# Accura Healthcare of Kenesaw

Accura Healthcare of Kenesaw is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Kenesaw, NE, CMS Certification Number 285166, with 76 certified beds and about 60 residents per day. CMS rates it 1/5 overall (health inspections 1/5, staffing 2/5, quality measures 4/5).

## Key facts
- Status: Active CMS certification
- Address: 100 West Elm Avenue, Kenesaw, NE 68956 (Adams County)
- Ownership type: For profit - Corporation

- Operator (legal business name): not published
- CMS chain: not part of a CMS-reported chain

- Phone: 4027523212
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/285166

## Inspection record
11 inspections in the CMS window (latest 2026-07-01); 44 citations (30 health, 14 fire safety); 1 at actual harm and 2 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2026-07-01 — [F-0584](https://carefield.site/deficiency/cms-f0584) 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. — scope/severity J (Immediate jeopardy to resident health or safety); Corrected; complaint survey
- 2025-03-18 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity J (Immediate jeopardy to resident health or safety); Corrected; complaint survey
- 2026-02-17 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey
- 2026-02-17 — [F-0550](https://carefield.site/deficiency/cms-f0550) Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-02-17 — [F-0600](https://carefield.site/deficiency/cms-f0600) Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-02-17 — [F-0759](https://carefield.site/deficiency/cms-f0759) Ensure medication error rates are not 5 percent or greater. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-08-26 — [F-0559](https://carefield.site/deficiency/cms-f0559) Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-08-26 — [F-0607](https://carefield.site/deficiency/cms-f0607) Develop and implement policies and procedures to prevent abuse, neglect, and theft. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-08-26 — [F-0641](https://carefield.site/deficiency/cms-f0641) Ensure each resident receives an accurate assessment. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-08-26 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-08-26 — [F-0712](https://carefield.site/deficiency/cms-f0712) Ensure that the resident and his/her doctor meet face-to-face at all required visits. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-08-26 — [F-0759](https://carefield.site/deficiency/cms-f0759) Ensure medication error rates are not 5 percent or greater. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-08-26 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2025-08-26 — [F-0881](https://carefield.site/deficiency/cms-f0881) Implement a program that monitors antibiotic use. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2025-03-18 — [F-0712](https://carefield.site/deficiency/cms-f0712) Ensure that the resident and his/her doctor meet face-to-face at all required visits. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2024-08-01 — [K-0321](https://carefield.site/deficiency/cms-k0321) Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-08-01 — [K-0345](https://carefield.site/deficiency/cms-k0345) Have approved installation, maintenance and testing program for fire alarm systems. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-08-01 — [K-0500](https://carefield.site/deficiency/cms-k0500) Meet other general requirements that are deficient. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2024-08-01 — [K-0712](https://carefield.site/deficiency/cms-k0712) Have simulated fire drills held at unexpected times. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-08-01 — [K-0921](https://carefield.site/deficiency/cms-k0921) Ensure that testing and maintenance of electrical equipment is performed. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- …and 24 more on the source page.

## Penalties
- 2026-07-01 — Civil money penalty (fine): $26,810
- 2026-02-17 — Denial of payment for new admissions (40 days)
- 2026-02-17 — Civil money penalty (fine): $37,076
- 2025-08-26 — Denial of payment for new admissions (5 days)
- 2025-03-18 — Civil money penalty (fine): $8,089

## Staffing (PBJ, hours per resident per day)
- Total nurse: 3.06752 (state avg 4.12348, US 3.90085)
- RN: 0.31054
- Nursing staff turnover: 57.1%

## Sources
- 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=285166&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=285166&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=285166&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=285166&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=285166&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=285166&conditions%5B0%5D%5Boperator%5D=%3D

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Source page: https://carefield.site/facility/cms-285166 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.