
$5,043,043.00
$3,225,812.00
64%
49.50
4.0787
18
1
-2%-8%+3%
Arbor Care Centers-Countryside LLC
+26%
-24%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NE 68748
70
No
KEZZAR, JOSEPH
53.5%
$3,918,147.00
$2,343,190.00
59.8%
36.30
-
23
1
+26%
-
-24%
Arbor Care Centers – Ord, LLC
+15%
-16%
-26%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NE 68862
60
No
LUTH, KURT
51.8%
$2,881,257.00
$1,523,175.00
52.9%
35.20
3.7604
29
1
+15%-16%-26%
Accura HealthCare of Hartington
Type of care:
SNF
AL
Community:
NE 68739
Bed Count:
67
Pets Allowed:
No
Operator:
KLAASMEYER, KENNETH
CCN:
285088
Occupancy:
63.6%
Home Revenue:
$3,668,324.00
Payroll Costs:
$2,124,349.00
Payroll %:
57.9%
Avg Residents/Day:
31.40
Overall Rating:
Adj Nurse Hours:
4.1342
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
7
RN share vs State Avg:
-7%
-7%
Staffing vs State Avg:
-7%
-7%
Occupancy vs State Avg:
-10%
-10%
Accura HealthCare of Tekamah
Type of care:
SNF
AL
Community:
NE 68061
Bed Count:
46
Pets Allowed:
No
Operator:
GEIS, HEATHER
CCN:
285118
Occupancy:
72.0%
Home Revenue:
$3,111,496.00
Payroll Costs:
$2,065,549.00
Payroll %:
66.4%
Avg Residents/Day:
30.00
Overall Rating:
Adj Nurse Hours:
3.8342
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
12
RN share vs State Avg:
+19%
+19%
Staffing vs State Avg:
-14%
-14%
Occupancy vs State Avg:
+2%
+2%
Arbor Care Center-Valhaven, LLC
Type of care:
SNF
AL
Community:
NE 68064
Bed Count:
66
Pets Allowed:
No
CCN:
285117
Occupancy:
72.4%
Home Revenue:
$5,043,043.00
Payroll Costs:
$3,225,812.00
Payroll %:
64%
Avg Residents/Day:
49.50
Overall Rating:
Adj Nurse Hours:
4.0787
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
18
Severe Citations:
1
RN share vs State Avg:
-2%
-2%
Staffing vs State Avg:
-8%
-8%
Occupancy vs State Avg:
+3%
+3%
Arbor Care Centers-Countryside LLC
Type of care:
SNF
AL
Community:
NE 68748
Bed Count:
70
Pets Allowed:
No
Operator:
KEZZAR, JOSEPH
CCN:
285207
Occupancy:
53.5%
Home Revenue:
$3,918,147.00
Payroll Costs:
$2,343,190.00
Payroll %:
59.8%
Avg Residents/Day:
36.30
Overall Rating:
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
23
Severe Citations:
1
RN share vs State Avg:
+26%
+26%
Occupancy vs State Avg:
-24%
-24%
Arbor Care Centers – Ord, LLC
Type of care:
SNF
AL
Community:
NE 68862
Bed Count:
60
Pets Allowed:
No
Operator:
LUTH, KURT
CCN:
285294
Occupancy:
51.8%
Home Revenue:
$2,881,257.00
Payroll Costs:
$1,523,175.00
Payroll %:
52.9%
Avg Residents/Day:
35.20
Overall Rating:
Adj Nurse Hours:
3.7604
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
29
Severe Citations:
1
RN share vs State Avg:
+15%
+15%
Staffing vs State Avg:
-16%
-16%
Occupancy vs State Avg:
-26%
-26%Places of interest near Accura HealthCare of Tekamah
0.0 miles from city center
TEKAMAH, NE 68061
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
78
Total Staff
48
Employees
30
Contractors
11,186
Total Hours (Quarter)
17
Avg Staff/Day
7.2
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 9 | 9.4 | Yes |
| Licensed Practical Nurse | 4 | 10 | Yes |
| Certified Nursing Assistant | 30 | 6.5 | Yes |
Staff by Category
Administration ⓘ
3 staff
7.8hs shift avg
Nursing Staff ⓘ
53 staff
7.9hs shift avg
Physicians & Practitioners ⓘ
3 staff
7.7hs shift avg
Therapy Services ⓘ
14 staff
4.6hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
3 staff
1.6hs shift avg
Dietary Services ⓘ
1 staff
7.6hs shift avg
Other Services ⓘ
1 staff
7.3hs shift avg
Contractor Analysis
10%
of total hours from contractors
1,121 contractor hours this quarter
Physical Therapy Aide: 2
Physical Therapy Assistant: 5
Respiratory Therapy Technician: 4
Certified Nursing Assistant: 12
Licensed Practical Nurse: 1
Registered Nurse: 2
Qualified Social Worker: 3
Speech Language Pathologist: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Medication Aide/Technician | 9 | 0 | 9 | 3,258 | 91 | 100% | 8.6 |
| Certified Nursing Assistant | 18 | 12 | 30 | 2,957 | 91 | 100% | 6.5 |
| Licensed Practical Nurse | 3 | 1 | 4 | 1,320 | 89 | 98% | 10 |
| Registered Nurse | 7 | 2 | 9 | 659 | 61 | 67% | 9.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 470 | 64 | 70% | 7.3 |
