Accura Healthcare of Tekamah
823 M Street, Tekamah, NE 68061 · Burt County · 44 certified beds · avg 35 residents/day · certified since Jun 1, 1992
Part of chain: ACCURA HEALTHCARE (41 facilities, chain avg rating 2.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5
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 self-reported quality measures.
All citations in the current public record (15)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 12, 2026 | F · Potential for harm, facility-wide | 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. |
| Feb 12, 2026 | F · Potential for harm, facility-wide | 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. |
| Feb 12, 2026 | E · Potential for harm, repeated | 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. |
| Feb 12, 2026 | E · Potential for harm, repeated | 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. |
| Feb 12, 2026 | E · Potential for harm, repeated | 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. |
| Feb 12, 2026 | E · Potential for harm, repeated | 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. |
| Feb 12, 2026 | E · Potential for harm, repeated | The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both. · from a complaint |
| Feb 12, 2026 | D · Potential for harm, one-off | 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. |
| Feb 12, 2026 | D · Potential for harm, one-off | 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. |
| Oct 31, 2024 | D · Potential for harm, one-off | 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 |
| Oct 31, 2024 | D · Potential for harm, one-off | 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 |
| Oct 31, 2024 | D · Potential for harm, one-off | 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 |
| Oct 31, 2024 | D · Potential for harm, one-off | 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 |
| Sep 14, 2023 | E · Potential for harm, repeated | The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both. |
| Sep 14, 2023 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 9).
| 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)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| 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, 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. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5
Who owns this facility
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 |
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?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
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 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 285118.