All states › Nebraska › O' Neill › Accura Healthcare of O'Neill
1102 North Harrison Street O' Neill, NE 68763 · Holt County
CMS certification number 285108 · See this home on Medicare Care Compare
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.
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.
About this nursing home
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.
GProvide enough food/fluids to maintain a resident's health.
FHave a plan that describes the process for conducting QAPI and QAA activities.
EEnsure that residents are fully informed and understand their health status, care and treatments.
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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
EImplement a program that monitors antibiotic use.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
CPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
CNot hire anyone with a finding of abuse, neglect, exploitation, or theft.
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.
May 6, 2025 · 10 citations · includes complaint inspection
FImplement a program that monitors antibiotic use.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
April 18, 2024 · 6 citations
FProvide and implement an infection prevention and control program.
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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.
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.
Questions to ask on a tour of Accura Healthcare of O'Neill
- 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?
- CMS cited the home under its abuse and neglect rules on June 8, 2026. How are staff trained, and how are concerns reported?
- Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
- Nursing staff turnover was 65.6% a year. How many of the staff come from agencies?
- The home averages about 53% of its beds filled. Are any units closed?
- 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
2 penalties in the last three years, including $71,750 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jun 8, 2026 | Fine | $71,750 |
| Jun 8, 2026 | Payment Denial | 10 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| 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.
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0.6 mi
Avera St Anthony's Hospital O'neillEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 1h 55m for patients treated and sent home
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17.1 mi
West Holt Memorial Hospital AtkinsonEmergency roomMedian 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
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
- Accura HealthCare of Hartington · Hartington · 5 stars
- Accura HealthCare of North Platte · North Platte · 4 stars
- Accura Healthcare of Fullerton · Fullerton · 3 stars
- Accura HealthCare of Tekamah · Tekamah · 2 stars
- Accura Healthcare of Franklin · Franklin · 2 stars
- Accura Healthcare of Neligh · Neligh · 1 stars
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.