Nursing HomeInspections

Accura Healthcare of O'Neill

Nursing home in O' Neill, NE

Medicare & Medicaid certified1★ overall (CMS)

Call (402) 336-2384Send a messageMap ↗

Public-record details

Address
1102 North Harrison Street, O' Neill, NE 68763
Phone
(402) 336-2384
Listed under
For-profit, No fines in 3 years
Medicare CCN
285108
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
2 of 5
Certified beds
84
Average residents per day
43
Ownership
For-profit, limited Liability company
Legal business name
Accura Healthcare of O'Neill, LLC
Chain
Accura Healthcare (41 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 1, 1991
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 285108. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 6, 2025. CMS lists 29 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 9, 2023 to Jun 8, 2026): 9 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 8, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 8, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 8, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		H
Actual harm, pattern
Feb 26, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
May 6, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
May 6, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights		D
Potential for more than minimal harm, isolated
May 6, 2025Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
May 6, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
May 6, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
May 6, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
May 6, 2025Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service		E
Potential for more than minimal harm, pattern
May 6, 2025Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 29. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.77 hours
Registered nurse (RN) time per resident per day
0.86 hours
Nurse aide time per resident per day
2.55 hours
Total nurse staffing on weekends
3.37 hours
Nursing staff turnover (yearly)
64%
RN turnover (yearly)
44%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.