How to file a complaint about care →

No fines or payment denials in the published 3-year window.

What these staffing numbers mean →

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 3.77, RN 0.86, weekend 3.37.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.77 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

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

Showing 20 of 23 parties CMS has on file for this facility; 3 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 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
• Accura Healthcare of Aurelia, LLC — Aurelia, IA · overall 3/5
• Accura Healthcare of Bancroft — Bancroft, IA · overall 5/5
• Accura Healthcare of Carroll — Carroll, IA · overall 1/5

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.

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

• "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
• "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
• "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
• "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
• "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
• "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
• "Can you show me how medications are stored and secured on the units, including controlled drugs?"
• "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"

Also worth asking anywhere

• "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
• "Can I see the plan of correction for the findings in your most recent state inspection?"
• "CMS reports 64% total nursing staff turnover here — who on the care team has been with you longest?"
• "The ownership record on file lists 23 owning or managing parties — who makes the decisions about staffing levels?"
• "Can I visit again unannounced, at a mealtime or on a weekend?"

Compare this facility with the 1 closest →

Other facilities in the same county

CMS records place this facility in Holt, NE — 3 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

• Parkside Manor — Stuart, NE · overall 5/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in O' Neill →