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Accura Healthcare of Tekamah
823 M Street, Tekamah, NE 68061 (opens Google Maps) · Burt County · (402) 374-1414· 44 certified beds · avg 35 residents/day · certified since Jun 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★)
2/5
Health inspection rating (on-site)
inspected Feb 12, 2026
0
Serious findings on record
$0
Fines, last 3 years
3.26
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: ★★☆☆☆2/5 · CMS overall rating: 1/5 · 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 15 inspection findings. Open the full record below to read every finding.
The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. F-0727
The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. F-0947
The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. F-0605
View all 15 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 |
|---|---|---|
| Feb 12, 2026 | F · Potential for more than minimal harm, widespread | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · F-0727 |
| Feb 12, 2026 | F · Potential for more than minimal harm, widespread | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · F-0947 |
| Feb 12, 2026 | E · Potential for more than minimal harm, pattern | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605 |
| Feb 12, 2026 | E · Potential for more than minimal harm, pattern | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Feb 12, 2026 | E · Potential for more than minimal harm, pattern | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Feb 12, 2026 | 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 |
| Feb 12, 2026 | E · Potential for more than minimal harm, pattern | The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both. · from a complaint · F-0923 |
| Feb 12, 2026 | 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 |
| Feb 12, 2026 | D · Potential for more than minimal harm, isolated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
| Oct 31, 2024 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656 |
| Oct 31, 2024 | 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. · from a complaint · F-0758 |
| Oct 31, 2024 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0880 |
| Oct 31, 2024 | D · Potential for more than minimal harm, isolated | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · from a complaint · F-0947 |
| Sep 14, 2023 | E · Potential for more than minimal harm, pattern | The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both. · F-0923 |
| Sep 14, 2023 | D · Potential for more than minimal harm, isolated | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. · F-0637 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 9).
All citationsSerious citations (G–L)
2023
All citations: 2
Serious citations (G–L): 0
2024
All citations: 4
Serious citations (G–L): 0
2026
All citations: 9
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 | 2 | 0 | E |
| 2024 | 4 | 0 | D |
| 2026 | 9 | 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: 3.26
Nebraska average: 4.33
U.S. average: 3.95
Registered Nurse hours
This facility: 0.42
Nebraska average: 0.72
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.95
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) | 3.26 | 4.33 | 3.95 | bottom 9% in Nebraska; bottom 25% in the U.S. |
| Registered Nurse hours | 0.42 | 0.72 | 0.69 | bottom 18% in Nebraska; bottom 25% in the U.S. |
| Weekend total nurse staffing | 2.95 | 3.79 | 3.50 | bottom 12% in Nebraska; bottom 28% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.34 | 0.47 | 0.48 | bottom 35% in Nebraska; bottom 41% in the U.S. |
| Total nursing staff turnover (%) | 51.6 | 48.7 | 45.8 | bottom 41% in Nebraska; bottom 33% in the U.S. |
| RN turnover (%) | 77.8 | 44.1 | 42.9 | bottom 16% in Nebraska; bottom 7% 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 2.91, RN 0.37, weekend 2.63.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.91 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
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: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Accura Healthcare of Tekamah. 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 | 08/07/2025 |
| Aviv Healthcare Properties Operating Partnership I LP | Organization | 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 |
| 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 |
| McNeill, Trishtian | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| McNeill, Trishtian | 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 |
| Omega Healthcare Investors INC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Risch, Shayla | Individual | Operational/Managerial Control | 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.
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.
- 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
- Accura Healthcare of Cascade LLC — Cascade, IA · overall 2/5abuse
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.
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How is fresh air circulated through the building, and how is the ventilation system maintained?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
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 52% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 25 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 |
|---|---|---|---|---|---|
| Oakland Heights | 13.2 mi | Oakland, NE | ★★★★★ | 5/5 | |
| Good Shepherd Lutheran Home | 16.1 mi | Blair, NE | ★☆☆☆☆ | 1/5 | |
| Crowell Memorial Home | 16.6 mi | Blair, NE | ★☆☆☆☆ | 2/5 | |
| Accura Healthcare of Onawa | 18.7 mi | Onawa, IA | ★★☆☆☆ | 2/5 |
Facility data as of CMS processing date 2026-08-01. CCN 285118.