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No fines or payment denials in the published 3-year window.
1006 M Street, Franklin, NE 68939 (opens Google Maps) · Franklin County · (308) 425-6262· 42 certified beds · avg 33 residents/day · certified since Apr 11, 1990 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: ACCURA HEALTHCARE (41 facilities, chain avg rating 2.5★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Showing the latest 3 of 16 inspection findings. Open the full record below to read every finding.
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. F-0812
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. F-0726
The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. F-0880
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 20, 2025 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Mar 20, 2025 | E · Potential for more than minimal harm, pattern | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726 |
| Mar 20, 2025 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Mar 20, 2025 | D · Potential for more than minimal harm, isolated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623 |
| Mar 20, 2025 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Mar 20, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Feb 29, 2024 | E · Potential for more than minimal harm, pattern | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623 |
| Feb 29, 2024 | D · Potential for more than minimal harm, isolated | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · F-0661 |
| Feb 29, 2024 | D · Potential for more than minimal harm, isolated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Mar 30, 2023 | F · Potential for more than minimal harm, widespread | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801 |
| Mar 30, 2023 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Mar 30, 2023 | F · Potential for more than minimal harm, widespread | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Mar 30, 2023 | E · Potential for more than minimal harm, pattern | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757 |
| Mar 30, 2023 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Mar 30, 2023 | D · Potential for more than minimal harm, isolated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644 |
| Mar 30, 2023 | D · Potential for more than minimal harm, isolated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726 |
Citations from standard inspections increased between the last two inspection cycles (3 → 6).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 0 | F |
| 2024 | 3 | 0 | E |
| 2025 | 6 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Nebraska avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.17 | 4.33 | 3.95 | bottom 7% in Nebraska; bottom 20% in the U.S. |
| Registered Nurse hours | 0.67 | 0.72 | 0.69 | bottom 48% in Nebraska; top 40% in the U.S. |
| Weekend total nurse staffing | 2.76 | 3.79 | 3.50 | bottom 5% in Nebraska; bottom 19% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.42 | 0.47 | 0.48 | top 47% in Nebraska; top 44% in the U.S. |
| Total nursing staff turnover (%) | 70.0 | 48.7 | 45.8 | bottom 10% in Nebraska; bottom 6% in the U.S. |
| RN turnover (%) | — | 44.1 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.75, RN 0.58, weekend 2.39.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.75 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Accura Healthcare of Franklin. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Accura Management Consulting Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Accura Management Consulting Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Allen, Brady | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Allen, Brady | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Avenue94 LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/15/2025 |
| Aviv Financing II LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Aviv Healthcare Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/15/2025 |
| Aviv Healthcare of the Midwest LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/15/2025 |
| Aviv Healthcare Properties Operating Partnership I LP | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Aviv Op Limited Partner LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/15/2025 |
| Glaser, Kristopher | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Glaser, Kristopher | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Grams, Kim | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Grams, Kim | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Kimmons Healthcare Investments LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/15/2025 |
| Kleinsasser, Megan | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Kleinsasser, Megan | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| KTL Enterprises LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/15/2025 |
| Leneave, Ted | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Leneave, Ted | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
Showing 20 of 31 parties CMS has on file for this facility; 11 are not displayed. The full list is in the CMS Ownership dataset.
CMS lists this facility under the chain Accura Healthcare — 41 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 40 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Good Samaritan Society - Colonial Villa | 21.3 mi | Alma, NE | ★★★★☆ | 4/5 | |
| Heritage of Webster County | 23.5 mi | Red Cloud, NE | ★☆☆☆☆ | 1/5 | |
| Sunporch of Smith County | 24.2 mi | Smith Center, KS | ★★★★★ | 5/5 | |
| Bethany Home, INC | 27.5 mi | Minden, NE | ★★☆☆☆ | 2/5 | |
| Phillips County Retirement Center | 30.0 mi | Phillipsburg, KS | ★☆☆☆☆ | 2/5 | |
| Smith Center Health and Rehab | 31.2 mi | Smith Center, KS | ★★★★☆ | 4/5 | |
| Adept Nursing & Rehab of Blue Hill | 31.3 mi | Blue Hill, NE | ★☆☆☆☆ | 1/5 | |
| Holdrege Memorial Homes, INC | 32.0 mi | Holdrege, NE | ★★☆☆☆ | 2/5 | |
| Christian Homes Health Care Center | 33.3 mi | Holdrege, NE | ★☆☆☆☆ | 2/5 | |
| Accura Healthcare of Kenesaw | 39.6 mi | Kenesaw, NE | ★☆☆☆☆ | 1/5 |
Facility data as of CMS processing date 2026-08-01. CCN 285096.
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