{"schema_version":"1.0.0","facility":{"id":"cms-285118","ccn":"285118","name":"Accura Healthcare of Tekamah","source_name":"Accura HealthCare of Tekamah","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"NE","address":{"line1":"823 M Street","city":"Tekamah","state":"NE","zip":"68061","county_name":"Burt County","county_fips":"31021","county_method":"name_match","ssa_county_code":"100","urban":false},"location":{"lat":41.7781,"lon":-96.214,"method":"cms_published_coordinates"},"phone":"4023741414","certification":{"authority":"CMS","ccn":"285118","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1992-06-01","certified_beds":44,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/285118"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":44,"avg_residents_per_day":36.2},"ownership_type":"For profit - Corporation","ownership_class":"for_profit","legal_business_name":"ACCURA HEALTHCARE OF TEKAMAH, LLC","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":2},"health_inspection":{"value":2},"quality_measures":{"value":3},"long_stay_qm":{"value":3},"short_stay_qm":{"value":2},"staffing":{"value":2},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":1.99807,"lpn_hprd":0.50434,"rn_hprd":0.49288,"licensed_hprd":0.99722,"total_nurse_hprd":2.9953,"weekend_total_nurse_hprd":2.63764,"weekend_rn_hprd":0.35617,"pt_hprd":0.02791,"nursing_turnover_pct":58.1,"rn_turnover_pct":87.5,"administrators_left":1,"case_mix_index":1.21162,"case_mix_index_ratio":0.85915,"case_mix_total_nurse_hprd":3.35143,"adjusted_total_nurse_hprd":3.45898,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-02-12","cycle1_deficiencies":9,"cycle1_score":80,"cycle2_date":"2024-10-31","cycle23_deficiencies":4,"cycle23_score":16,"total_weighted_score":64},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"chain":{"id":"cms-chain-8","cms_chain_id":"8","name":"ACCURA HEALTHCARE"},"operator_id":"op-accura-healthcare-of-tekamah-llc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/285118","provenance":[{"source_id":"cms_provider_info","source_record_id":"285118","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=285118&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"285118","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=285118&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":6,"health_count":3,"fire_count":3,"complaint_count":2,"latest_date":"2026-02-12","latest_standard_health":"2026-02-12","earliest_date":"2023-09-14","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":32,"health_count":15,"fire_count":17,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":5,"by_severity":{"potential":32},"by_scope_severity":{"F":15,"D":8,"E":9},"by_concept":{"environment_life_safety":18,"staffing":3,"resident_rights":2,"clinical_care":5,"infection_prevention":2,"medication":1,"emergency_preparedness":1},"type_ids":["cms-k0353","cms-k0712","cms-k0761","cms-k0921","cms-k0291","cms-f0727","cms-f0947","cms-f0605","cms-f0656","cms-f0695","cms-f0880","cms-f0923","cms-f0610","cms-f0657","cms-k0321","cms-k0922","cms-f0758","cms-e0006","cms-k0345","cms-k0355","cms-k0920","cms-f0637"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":25,"organizations":7,"individuals":17,"not_available":false}},"row":{"id":"cms-285118","ccn":"285118","name":"Accura Healthcare of Tekamah","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"NE","city":"Tekamah","zip":"68061","county_fips":"31021","county_name":"Burt County","address":"823 M Street","beds":44,"residents":36.2,"ownership":"for_profit","operator_id":"op-accura-healthcare-of-tekamah-llc","operator_name":"Accura Healthcare of Tekamah, LLC","chain_id":"cms-chain-8","chain_name":"Accura Healthcare","lat":41.7781,"lon":-96.214,"overall":2,"health_rating":2,"staffing_rating":2,"qm_rating":3,"nurse_hprd":3,"turnover":58.1,"inspections":6,"last_inspection":"2026-02-12","deficiencies":32,"serious":0,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-k0353","cms-k0712","cms-k0761","cms-k0921","cms-k0291","cms-f0727","cms-f0947","cms-f0605","cms-f0656","cms-f0695","cms-f0880","cms-f0923","cms-f0610","cms-f0657","cms-k0321","cms-k0922","cms-f0758","cms-e0006","cms-k0345","cms-k0355","cms-k0920","cms-f0637"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-accura-healthcare-of-tekamah-llc","name":"Accura Healthcare of Tekamah, LLC","legal_name":"ACCURA HEALTHCARE OF TEKAMAH, LLC","facility_count":1,"states":["NE"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-8","name":"Accura Healthcare","cms_chain_id":"8","facility_count":44,"states":["IA","MN","NE","SD"],"cms_reported":{"facility_count":44,"avg_overall_rating":2.7,"avg_health_inspection_rating":2.6,"avg_staffing_rating":3.5,"avg_qm_rating":2.8}},"ownership":[{"owner_id":"org-accura-management-consulting-services-llc","owner_type":"organization","owner_name":"Accura Management Consulting Services LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-01"},{"owner_type":"individual","owner_name":"Brady Allen","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-01","owner_name_raw":"ALLEN, BRADY"},{"owner_type":"individual","owner_name":"Kristopher Glaser","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-01","owner_name_raw":"GLASER, KRISTOPHER"},{"owner_type":"individual","owner_name":"Megan Kleinsasser","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-01","owner_name_raw":"KLEINSASSER, MEGAN"},{"owner_type":"individual","owner_name":"Ted Leneave","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-01","owner_name_raw":"LENEAVE, TED"},{"owner_type":"individual","owner_name":"Trishtian Mcneill","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-01","owner_name_raw":"MCNEILL, TRISHTIAN"},{"owner_type":"individual","owner_name":"Shayla Risch","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-01","owner_name_raw":"RISCH, SHAYLA"},{"owner_type":"individual","owner_name":"Arif