Accura HealthCare of Tekamah

Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Tekamah, NE

CMS overall rating

823 M Street, Tekamah, NE 68061 View map

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Accura HealthCare of Tekamah accepts Medicare, Medicaid, and private pay.

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Accura HealthCare of Tekamah accepts Medicare, Medicaid, and private pay.

Overview of Accura HealthCare of Tekamah

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.

Facility Direct Line (402) 374-1414

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Nebraska state averages

Total nursing care / resident

3h 50m per day

This facility Nebraska avg (4h 27m per day)

vs Nebraska avg

-14%

5 of 6 metrics below state avg

Standout metric LPN / LVN is +6% above state avg

Staff type	Hours / Day / Resident	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.	21m per day	▼ 51% 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	▲ 6% 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.	1h 58m per day	▼ 29% State avg: 2h 46m per day · National avg: 2h 20m per day
Weekend Total Nursing 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 40m per day	▼ 26% 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.	1m per day	▼ 65% State avg: 3m per day · National avg: 4m per day
Weekend RN 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.	19m per day	▼ 34% State avg: 29m per day · National avg: 28m per day

Capacity and availability

296 days

46-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 59 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

57%

Lower than the Nebraska average: 70.3%

Occupied beds

26 / 46

Average occupied beds in Nebraska homes 54 beds

Facility TypeNursing Home

CountyBurt

CMS Certification Number285118

Certification TypeCertification

Accura HealthCare of Tekamah is administered by Administrator Trishtian Mcneill.

Owner NameAccura Healthcare Of Tekamah, LLC

Rehabilitation Services

Respite Care

24-Hour Staffing

Fax(402) 374-1601

Pets not allowed

24-Hour Skilled Nursing Care

Respite Care Stays

Life Enrichment Program

Music Therapy Programs

Private Short-Stay Rooms

Private And Semi-Private Long-Term Care Rooms

On-Site Beauty And Barber Shop

Welcoming Common Areas

Community-Wide Wi-Fi

Touring HoursMonday-Friday: 9am-5pm

Since 2011 · 15 years of data 56 deficiencies

Inspection Scorecard This scorecard compares key inspection, deficiency, 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.

Since 2011 vs. Nebraska state average

Overall vs. NE average

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	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

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on May 7, 2025, resulted in issuance of a new skilled nursing facility license with no deficiencies or complaints noted.
The June 5, 2018 complaint investigation found 13 deficiencies including infection control lapses, life safety code violations, emergency lighting failures, and sprinkler system maintenance issues.
Multiple complaint investigations from 2013 to 2017 showed recurring fire safety and environmental maintenance deficiencies, but no substantiated abuse or resident care violations.

Show Inspection Reports

Inspections since 2022

Total health inspections 3

State average 4.3

Last Health inspection on Oct 2024

Total health citations

State average 18.2

Citations per inspection

State 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).

Breakdown of citation severity (last 4 years)

Critical health citations

100% better than State average

State average: 0.2

Serious health citations

100% better than State average

State average: 0.5

0 critical citations State average: 0.2

0 serious citations State average: 0.5

12 moderate citations State average: 17.2

0 minor citations State average: 0.2

Citations history (last 4 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

Total staff 55

Employees 45

Contractors 10

Staff to resident ratio 1.90 : 1

6% fewer staff per resident than Nebraska average

Avg staff/day 16

Average shift 7.5 hours

0% compared with Nebraska average

Total staff hours (quarter) 11,088

Nursing staff breakdown

8.2 hours

9.5 hours

7.3 hours

Contractor staffing

547 contractor hours this quarter

Respiratory Therapy Technician: 3 Physical Therapy Assistant: 2 Qualified Social Worker: 2 Registered Nurse: 1 Physical Therapy Aide: 1 Speech Language Pathologist: 1

