How to file a complaint about care →
No fines or payment denials in the published 3-year window.
401 W Darlene Street, Hartington, NE 68739 (opens Google Maps) · Cedar County · (402) 254-3905· 47 certified beds · avg 34 residents/day · certified since Apr 1, 1989 · 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: ★★★★★5/5 · CMS overall rating: 5/5 · 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 6 inspection findings. Open the full record below to read every finding.
The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. F-0881
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
The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. F-0761
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 |
|---|---|---|
| Feb 23, 2026 | D · Potential for more than minimal harm, isolated | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · F-0881 |
| Feb 3, 2025 | 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 |
| Feb 3, 2025 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Jan 31, 2024 | 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 |
| Jan 31, 2024 | 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 31, 2024 | C · Potential for minimal harm, widespread | 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 |
Citations from standard inspections decreased between the last two inspection cycles (2 → 1).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 3 | 0 | F |
| 2025 | 2 | 0 | D |
| 2026 | 1 | 0 | D |
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) | 4.34 | 4.33 | 3.95 | top 47% in Nebraska; top 28% in the U.S. |
| Registered Nurse hours | 1.04 | 0.72 | 0.69 | top 14% in Nebraska; top 14% in the U.S. |
| Weekend total nurse staffing | 3.85 | 3.79 | 3.50 | top 43% in Nebraska; top 28% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.53 | 0.47 | 0.48 | top 31% in Nebraska; top 29% in the U.S. |
| Total nursing staff turnover (%) | 31.4 | 48.7 | 45.8 | top 14% in Nebraska; top 17% in the U.S. |
| RN turnover (%) | 0.0 | 44.1 | 42.9 | top 1% in Nebraska; top 1% 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 3.41, RN 0.82, weekend 3.02.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.41 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
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: 4/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Accura Healthcare of Hartington. 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 |
| 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 | 07/08/2025 |
| Aviv Healthcare Properties Operating Partnership I LP | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Brummer, Heather | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Brummer, Heather | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Bullock, Kelly | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Bullock, Kelly | 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 |
| Kneifl, Jodi | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Kneifl, Jodi | 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 |
Showing 20 of 25 parties CMS has on file for this facility; 5 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 |
|---|---|---|---|---|---|
| Park View Haven Nursing Home | 8.2 mi | Coleridge, NE | ★★★☆☆ | 3/5 | |
| Colonial Manor of Randolph | 17.7 mi | Randolph, NE | ★☆☆☆☆ | 1/5 | |
| Good Samaritan Society - Bloomfield | 19.6 mi | Bloomfield, NE | ★★★☆☆ | 2/5 | |
| Avera Sister James Care Center | 19.8 mi | Yankton, SD | ★★★★★ | 4/5 |
Facility data as of CMS processing date 2026-08-01. CCN 285088.
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