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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D13 | E7 | F13 |
| Minimal | A· | B· | C3 |
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.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 28, 2026 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| Jul 28, 2026 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Mar 20, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Mar 20, 2025 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Feb 29, 2024 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Feb 29, 2024 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D13 | E7 | F13 |
| Minimal | A· | B· | C3 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 28, 2026 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 23, 2026 | |
| Jul 28, 2026 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 23, 2026 | |
| Jul 28, 2026 | K-0291 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
44 facilities in 4 states. CMS chain ID 8.
Chain average overall rating (CMS): 2.7
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Accura Management Consulting Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2025 |
| Brady Allen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2025 |
| Kristopher Glaser | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2025 |
| Kim Grams | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2025 |
| Megan Kleinsasser | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2025 |
| Ted Leneave | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Accura Healthcare of Hartington 401 W Darlene Street, Hartington, NE 68739 CCN 285088 | 47 | Feb 23, 2026 | 19 | — | |
| Accura Healthcare of O'neill 1102 North Harrison Street, O' Neill, NE 68763 CCN 285108 | 84 |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 285096 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 285096 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Sep 23, 2026 |
| Jul 28, 2026 | K-0300 | Meet other general requirements that are deficient. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 23, 2026 |
| Jul 28, 2026 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 23, 2026 |
| Jul 28, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 23, 2026 |
| Jul 28, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 23, 2026 |
| Jul 28, 2026 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 23, 2026 |
| Jul 28, 2026 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 23, 2026 |
| Jul 28, 2026 | K-0922 | Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 23, 2026 |
| Jul 28, 2026 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Sep 11, 2026 |
| Jul 28, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 11, 2026 |
| Jul 28, 2026 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Sep 11, 2026 |
| Jul 28, 2026 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Sep 11, 2026 |
| Jul 28, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 11, 2026 |
| Jul 28, 2026 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 11, 2026 |
| Jul 28, 2026 | F-0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 11, 2026 |
| Mar 20, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 4, 2025 |
| Mar 20, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 4, 2025 |
| Mar 20, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 4, 2025 |
| Mar 20, 2025 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 4, 2025 |
| Mar 20, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 4, 2025 |
| Mar 20, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 4, 2025 |
| Mar 20, 2025 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected May 4, 2025 |
| Mar 20, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected May 4, 2025 |
| Mar 20, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 4, 2025 |
| Feb 29, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 14, 2024 |
| Feb 29, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 14, 2024 |
| Feb 29, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 14, 2024 |
| Feb 29, 2024 | K-0922 | Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 14, 2024 |
| Feb 29, 2024 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 14, 2024 |
| Feb 29, 2024 | F-0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 14, 2024 |
| Feb 29, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Apr 14, 2024 |
| Feb 29, 2024 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Apr 14, 2024 |
| Feb 29, 2024 | E-0013 | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Apr 14, 2024 |
| Feb 29, 2024 | E-0029 | Develop a communication plan. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Apr 14, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.39 (case-mix index 1.21).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| May 1, 2025 |
| Linda Mazour | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2025 |
| Deborah Meade | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2025 |
| Lisa Toti | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2025 |
| Accura Management Consulting Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2025 |
| Avenue94 LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 15, 2025 |
| Aviv Financing II LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2025 |
| Aviv Healthcare Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 15, 2025 |
| Aviv Healthcare of the Midwest LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 15, 2025 |
| Aviv Healthcare Properties Operating Partnership I LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2025 |
| Aviv Op Limited Partner LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 15, 2025 |
| Kimmons Healthcare Investments LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 15, 2025 |
| Ktl Enterprises LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 15, 2025 |
| Little River Investments LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 15, 2025 |
| Nebraska SNF Facilities, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2025 |
| Ohi Healthcare Properties Limited Partnership | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2025 |
| Omega Healthcare Investors Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2025 |
| Zrr Opco LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 15, 2025 |
| Brady Allen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2025 |
| Kristopher Glaser | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2025 |
| Kim Grams | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2025 |
| Megan Kleinsasser | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2025 |
| Ted Leneave | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2025 |
| Linda Mazour | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2025 |
| Deborah Meade | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2025 |
| Lisa Toti | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2025 |
| Jun 8, 2026 |
492 harm |
| $72k |
| Accura Healthcare of Fullerton 202 North Esther, Fullerton, NE 68638 CCN 285115 | 75 | Apr 2, 2026 | 39 | — |
| Accura Healthcare of Tekamah 823 M Street, Tekamah, NE 68061 CCN 285118 | 44 | Feb 12, 2026 | 32 | — |
| Accura Healthcare of Neligh 1100 T Street, Neligh, NE 68756 CCN 285124 | 70 | Jul 29, 2026 | 361 open | — |
| Accura Healthcare of North Platte 2900 West E Street, North Platte, NE 69101 CCN 285165 | 71 | Jun 4, 2026 | 29 | — |