facebook tracking Accura Healthcare of O'Neill, O' Neill NE: CMS Ratings
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Accura Healthcare of O'Neill

All states › Nebraska › O' Neill › Accura Healthcare of O'Neill

1102 North Harrison Street O' Neill, NE 68763 · Holt County

(402) 336-2384

Accepts Medicare Accepts Medicaid 84 certified beds For profit

CMS certification number 285108 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Accura Healthcare of O'Neill 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 O'Neill as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Nebraska average of 2.9. Inspectors issued 35 citations in the last three years. CMS imposed 2 penalties, including $71,750 in fines, in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 2 out of 5.

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 3.74 hours per resident per day at Accura Healthcare of O'Neill, below the Nebraska median of 3.99 (US median: 3.72). About 0.68 of those hours are from registered nurses. On weekends it falls to 3.15 hours, 16% below its all-week average. Ask how weekends are staffed. 65.6% of nursing staff left within a year (Nebraska median 47.6%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.

Nursing care per resident per day 3.74 hours
Below the Nebraska median of 3.99 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.68 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.15 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 65.6% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 33.3% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds84
Residents per day 44 About 53% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceAugust 1991
Part of a chainAccura Healthcare
Legal business nameACCURA HEALTHCARE OF O'NEILL, LLC

Paying for care at Accura Healthcare of O'Neill: Medicare and Medicaid

Accura Healthcare of O'Neill 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 June 8, 2026 and found 13 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 35 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 35 citations at Accura Healthcare of O'Neill across 6 inspection dates, 9 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on June 8, 2026. The most common areas cited were freedom from abuse, neglect, and exploitation (6) and infection control (6). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level H, June 8, 2026). 6 citations were under CMS's abuse, neglect and exploitation rules.

June 8, 2026 · 16 citations · includes complaint inspection

HProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Actual harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Jul 13, 2026)

GProvide enough food/fluids to maintain a resident's health.

Actual harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (Jul 13, 2026)

FHave a plan that describes the process for conducting QAPI and QAA activities.

Potential for more than minimal harm · Administration Deficiencies · Tag F0865 · Deficient, Provider has date of correction (Jul 13, 2026)

EEnsure that residents are fully informed and understand their health status, care and treatments.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0552 · Deficient, Provider has date of correction (Jul 13, 2026)

EEnsure 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 locked compartments, separately locked, compartments for controlled drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jul 13, 2026)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jul 13, 2026)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jul 13, 2026)

EImplement a program that monitors antibiotic use.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0881 · Deficient, Provider has date of correction (Jul 13, 2026)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Jul 13, 2026)

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (Jul 13, 2026)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jul 13, 2026)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Complaint inspection · Deficient, Provider has date of correction (Jul 13, 2026)

DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (Jul 13, 2026)

DDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (Jul 13, 2026)

CPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Potential for minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 · Deficient, Provider has date of correction (Jul 13, 2026)

CNot hire anyone with a finding of abuse, neglect, exploitation, or theft.

Potential for minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0606 · Deficient, Provider has date of correction (Jul 13, 2026)

February 26, 2026 · 1 citation · includes complaint inspection

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Mar 20, 2026)

May 6, 2025 · 10 citations · includes complaint inspection

FImplement a program that monitors antibiotic use.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0881 · Deficient, Provider has date of correction (Jun 10, 2025)

EProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Jun 10, 2025)

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jun 10, 2025)

EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (Jun 10, 2025)

EEnsure 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 locked compartments, separately locked, compartments for controlled drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jun 10, 2025)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jun 10, 2025)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Jun 10, 2025)

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Deficient, Provider has date of correction (Jun 10, 2025)

DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 · Deficient, Provider has date of correction (Jun 10, 2025)

DProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Deficient, Provider has date of correction (Jun 10, 2025)

April 18, 2024 · 6 citations

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jun 2, 2024)

EHonor the resident's right to organize and participate in resident/family groups in the facility.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0565 · Deficient, Provider has date of correction (Jun 2, 2024)

EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Jun 2, 2024)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jun 2, 2024)

DNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0625 · Deficient, Provider has date of correction (Jun 2, 2024)

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (Jun 2, 2024)

February 20, 2024 · 1 citation · includes complaint inspection

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Apr 5, 2024)

January 24, 2024 · 1 citation · includes complaint inspection

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Feb 15, 2024)

Questions to ask on a tour of Accura Healthcare of O'Neill

  1. Inspectors cited the home at the actual-harm level on June 8, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on June 8, 2026. How are staff trained, and how are concerns reported?
  3. Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
  4. Nursing staff turnover was 65.6% a year. How many of the staff come from agencies?
  5. The home averages about 53% of its beds filled. Are any units closed?
  6. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  7. 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

2 penalties in the last three years, including $71,750 in fines.

DateTypeAmount or length
Jun 8, 2026 Fine $71,750
Jun 8, 2026 Payment Denial 10 days of payments denied

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 1/5 4/5 3/5
August 2026 1/5 1/5 4/5 2/5
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Location

Hospitals near Accura Healthcare of O'Neill

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 0.6 mi
    Avera St Anthony's Hospital O'neill
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 1h 55m for patients treated and sent home
  • 17.1 mi
    West Holt Memorial Hospital Atkinson
    Emergency room
    Median ER visit 1h 50m 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.

Nearby nursing homes

Good Samaritan Society - Atkinson Atkinson · 16.6 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 3/5 61 beds · Medicaid
Parkside Manor Stuart · 26.5 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 40 beds · Medicaid
Alpine Village Retirement Center Verdigre · 32.6 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 45 beds · Medicaid
Avera Creighton Care Centre Creighton · 37.7 mi away ★★★★★ Inspection 4/5 · Staffing 4/5 47 beds · Medicaid
Accura Healthcare of Neligh Neligh · 39.0 mi away ★☆☆☆☆ Inspection 3/5 · Staffing 1/5 70 beds · Medicaid

More nursing homes near Accura Healthcare of O'Neill ›   All nursing homes in O' Neill ›

Compare Accura Healthcare of O'Neill with the 3 closest homes side by side ›

Other Accura Healthcare nursing homes in Nebraska

Affiliation comes from CMS's affiliated-entity data, October 2026. All 44 Accura Healthcare nursing homes ›

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.

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https://www.nursinghomesineachstate.com/nebraska/o-neill/accura-healthcare-of-oneill/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.