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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 81st out of 117 homes in Nebraska.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 27m per day | ▼ 37% State avg: 43m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 46m per day | ▲ 7% State avg: 43m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 16m per day | ▼ 18% State avg: 2h 46m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 46m per day | ▼ 24% State avg: 3h 37m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 33% State avg: 3m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 28m per day | ▼ 3% State avg: 29m per day · National avg: 28m per day |
Most residents stay for extended periods and receive ongoing daily 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.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #91 / 120Payroll — state benchmarkedThis home is ranked 91st out of 120 homes in Nebraska.Shows total annual staff payroll benchmarked to the Nebraska average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Nebraska average: 70.3%Accura HealthCare of Tekamah is administrated 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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Nebraska state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 56 | 52 | This facility has 8% more total deficiencies than a typical Nebraska nursing home (56 vs. NE avg 52).↑ 8% worse |
|
Deficiencies per year
Average deficiencies per year since 2011.
| 3.7 | 3.5 | This facility has 6% more deficiencies per year than a typical Nebraska nursing home (3.7 vs. NE avg 3.5).↑ 6% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on May 7, 2025, documented the issuance of a new skilled nursing facility license due to a change of ownership and did not include any deficiencies. Earlier inspections showed a pattern of deficiencies primarily related to life safety code compliance, environmental maintenance, and fire safety systems, including issues with emergency lighting, sprinkler system maintenance, and smoke barrier doors. Complaint investigations generally found the facility in compliance with allegations, though a 2015 complaint was substantiated with fire safety code violations. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s record shows improvement over time, with no deficiencies noted in the most recent licensing and renewal documents.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNebraska average 4.3
Last Health inspection on Oct 2024
Nebraska average 18.2
Nebraska average 4.19
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).
100% better than Nebraska averageNebraska average: 0.2
0
100% better than Nebraska averageNebraska average: 0.5
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 31, 2024
Corrected
Issues related to the availability and quality of nursing staff and the care they provide.
Oct 31, 2024
Corrected
Issues related to medication management, including how drugs are stored, administered, and monitored.
Oct 31, 2024
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
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.
Accura HealthCare of Tekamah is located in TEKAMAH, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
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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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
25% better than Nebraska averageNebraska average ratio: 2.15:1
8% worse than Nebraska averageNebraska average: 7.8 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.5 hoursThis role is partially covered by contractors.
Total hours from contractors
1,121 contractor hours this quarter
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
29Residents 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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
18.0%
13% better than Nebraska averageNebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
18.7%
15% better than Nebraska averageNebraska average: 22.1%
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%
Percent of long-stay residents experiencing one or more falls with major injury
5.9%
31% worse than Nebraska averageNebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
0.9%
79% better than Nebraska averageNebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
0.9%
72% better than Nebraska averageNebraska average: 3.1%
Percent of long-stay residents who lose too much weight
7.1%
30% worse than Nebraska averageNebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Nebraska averageNebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
15.3%
23% better than Nebraska averageNebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.3%
6% better than Nebraska averageNebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.9%
In line with Nebraska averageNebraska average: 96.1%
Number of hospitalizations per 1,000 long-stay resident days.
1.33
26% better than Nebraska averageNebraska average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.73
40% worse than Nebraska averageNebraska average: 1.95
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.8%
8% better than Nebraska averageNebraska average: 80.7%
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.
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.
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
| 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 (Precinct 9) | 47 | 63.6% | -10% | 4.13 | -7% | -7% | 0 | 7 | 2.3 | - | 31 | - | 52 | Kenneth Klaasmeyer | $4.5M | $2.1M | 47.1% | 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 | +19% | -14% | 0 | 12 | 4.0 | - | 30 | - | 59 | Heather Geis | $3.1M | $2.1M | 66.3% | 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 (Platte Valley Precinct) | 66 | 72.4% | +3% | 4.08 | -2% | -8% | 0 | 18 | 4.5 | 1 | 50 | A+ | 43 | - | $5.0M | $3.2M | 63.9% | 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% | - | +26% | - | 0 | 23 | 4.6 | 1 | 36 | - | 38 | Joseph Kezzar | $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 | +15% | -16% | 0 | 29 | 7.3 | 1 | 35 | - | 62 | Kurt Luth | $2.9M | $1.5M | 52.8% | 285294 |
Historical financial and operational data for Accura HealthCare of Tekamah based on CMS SNF Cost Reports.
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Accura HealthCare of Tekamah is in the Tekamah neighborhood of TEKAMAH.
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%.
Administrator Trishtian McNeill is the administrator of Accura HealthCare of Tekamah.
Accura HealthCare of Tekamah has 46 beds.
Yes — there are 6 photos of Accura HealthCare of Tekamah in the photo gallery on this page.
Accura HealthCare of Tekamah is located at 823 M Street.
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