Sattar","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-01","owner_name_raw":"SATTAR, ARIF"},{"owner_type":"individual","owner_name":"Lisa Toti","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-01","owner_name_raw":"TOTI, LISA"},{"owner_type":"individual","owner_name":"Ted Leneave","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-01","owner_name_raw":"LENEAVE, TED"},{"owner_id":"org-accura-management-consulting-services-llc","owner_type":"organization","owner_name":"Accura Management Consulting Services LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-01"},{"owner_id":"org-aviv-financing-ii-llc","owner_type":"organization","owner_name":"Aviv Financing II LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-01"},{"owner_id":"org-aviv-healthcare-of-the-midwest-llc","owner_type":"organization","owner_name":"Aviv Healthcare of the Midwest LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-08-07"},{"owner_id":"org-aviv-healthcare-properties-operating-partnership-i-lp","owner_type":"organization","owner_name":"Aviv Healthcare Properties Operating Partnership I LP","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-01"},{"owner_id":"org-nebraska-snf-facilities-llc","owner_type":"organization","owner_name":"Nebraska SNF Facilities, LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-01"},{"owner_id":"org-ohi-healthcare-properties-limited-partnership","owner_type":"organization","owner_name":"Ohi Healthcare Properties Limited Partnership","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-01"},{"owner_id":"org-omega-healthcare-investors-inc","owner_type":"organization","owner_name":"Omega Healthcare Investors Inc","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-01"},{"owner_type":"individual","owner_name":"Brady Allen","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-01","owner_name_raw":"ALLEN, BRADY"},{"owner_type":"individual","owner_name":"Kristopher Glaser","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-01","owner_name_raw":"GLASER, KRISTOPHER"},{"owner_type":"individual","owner_name":"Megan Kleinsasser","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-01","owner_name_raw":"KLEINSASSER, MEGAN"},{"owner_type":"individual","owner_name":"Ted Leneave","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-01","owner_name_raw":"LENEAVE, TED"},{"owner_type":"individual","owner_name":"Trishtian Mcneill","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-01","owner_name_raw":"MCNEILL, TRISHTIAN"},{"owner_type":"individual","owner_name":"Shayla Risch","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-01","owner_name_raw":"RISCH, SHAYLA"},{"owner_type":"individual","owner_name":"Arif Sattar","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-01","owner_name_raw":"SATTAR, ARIF"},{"owner_type":"individual","owner_name":"Lisa Toti","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-01","owner_name_raw":"TOTI, LISA"}],"inspections":[{"id":"cms-285118-20260212-fire","ccn":"285118","date":"2026-02-12","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0291","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-03","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2026-03-03","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2026-03-03","std":1,"tv":"New"},{"t":"cms-k0761","ss":"F","sl":2,"cs":"corrected","cd":"2026-03-03","std":1,"tv":"New"},{"t":"cms-k0921","ss":"F","sl":2,"cs":"corrected","cd":"2026-03-03","std":1,"tv":"New"}]},{"id":"cms-285118-20260212-health","ccn":"285118","date":"2026-02-12","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":9,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0605","ss":"E","sl":2,"cs":"corrected","cd":"2026-03-03","std":1},{"t":"cms-f0610","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-03","std":1},{"t":"cms-f0656","ss":"E","sl":2,"cs":"corrected","cd":"2026-03-03","std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-03","std":1},{"t":"cms-f0695","ss":"E","sl":2,"cs":"corrected","cd":"2026-03-03","std":1},{"t":"cms-f0727","ss":"F","sl":2,"cs":"corrected","cd":"2026-03-03","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2026-03-03","std":1},{"t":"cms-f0923","ss":"E","sl":2,"cs":"corrected","cd":"2026-03-03","cmp":1,"std":1},{"t":"cms-f0947","ss":"F","sl":2,"cs":"corrected","cd":"2026-03-03","std":1}]},{"id":"cms-285118-20241031-fire","ccn":"285118","date":"2024-10-31","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2024-12-06","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2024-12-06","std":1,"tv":"New"},{"t":"cms-k0921","ss":"F","sl":2,"cs":"corrected","cd":"2024-12-06","std":1,"tv":"New"},{"t":"cms-k0922","ss":"E","sl":2,"cs":"corrected","cd":"2024-12-06","std":1,"tv":"New"}]},{"id":"cms-285118-20241031-health","ccn":"285118","date":"2024-10-31","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-15","cmp":1,"std":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-15","cmp":1,"std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-15","cmp":1,"std":1},{"t":"cms-f0947","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-15","cmp":1,"std":1}]},{"id":"cms-285118-20230914-fire","ccn":"285118","date":"2023-09-14","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":8,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0006","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-15","std":1,"tv":"New"},{"t":"cms-k0291","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-23","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-23","std":1,"tv":"New"},{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-23","std":1,"tv":"New"},{"t":"cms-k0355","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-23","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-23","std":1,"tv":"New"},{"t":"cms-k0920","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-23","std":1,"tv":"New"},{"t":"cms-k0921","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-23","std":1,"tv":"New"}]},{"id":"cms-285118-20230914-health","ccn":"285118","date":"2023-09-14","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0637","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-15","std":1},{"t":"cms-f0923","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-15","std":1}]}],"deficiency_types":{"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0712":{"code":"K-0712","title":"Have simulated fire drills held at unexpected times.