We arrange tours, appointments, and even moving support so you don’t have to
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
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 78th out of 117 homes in Nebraska for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| 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 |
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
| 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.
Nebraska 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
100% better than Nebraska averageNebraska average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
6% fewer staff per resident than Nebraska average
0% compared with Nebraska average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
9 total: 8 full-time employees and 1 contractor.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursAssists with medical care and medications.
All 5 LPN Staff are full-time employees. No contractors work on this role.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursHelps with daily care and mobility.
All 14 CNA Staff are full-time employees. No contractors work on this role.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
547 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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.
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.
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)
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.
Historical financial and operational data for Accura HealthCare of Tekamah based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #89 / 120Payroll — State benchmarkedThis home is ranked 89th 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
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.
Add your location
Accura HealthCare of Tekamah is located in TEKAMAH, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
| Nye Pointe |
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. | Fremont (Laverna Street) | 43
Facility
43
NE AVG
82
Rank
#192 / 228 |
100.0%
Facility
100.0%
NE AVG
70.3%
Rank
#1 / 194 | +42% | 3.95
Facility
3.95
NE AVG
4.45
Rank
#72 / 117 | +25% | -11% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 122 | 8
Facility
8
NE AVG
18.2
Rank
#17 / 122 | 2.7
Facility
2.7
NE AVG
4.2
Rank
#21 / 122 | - | 36 | A+ |
36
Facility
36
NE AVG
46
Rank
#196 / 298 | Russell Peterson | $7.3M
Facility
$7.3M
NE AVG
$7.6M
Rank
#49 / 120 | $2.2M
Facility
$2.2M
NE AVG
$3.5M
Rank
#101 / 120 | 29.5%
Facility
29.5%
NE AVG
49.4%
Rank
#116 / 120 | 285235 | ||||
| Tabitha Nursing and Rehabilitation Center |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Lincoln (Witherbee) | 197
Facility
197
NE AVG
82
Rank
#5 / 228 |
86.3%
Facility
86.3%
NE AVG
70.3%
Rank
#77 / 194 | +23% | 5.76
Facility
5.76
NE AVG
4.45
Rank
#6 / 117 | -20% | +29% | $0
Facility
$0
NE AVG
$38.1k
Rank
#92 / 122 | 18
Facility
18
NE AVG
18.2
Rank
#66 / 122 | 4.5
Facility
4.5
NE AVG
4.2
Rank
#75 / 122 | - | 170 | A+ |
59
Facility
59
NE AVG
46
Rank
#85 / 298 | Tabitha, Inc. | $71.9M
Facility
$71.9M
NE AVG
$7.6M
Rank
#1 / 120 | $39.2M
Facility
$39.2M
NE AVG
$3.5M
Rank
#1 / 120 | 54.5%
Facility
54.5%
NE AVG
49.4%
Rank
#73 / 120 | 285057 | ||||
| Emerald Columbus |
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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Columbus (40Th Avenue) | 145
Facility
145
NE AVG
82
Rank
#25 / 228 |
56.6%
Facility
56.6%
NE AVG
70.3%
Rank
#161 / 194 | -20% | 3.78
Facility
3.78
NE AVG
4.45
Rank
#78 / 117 | -37% | -15% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 122 | 20
Facility
20
NE AVG
18.2
Rank
#75 / 122 | 3.3
Facility
3.3
NE AVG
4.2
Rank
#34 / 122 | - | 82 | A+ |
57
Facility
57
NE AVG
46
Rank
#101 / 298 | Columbus Operations LLC | $11.3M
Facility
$11.3M
NE AVG
$7.6M
Rank
#22 / 120 | $6.1M
Facility
$6.1M
NE AVG
$3.5M
Rank
#22 / 120 | 54%
Facility
54%
NE AVG
49.4%
Rank
#78 / 120 | 285092 | ||||
| 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
Facility
46
NE AVG
82
Rank
#179 / 228 |
56.5%
Facility
56.5%
NE AVG
70.3%
Rank
#162 / 194 | -20% | 3.83
Facility
3.83
NE AVG
4.45
Rank
#78 / 117 | +70% | -14% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 122 | 12
Facility
12
NE AVG
18.2
Rank
#36 / 122 | 4.0
Facility
4.0
NE AVG
4.2
Rank
#50 / 122 | - | 32 | - |
59
Facility
59
NE AVG
46
Rank
#85 / 298 | Heather Geis | $3.1M
Facility
$3.1M
NE AVG
$7.6M
Rank
#107 / 120 | $2.6M
Facility
$2.6M
NE AVG
$3.5M
Rank
#89 / 120 | 81.9%
Facility
81.9%
NE AVG
49.4%
Rank
#5 / 120 | 285118 | ||||
| Astoria Senior Living Omaha | - |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Omaha (Central Omaha) | 157
Facility
157
NE AVG
82
Rank
#19 / 228 | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
38
Facility
38
NE AVG
46
Rank
#192 / 298 | $11.9M
Facility
$11.9M
NE AVG
$7.6M
Rank
#20 / 120 | $6.1M
Facility
$6.1M
NE AVG
$3.5M
Rank
#21 / 120 | 51.7%
Facility
51.7%
NE AVG
49.4%
Rank
#82 / 120 | 285274 |
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 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.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