Staff by category


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

10 Medication Aide/Technician

% of Days 100%

14 Certified Nursing Assistant

% of Days 100%

5 Licensed Practical Nurse

% of Days 100%

1 Nurse Practitioner

% of Days 74%

1 Administrator

% of Days 70%

9 Registered Nurse

% of Days 57%

1 Mental Health Service Worker

% of Days 68%

1 Dietitian

% of Days 64%

1 RN Director of Nursing

% of Days 68%

1 Physical Therapy Aide

% of Days 70%

1 Speech Language Pathologist

% of Days 47%

3 Respiratory Therapy Technician

% of Days 22%

2 Physical Therapy Assistant

% of Days 34%

1 Occupational Therapy Aide

% of Days 14%

2 Qualified Social Worker

% of Days 15%

1 Occupational Therapy Assistant

% of Days 3%

1 Medical Director

% of Days 3%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 10.1

11% better than Nebraska average

Nebraska average: 11.3

Functional decline score 18.8

20% better than Nebraska average

Nebraska average: 23.3

Long-stay resident measures

Average Nebraska avg: 2.8

Need for Help with Daily Activities Increased 18.0%

13% better than Nebraska average

Nebraska average: 20.8%

Walking Ability Worsened 18.7%

15% better than Nebraska average

Nebraska average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence 19.5%

27% better than Nebraska average

Nebraska average: 26.9%

Falls with Major Injury 5.9%

31% worse than Nebraska average

Nebraska average: 4.5%

High Risk Residents with Pressure Ulcers 0.9%

79% better than Nebraska average

Nebraska average: 4.3%

Urinary Tract Infection 0.9%

72% better than Nebraska average

Nebraska average: 3.1%

Lost Too Much Weight 7.1%

30% worse than Nebraska average

Nebraska average: 5.4%

Depressive Symptoms 0.0%

100% better than Nebraska average

Nebraska average: 4.4%

Antipsychotic Use 15.3%

23% better than Nebraska average

Nebraska average: 19.8%

Pneumococcal Vaccine 98.3%

6% better than Nebraska average

Nebraska average: 93.2%

Influenza Vaccine 93.9%

In line with Nebraska average

Nebraska average: 96.1%

Hospitalizations per 1,000 days 1.33

26% better than Nebraska average

Nebraska average: 1.80

ED visits per 1,000 days 2.73

40% worse than Nebraska average

Nebraska average: 1.95

Short-stay resident measures

Pneumococcal Vaccine 86.8%

8% better than Nebraska average

Nebraska average: 80.7%

Antipsychotic medication increase 0.0%

100% better than Nebraska average

Nebraska average: 2.4%

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

Total residents 29

Medicaid

62.1% of residents

Private pay or other

37.9% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Accura HealthCare of Tekamah from 2011–2024, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 06/2024.

Occupancy Rate 72.0% ↑ 8.2pp vs 2023

Net Patient Income -$363.2K ↓ ~$12.9K vs 2023

Payroll Costs $2.6M ↑ ~$542.5K vs 2023

Operating Margin -11.7% ↓ 0.3pp vs 2023

Metric	2011	2012	2013	2014	2015	2018	2021	2022	2023	2024
Occupancy %	84.9%	81.0%	78.8%	84.7%	87.9%	58.0%	63.1%	63.8%	63.8%	72.0%
Beds	46	46	46	46	46	46	46	46	46	46
Net Income	$181,990	$53,855	-$308,146	-$119,309	-$10,509	$115,229	$201,579	-$279,160	$501,459	-$360,031
Gross Revenue	$3,293,034	$3,054,069	$2,859,153	$3,173,278	$3,257,530	$2,674,810	$2,675,901	$2,699,218	$3,078,435	$3,111,496
Operating Expenses	$2,627,466	$2,669,985	$2,767,566	$2,871,631	$2,801,964	$2,551,461	$2,718,414	$3,063,420	$3,428,686	$3,478,367
Net Patient Income	$151,814	$3,085	-$350,519	-$212,173	-$32,464	-$95,548	-$42,513	-$364,202	-$350,251	-$363,151
Net Patient Revenue	$2,779,280	$2,673,070	$2,417,047	$2,659,458	$2,769,500	$2,455,913	$2,675,901	$2,699,218	$3,078,435	$3,115,216
Payroll Costs	$1,207,075	$1,230,635	$1,328,507	$1,454,829	$1,533,796	$1,528,711	$1,965,464	$1,817,110	$2,007,567	$2,550,081
Operating Margin %	5.5%	0.1%	-14.5%	-8.0%	-1.2%	-3.9%	-1.6%	-13.5%	-11.4%	-11.7%
Medicare %	10.1%	12.1%	8.5%	10.7%	7.3%	15.9%	3.8%	4.7%	5.9%	4.2%
Medicaid %	0.0%	0.0%	0.0%	0.0%	0.0%	59.4%	63.0%	58.7%	65.4%	56.4%
Private %	89.9%	87.9%	91.5%	89.3%	92.7%	24.7%	33.3%	36.6%	28.7%	39.4%
Net Patient Revenue/Day	$195	$196	$183	$187	$188	$252	$253	$252	$287	$257
Cost/Day	$184	$196	$209	$202	$190	$262	$257	$286	$320	$287
Avg Length of Stay	285.1 days	231.1 days	224.1 days	192.3 days	307.6 days	168.0 days	378.2 days	315.1 days	249.3 days	296.0 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Net patient revenue

$3.1M

Net patient income

-$363.2K

For-profit LLC

Net patient revenue

$3.1M

Net patient income

-$363.2K

Other income

$3.1K

Payroll costs

$2.6M 81.9% of net patient revenue

Other operating costs

$928.3K

Total costs

$3.5M

TYPE OF STAY

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.

Coverage residents most often arrive under.

Medicare 29%

Private pay 45%

Medicaid 26%

Coverage residents most often leave under.

Medicare 12%

Private pay 56%

Medicaid 32%

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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Info below is compiled from CMS reports & the NE Dept. of Health & Human Services (DHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.