| Dietitian | 1 | 0 | 1 | 451 | 59 | 65% | 7.6 |
| Administrator | 2 | 0 | 2 | 384 | 48 | 53% | 8 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 377 | 63 | 69% | 4.9 |
| Nurse Practitioner | 2 | 0 | 2 | 376 | 44 | 48% | 8 |
| Physical Therapy Aide | 0 | 2 | 2 | 368 | 60 | 66% | 6.1 |
| RN Director of Nursing | 1 | 0 | 1 | 276 | 41 | 45% | 6.7 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 154 | 22 | 24% | 7 |
| Physical Therapy Assistant | 0 | 5 | 5 | 73 | 34 | 37% | 2.1 |
| Qualified Social Worker | 0 | 3 | 3 | 22 | 14 | 15% | 1.6 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 15 | 3 | 3% | 5 |
| Medical Director | 1 | 0 | 1 | 12 | 3 | 3% | 4 |
| Occupational Therapy Aide | 1 | 0 | 1 | 8 | 8 | 9% | 1 |
| Speech Language Pathologist | 0 | 1 | 1 | 7 | 3 | 3% | 2.4 |
Health Inspection History
Inspections
Total health citations
12
Citations per inspection
4
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).
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
12 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Oct 31, 2024
Corrected
Nursing Services moderate citation
Oct 31, 2024
Corrected
Pharmacy moderate citation
Oct 31, 2024
Corrected
Care Planning moderate citation
Oct 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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Part of: Arbor Care Centers
Resident Census by Payment Source
29
Total Residents
Medicaid
18
(62.1%)
ⓘ
Private Pay/Other
11
(37.9%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Member Group
ⓘ
Nurse Aide Training
ⓘ
CCRC
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Family Council
ⓘ
Active
Resident Council
ⓘ
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.
10.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.1
11% better than Nebraska averageNebraska average: 11.3
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.8
20% better 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
18.0%
Percent of long-stay residents whose need for help with daily activities has increased
18.0%
13% better than Nebraska averageNebraska average: 20.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
18.7%
Percent of long-stay residents whose ability to move independently worsened
18.7%
15% better 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
19.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.5%
27% better than Nebraska averageNebraska average: 26.9%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.9%
Percent of long-stay residents experiencing one or more falls with major injury
5.9%
31% worse than Nebraska averageNebraska average: 4.5%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
0.9%
Percent of long-stay high risk residents with pressure ulcers
0.9%
79% better than Nebraska averageNebraska average: 4.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.9%
Percent of long-stay residents with a urinary tract infection
0.9%
72% better than Nebraska averageNebraska average: 3.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.1%
Percent of long-stay residents who lose too much weight
7.1%
30% worse than Nebraska averageNebraska average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Nebraska averageNebraska average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
15.3%
Percent of long-stay residents who received an antipsychotic medication
15.3%
23% better than Nebraska averageNebraska average: 19.8%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.3%
6% better than Nebraska averageNebraska average: 93.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.9%
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
86.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.8%
8% better than Nebraska averageNebraska average: 80.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Nebraska averageNebraska average: 2.4%
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 Tekamah based on CMS SNF Cost Reports.
Occupancy Rate
72.0%
↑ 8.2pp vs 2023
Net Income
-$360,031
↓ ~$861K vs 2023
Total Payroll
$2,550,081
↑ ~$543K vs 2023
Profit Margin
-11.6%
↓ 27.9pp vs 2023
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