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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D10 | E13 | F16 |
| Minimal | A· | B· | C· |
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 | |
|---|---|---|---|---|---|---|
| Apr 2, 2026 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Apr 2, 2026 | Health | Health Complaint, Health Standard | 4 | Potential harm | — | Open → |
| Jan 6, 2025 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Jan 6, 2025 | Health | Health Complaint, Health Standard | 4 | Potential harm | — | Open → |
| Jan 17, 2024 | Fire safety | Fire Safety Complaint | 1 | Potential harm | — | Open → |
| Jan 17, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 19, 2023 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Dec 19, 2023 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D10 | E13 | F16 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 2, 2026 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 15, 2026 | |
| Apr 2, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 15, 2026 | |
| Apr 2, 2026 | K-0363 |
“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 |
| Sara Francis | 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 |
| Megan Kleinsasser | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2025 |
| Sean Kohl | 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 Franklin 1006 M Street, Franklin, NE 68939 CCN 285096 | 42 |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 285115 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 285115 | 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 corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Apr 15, 2026 |
| Apr 2, 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 Apr 15, 2026 |
| Apr 2, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 10, 2026 | Complaint |
| Apr 2, 2026 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Apr 10, 2026 |
| Apr 2, 2026 | 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 Apr 10, 2026 |
| Apr 2, 2026 | F-0923 | Have enough outside ventilation via a window or mechanical ventilation, or both. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 10, 2026 | Complaint |
| Jan 6, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 20, 2025 |
| Jan 6, 2025 | 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 | E · Potential harm Pattern | Corrected Feb 20, 2025 |
| Jan 6, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 20, 2025 |
| Jan 6, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 20, 2025 |
| Jan 6, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 20, 2025 |
| Jan 6, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 20, 2025 |
| Jan 6, 2025 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 20, 2025 |
| Jan 6, 2025 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 20, 2025 |
| Jan 6, 2025 | 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 Feb 20, 2025 |
| Jan 6, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 20, 2025 | Complaint |
| Jan 6, 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 Feb 20, 2025 |
| Jan 17, 2024 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 8, 2024 | Complaint |
| Jan 17, 2024 | 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 | E · Potential harm Pattern | Corrected Feb 15, 2024 | Complaint |
| Dec 19, 2023 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Feb 2, 2024 |
| Dec 19, 2023 | K-0226 | Have horizontal exits used in accordance with safety requirements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 2, 2024 |
| Dec 19, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 2, 2024 |
| Dec 19, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 2, 2024 |
| Dec 19, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 2, 2024 |
| Dec 19, 2023 | 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 Feb 2, 2024 |
| Dec 19, 2023 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 2, 2024 |
| Dec 19, 2023 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 2, 2024 |
| Dec 19, 2023 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 2, 2024 |
| Dec 19, 2023 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 2, 2024 |
| Dec 19, 2023 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 2, 2024 |
| Dec 19, 2023 | F-0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 2, 2024 |
| Dec 19, 2023 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 2, 2024 |
| Dec 19, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 2, 2024 |
| Dec 19, 2023 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 2, 2024 |
| Dec 19, 2023 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Feb 2, 2024 |
| Dec 19, 2023 | 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 Feb 2, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.81 (case-mix index 1.16).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| May 1, 2025 |
| Ted Leneave | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2025 |
| Carrie Snygg | 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 |
| Ted Leneave | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 1, 2025 |
| Lisa Toti | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 1, 2025 |
| Accura Management Consulting Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2025 |
| Aviv Financing II LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2025 |
| Aviv Healthcare of the Midwest LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 30, 2025 |
| Aviv Healthcare Properties Operating Partnership I LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 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 |
| Brady Allen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2025 |
| Sara Francis | 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 |
| Megan Kleinsasser | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2025 |
| Sean Kohl | 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 |
| Carrie Snygg | 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 |
| Jul 28, 2026 |
36 |
| — |
| Accura Healthcare of O'neill 1102 North Harrison Street, O' Neill, NE 68763 CCN 285108 | 84 | Jun 8, 2026 | 492 harm | $72k |
| 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 | — |