| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D12 | E2 | F15 |
| 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 | |
|---|---|---|---|---|---|---|
| Jun 4, 2026 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Jun 4, 2026 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Apr 3, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Apr 3, 2025 | Health | Health Complaint, Health Standard | 3 | Potential harm | — | Open → |
| Mar 21, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Mar 21, 2024 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D12 | E2 | F15 |
| Minimal | A· | B· | C· |
“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.
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.64 (case-mix index 1.33).
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 |
|---|---|---|---|---|---|
| Aviv Healthcare of the Midwest LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2025 |
| Avenue94 LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2025 |
| Aviv Healthcare Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2025 |
| Kimmons Healthcare Investments LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2025 |
| Ktl Enterprises LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2025 |
| Little River Investments LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2025 |
| Zrr Opco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2025 |
| Brady Allen | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2025 |
| Megan Kleinsasser | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2025 |
| Ted Leneave | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2025 |
| Lisa Toti | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Aviv Healthcare of the Midwest LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2025 |
| Avenue94 LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2025 |
| Aviv Healthcare Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2025 |
| Kimmons Healthcare Investments LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2025 |
| Ktl Enterprises LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2025 |
| Little River Investments LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2025 |
| Zrr Opco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2025 |
| Brady Allen | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2025 |
| Megan Kleinsasser | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2025 |
| Ted Leneave | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2025 |
| Lisa Toti | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2025 |
| Ted Leneave | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 1, 2025 |
| Accura Management Consulting Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2025 |
| Brady Allen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2025 |
| Kirsten Arrowsmith | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2025 |
| Kristopher Glaser | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2025 |
| Megan Kleinsasser | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2025 |
| Ted Leneave | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2025 |
| Jon Swanson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2025 |
| Lisa Toti | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2025 |
| Braidyn Vierra | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2025 |
| Accura Management Consulting Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| Aviv Financing II LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| Aviv Healthcare of the Midwest LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 12, 2025 |
| Aviv Healthcare Properties Operating Partnership I LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| Iowa Lincoln County Property LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| Ohi Healthcare Properties Limited Partnership | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| Omega Healthcare Investors Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| Brady Allen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| Kirsten Arrowsmith | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| Kristopher Glaser | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2024 |
| Megan Kleinsasser | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| Ted Leneave | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| Jon Swanson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| Lisa Toti | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| Braidyn Vierra | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| 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 | 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 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 | — |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Linden Court 4000 West Philip Avenue, North Platte, NE 69101 CCN 285083 | 0.9 km | 135 | Apr 16, 2026 | 271 IJ | $14k | |
| Adept Nursing & Rehab of North Platte 510 Centennial Circle, North Platte, NE 69101 CCN 285094 | 2.7 km | 94 | Jul 27, 2026 | 461 IJ1 harm | $44k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 285165 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 285165 | 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