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Brookestone Acres	NH SNF	Columbus	80 Facility 80 NE AVG 82 Rank #83 / 227	78.8% Facility 78.8% NE AVG 71.3 Rank #84 / 183	+11%	5.07 Facility 5.07 NE AVG 4.45 Rank #21 / 122	-32%	+14%	$0 Facility $0 NE AVG $38.1k Rank #1 / 127	14 Facility 14 NE AVG 18.2 Rank #50 / 125	4.7 Facility 4.7 NE AVG 4.2 Rank #87 / 125	-	63	-	70 Facility 70 NE AVG 46 Rank #44 / 296	Raven Schmid	$9.4MFiscal year ending 06/2024 Facility $9.4MFiscal year ending 06/2024 NE AVG $7.6M Rank #31 / 121	$5.8MFiscal year ending 06/2024 Facility $5.8MFiscal year ending 06/2024 NE AVG $3.5M Rank #24 / 121	61.1%Fiscal year ending 06/2024 Facility 61.1%Fiscal year ending 06/2024 NE AVG 49.4% Rank #53 / 121	285291
Tabitha Nursing Center at Crete	NH RC SNF	Crete	38 Facility 38 NE AVG 82 Rank #199 / 227	94.7% Facility 94.7% NE AVG 71.3 Rank #12 / 183	+33%	4.94 Facility 4.94 NE AVG 4.45 Rank #26 / 122	-22%	+11%	$0 Facility $0 NE AVG $38.1k Rank #1 / 127	8 Facility 8 NE AVG 18.2 Rank #19 / 125	2.7 Facility 2.7 NE AVG 4.2 Rank #22 / 125	-	36	-	73 Facility 73 NE AVG 46 Rank #34 / 296	Brian Shanks	$4.0MFiscal year ending 12/2023 Facility $4.0MFiscal year ending 12/2023 NE AVG $7.6M Rank #94 / 121	$2.6MFiscal year ending 12/2023 Facility $2.6MFiscal year ending 12/2023 NE AVG $3.5M Rank #81 / 121	64.3%Fiscal year ending 12/2023 Facility 64.3%Fiscal year ending 12/2023 NE AVG 49.4% Rank #27 / 121	285283
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Accura HealthCare of Tekamah	NH HOS MC PC RC SNF	Tekamah	46 Facility 46 NE AVG 82 Rank #177 / 227	56.5% Facility 56.5% NE AVG 71.3 Rank #147 / 183	-21%	3.83 Facility 3.83 NE AVG 4.45 Rank #84 / 122	+70%	-14%	$0 Facility $0 NE AVG $38.1k Rank #1 / 127	12 Facility 12 NE AVG 18.2 Rank #40 / 125	4.0 Facility 4.0 NE AVG 4.2 Rank #54 / 125	-	26	-	59 Facility 59 NE AVG 46 Rank #84 / 296	Heather Geis	$3.1MFiscal year ending 06/2024 Facility $3.1MFiscal year ending 06/2024 NE AVG $7.6M Rank #113 / 121	$2.6MFiscal year ending 06/2024 Facility $2.6MFiscal year ending 06/2024 NE AVG $3.5M Rank #97 / 121	81.9%Fiscal year ending 06/2024 Facility 81.9%Fiscal year ending 06/2024 NE AVG 49.4% Rank #3 / 121	285118

Nursing Home Explorer

Is Accura HealthCare of Tekamah in a walkable area?

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.

What is the occupancy rate at Accura HealthCare of Tekamah?

Accura HealthCare of Tekamah's occupancy is 57%.

Are pets allowed at Accura HealthCare of Tekamah?

No, Accura HealthCare of Tekamah has a no-pet policy.

Does Accura HealthCare of Tekamah operate as a for-profit or non-profit?

Accura HealthCare of Tekamah is registered as a for-profit in NE.

Who is the administrator of Accura HealthCare of Tekamah?

Administrator Trishtian McNeill is the administrator of Accura HealthCare of Tekamah.

How many beds does Accura HealthCare of Tekamah have?

Accura HealthCare of Tekamah has 46 beds.

Are there photos of Accura HealthCare of Tekamah?

Yes — there is 1 photo of Accura HealthCare of Tekamah in the photo gallery on this page.

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Accura HealthCare of Tekamah

Overview of Accura HealthCare of Tekamah

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Accura HealthCare of Tekamah

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, 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 Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

10 Medication Aide/Technician

14 Certified Nursing Assistant

5 Licensed Practical Nurse

1 Nurse Practitioner

1 Administrator

9 Registered Nurse

1 Mental Health Service Worker

1 Dietitian

1 RN Director of Nursing

1 Physical Therapy Aide

1 Speech Language Pathologist

3 Respiratory Therapy Technician

2 Physical Therapy Assistant

1 Occupational Therapy Aide

2 Qualified Social Worker

1 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Family Member Group

Nurse Aide Training

CCRC

Active Family Council

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

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