Nursing HomeInspections

Accura HealthCare of Kenesaw

Nursing home in Kenesaw, NE

Medicare & Medicaid certified1★ overall (CMS)

Call (402) 752-3212Send a messageMap ↗

Public-record details

Address
100 West Elm Avenue, Kenesaw, NE 68956
Phone
(402) 752-3212
Listed under
For-profit
Medicare CCN
285166
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
76
Average residents per day
65
Ownership
For-profit, corporation
Legal business name
Legal Business Name Not Available
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 17, 1995
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 285166. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 26, 2025. CMS lists 30 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 24, 2023 to Jul 1, 2026): 14 from complaint inspections, 3 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Jul 1, 2026Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights · complaint inspection		J
Immediate jeopardy, isolated
Feb 17, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 17, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 17, 2026Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 17, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Aug 26, 2025Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 26, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Aug 26, 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		D
Potential for more than minimal harm, isolated
Aug 26, 2025Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services		D
Potential for more than minimal harm, isolated
Aug 26, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Aug 26, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		F
Potential for more than minimal harm, widespread
Aug 26, 2025Provide and implement an infection prevention and control program.
Infection Control		F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 30. 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 3 fines totalling $71,975 and 2 denials of Medicare payment for new admissions in the last three years.

Jul 1, 2026Fine: $26,810
Feb 17, 2026Fine: $37,076
Feb 17, 2026Payment denial for 40 days from Mar 11, 2026
Aug 26, 2025Payment denial for 5 days from Sep 25, 2025
Mar 18, 2025Fine: $8,089

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
2.86 hours
Registered nurse (RN) time per resident per day
0.41 hours
Nurse aide time per resident per day
1.90 hours
Total nurse staffing on weekends
2.57 hours
Nursing staff turnover (yearly)
48%
RN turnover (yearly)
83%
Administrators who left in the past year
1

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.