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Accura Healthcare of Fullerton
202 North Esther, Fullerton, NE 68638 (opens Google Maps) · Nance County · (308) 536-2488· 75 certified beds · avg 63 residents/day · certified since Feb 1, 1992 · 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★)
3/5
Health inspection rating (on-site)
inspected Apr 2, 2026
0
Serious findings on record
$0
Fines, last 3 years
3.63
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · 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.
Inspection findings in the public record
Showing the latest 3 of 19 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's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint F-0759
The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. F-0804
View all 19 inspection findingsShow only the latest 3 findings
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 |
|---|---|---|
| Apr 2, 2026 | 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 |
| Apr 2, 2026 | D · Potential for more than minimal harm, isolated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint · F-0759 |
| Apr 2, 2026 | D · Potential for more than minimal harm, isolated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Apr 2, 2026 | D · Potential for more than minimal harm, isolated | The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both. · from a complaint · F-0923 |
| Jan 6, 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 |
| Jan 6, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Jan 6, 2025 | E · Potential for more than minimal harm, pattern | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint · F-0759 |
| Jan 6, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Jan 17, 2024 | E · Potential for more than minimal harm, pattern | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Dec 19, 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 |
| Dec 19, 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 |
| Dec 19, 2023 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Dec 19, 2023 | E · Potential for more than minimal harm, pattern | The facility hired someone with an official finding of abuse, neglect, exploitation, or theft against them. Facilities are not allowed to employ people with such findings. · F-0606 |
| Dec 19, 2023 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580 |
| Dec 19, 2023 | D · Potential for more than minimal harm, isolated | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582 |
| Dec 19, 2023 | D · Potential for more than minimal harm, isolated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · F-0610 |
| Dec 19, 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 |
| Dec 19, 2023 | D · Potential for more than minimal harm, isolated | 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 |
| Dec 19, 2023 | D · Potential for more than minimal harm, isolated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).
All citationsSerious citations (G–L)
2023
All citations: 10
Serious citations (G–L): 0
2024
All citations: 1
Serious citations (G–L): 0
2025
All citations: 4
Serious citations (G–L): 0
2026
All citations: 4
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 10 | 0 | F |
| 2024 | 1 | 0 | E |
| 2025 | 4 | 0 | F |
| 2026 | 4 | 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.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityNebraska averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.63
Nebraska average: 4.33
U.S. average: 3.95
Registered Nurse hours
This facility: 0.33
Nebraska average: 0.72
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.25
Nebraska average: 3.79
U.S. average: 3.50
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) | 3.63 | 4.33 | 3.95 | bottom 24% in Nebraska; bottom 43% in the U.S. |
| Registered Nurse hours | 0.33 | 0.72 | 0.69 | bottom 6% in Nebraska; bottom 13% in the U.S. |
| Weekend total nurse staffing | 3.25 | 3.79 | 3.50 | bottom 26% in Nebraska; bottom 45% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.18 | 0.47 | 0.48 | bottom 5% in Nebraska; bottom 9% in the U.S. |
| Total nursing staff turnover (%) | 41.9 | 48.7 | 45.8 | top 38% in Nebraska; top 41% in the U.S. |
| RN turnover (%) | 71.4 | 44.1 | 42.9 | bottom 18% in Nebraska; bottom 11% in the U.S. |
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 2.93, RN 0.27, weekend 2.63.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.93 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Quality measures: assessments & claims
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: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Accura Healthcare of Fullerton. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
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.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
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 - Corporation
| 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 |
| Aviv Financing II LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Aviv Healthcare of the Midwest LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/30/2025 |
| Aviv Healthcare Properties Operating Partnership I LP | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Francis, Sara | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Francis, Sara | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Glaser, Kristopher | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Glaser, Kristopher | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Kleinsasser, Megan | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Kleinsasser, Megan | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Kohl, Sean | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Kohl, Sean | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Leneave, Ted | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2025 |
| Leneave, Ted | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Leneave, Ted | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Nebraska SNF Facilities, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Ohi Healthcare Properties Limited Partnership | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
Showing 20 of 26 parties CMS has on file for this facility; 6 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
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.
- Accura Healthcare of Hartington — Hartington, NE · overall 5/5
- Accura Healthcare of North Platte — North Platte, NE · overall 4/5
- Accura Healthcare of O'Neill — O' Neill, NE · overall 1/5
- Accura Healthcare of Tekamah — Tekamah, NE · overall 1/5
- Aberdeen Health and Rehab — Aberdeen, SD · overall 1/5
- Faulkton Senior Living — Faulkton, SD · overall 4/5
- Lake Andes Senior Living — Lake Andes, SD · overall 1/5
- Accura Healthcare of Ames, LLC — Ames, IA · overall 3/5
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.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "How is fresh air circulated through the building, and how is the ventilation system maintained?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "How do you screen job applicants for past findings of abuse, neglect, or theft before hiring?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Nebraska midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 42% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 26 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Genoa Community Hospital/Ltc | 13.3 mi | Genoa, NE | ★★☆☆☆ | 3/5 | |
| Cloverlodge Care Center | 15.3 mi | St Edward, NE | ★★★★☆ | 4/5 | |
| Litzenberg Memorial County Hospital | 18.1 mi | Central City, NE | ★★★★☆ | 4/5 | |
| Adept Nursing & Rehab of Central City | 18.2 mi | Central City, NE | ★★☆☆☆ | 2/5 |
Facility data as of CMS processing date 2026-08-01. CCN 285115.