All states › Nebraska › Kenesaw › Accura HealthCare of Kenesaw
100 West Elm Avenue Kenesaw, NE 68956 · Adams County
CMS certification number 285166 · See this home on Medicare Care Compare
Is Accura HealthCare of Kenesaw a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Accura HealthCare of Kenesaw as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Nebraska average of 2.9.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.07 hours per resident per day at Accura HealthCare of Kenesaw, below the Nebraska median of 3.99 (US median: 3.72). About 0.31 of those hours are from registered nurses. On weekends it falls to 2.72 hours, 11% below its all-week average. 57.1% of nursing staff left within a year (Nebraska median 47.6%).
About this nursing home
Paying for care at Accura HealthCare of Kenesaw: Medicare and Medicaid
Accura HealthCare of Kenesaw is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Nebraska's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 26, 2025 and found 6 deficiencies, plus 7 from complaint inspections in the same period. In total, inspectors issued 30 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 30 citations at Accura HealthCare of Kenesaw across 7 inspection dates, 10 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on July 1, 2026 (complaint inspection). The most common areas cited were quality of life and care (8) and resident rights (5). The most serious was cited under the CMS rule to "honor 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" (tag F0584, level J, July 1, 2026). 2 citations were under CMS's abuse, neglect and exploitation rules.
July 1, 2026 · 1 citation · includes complaint inspection
JHonor 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.
February 17, 2026 · 4 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DEnsure medication error rates are not 5 percent or greater.
August 26, 2025 · 8 citations · includes complaint inspection
FDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
FProvide and implement an infection prevention and control program.
FImplement a program that monitors antibiotic use.
DHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
DEnsure each resident receives an accurate assessment.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure that the resident and his/her doctor meet face-to-face at all required visits.
DEnsure medication error rates are not 5 percent or greater.
March 18, 2025 · 2 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure that the resident and his/her doctor meet face-to-face at all required visits.
August 1, 2024 · 5 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DEnsure each resident receives an accurate assessment.
DProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
June 25, 2024 · 1 citation · includes complaint inspection
EHonor 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.
August 24, 2023 · 9 citations
FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FProvide and implement an infection prevention and control program.
EImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Questions to ask on a tour of Accura HealthCare of Kenesaw
- Inspectors cited the home at the immediate-jeopardy level on July 1, 2026 under the rule on resident rights. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on February 17, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
5 penalties in the last three years, including $71,975 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jul 1, 2026 | Fine | $26,810 |
| Feb 17, 2026 | Fine | $37,076 |
| Feb 17, 2026 | Payment Denial | 40 days of payments denied |
| Aug 26, 2025 | Payment Denial | 5 days of payments denied |
| Mar 18, 2025 | Fine | $8,089 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 2/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 4/5 |
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Location
Hospitals near Accura HealthCare of Kenesaw
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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14.4 mi
Mary Lanning Memorial Hospital HastingsEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 1h 56m for patients treated and sent home
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17.3 mi
Kearney County Health Services Hospital MindenEmergency roomMedian ER visit 2h 5m for patients treated and sent home
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23.0 mi
Good Samaritan Hospital KearneyEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 18m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.