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0761":{"code":"K-0761","title":"To conduct inspection, testing and maintenance of fire doors by qualified individuals.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0921":{"code":"K-0921","title":"Ensure that testing and maintenance of electrical equipment is performed.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0291":{"code":"K-0291","title":"Install emergency lighting that can last at least 1 1/2 hours.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0727":{"code":"F-0727","title":"Have a registered nurse on duty 8 hours a day; and  select a registered nurse to be the director of nurses on a full time basis.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0947":{"code":"F-0947","title":"Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0605":{"code":"F-0605","title":"Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0656":{"code":"F-0656","title":"Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0695":{"code":"F-0695","title":"Provide safe and appropriate respiratory care for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0923":{"code":"F-0923","title":"Have enough outside ventilation via a window or mechanical ventilation, or both.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0610":{"code":"F-0610","title":"Respond appropriately to all alleged violations.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0657":{"code":"F-0657","title":"Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0321":{"code":"K-0321","title":"Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0922":{"code":"K-0922","title":"Meet requirements for the use and maintenance of medical gas equipment.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0758":{"code":"F-0758","title":"Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-e0006":{"code":"E-0006","title":"Conduct risk assessment and an All-Hazards approach.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0345":{"code":"K-0345","title":"Have approved installation, maintenance and testing program for fire alarm systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0355":{"code":"K-0355","title":"Properly select, install, inspect, or maintain portable fire extinguishes.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0920":{"code":"K-0920","title":"Ensure proper usage of power strips and extension cords.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0637":{"code":"F-0637","title":"Assess the resident when there is a significant change in condition","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"}},"penalties":[],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=285118&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=285118&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=285118&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=285118&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=285118&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=285118&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"NE","overall_rating":2.9,"health_inspection_rating":2.8,"qm_rating":3.2,"staffing_rating":3.3,"avg_residents_per_day":55.2,"cycle1_health_deficiencies":7.6,"cycle1_fire_deficiencies":5.4,"nurse_aide_hprd":2.75,"lpn_hprd":0.68,"rn_hprd":0.69285,"licensed_hprd":1.38,"total_nurse_hprd":4.12348,"weekend_total_nurse_hprd":3.56548,"weekend_rn_hprd":0.48,"pt_hprd":0.05,"nursing_turnover_pct":48.5,"rn_turnover_pct":43.5,"administrators_left":0.5,"case_mix_index":1.28233,"fines":0.4,"fine_amount":12761,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"NE","name":"Nebraska"},"county":{"fips":"31021","name":"Burt County"},"zip":"68061","city":"Tekamah"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-285088","ccn":"285088","name":"Accura Healthcare of Hartington","address":"401 W Darlene Street","city":"Hartington","state":"NE","zip":"68739","beds":47,"overall":5,"inspections":6,"last_inspection":"2026-02-23","deficiencies":19,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-285096","ccn":"285096","name":"Accura Healthcare of Franklin","address":"1006 M Street","city":"Franklin","state":"NE","zip":"68939","beds":42,"overall":2,"inspections":6,"last_inspection":"2026-07-28","deficiencies":36,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-285108","ccn":"285108","name":"Accura Healthcare of O'neill","address":"1102 North Harrison Street","city":"O' Neill","state":"NE","zip":"68763","beds":84,"overall":1,"inspections":9,"last_inspection":"2026-06-08","deficiencies":49,"serious":2,"ij":0,"open":0,"fines_total":71750,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-285115","ccn":"285115","name":"Accura Healthcare of Fullerton","address":"202 North Esther","city":"Fullerton","state":"NE","zip":"68638","beds":75,"overall":3,"inspections":8,"last_inspection":"2026-04-02","deficiencies":39,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-285124","ccn":"285124","name":"Accura Healthcare of Neligh","address":"1100 T Street","city":"Neligh","state":"NE","zip":"68756","beds":70,"overall":1,"inspections":7,"last_inspection":"2026-07-29","deficiencies":36,"serious":0,"ij":0,"open":1,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-285165","ccn":"285165","name":"Accura Healthcare of North Platte","address":"2900 West E Street","city":"North Platte","state":"NE","zip":"69101","beds":71,"overall":4,"inspections":6,"last_inspection":"2026-06-04","deficiencies":29,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":43,"same_site_review":[],"nearby":[]}}