All states › Nebraska › Tekamah › Accura HealthCare of Tekamah
823 M Street Tekamah, NE 68061 · Burt County
CMS certification number 285118 · See this home on Medicare Care Compare
Is Accura HealthCare of Tekamah 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 Tekamah as of October 2026.
CMS rates it 2 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 3.00 hours per resident per day at Accura HealthCare of Tekamah, below the Nebraska median of 3.99 (US median: 3.72). About 0.49 of those hours are from registered nurses. On weekends it falls to 2.64 hours, 12% below its all-week average. 58.1% 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 Tekamah: Medicare and Medicaid
Accura HealthCare of Tekamah 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 February 12, 2026 and found 8 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 15 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 15 citations at Accura HealthCare of Tekamah across 3 inspection dates, 5 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 15 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were resident assessment and care planning (4) and nursing and physician services (3). The most serious was cited under the CMS rule to "have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis" (tag F0727, level F, February 12, 2026). 2 citations were under CMS's abuse, neglect and exploitation rules.
February 12, 2026 · 9 citations · includes complaint inspection
FHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
FEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
EPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide safe and appropriate respiratory care for a resident when needed.
EProvide and implement an infection prevention and control program.
EHave enough outside ventilation via a window or mechanical ventilation, or both.
DRespond appropriately to all alleged violations.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
October 31, 2024 · 4 citations · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
DProvide and implement an infection prevention and control program.
DEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
September 14, 2023 · 2 citations
EHave enough outside ventilation via a window or mechanical ventilation, or both.
DAssess the resident when there is a significant change in condition
Questions to ask on a tour of Accura HealthCare of Tekamah
- CMS cited the home under its abuse and neglect rules on February 12, 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?
- Nursing staff turnover was 58.1% a year. How many of the staff come from agencies?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- 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
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 2/5 | 3/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 2/5 |
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Location
Hospitals near Accura HealthCare of Tekamah
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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16.1 mi
Memorial Community Hospital BlairEmergency roomMedian ER visit 2h 8m for patients treated and sent home
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18.0 mi
Burgess Health Center OnawaEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 10m for patients treated and sent home
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22.6 mi
CHI Health Missouri Valley Missouri ValleyEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 1h 45m 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 Tekamah › All nursing homes in Tekamah ›
Compare Accura HealthCare of Tekamah 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 Franklin · Franklin · 2 stars
- Accura Healthcare of Neligh · Neligh · 1 stars
- Accura Healthcare of O'Neill · O' Neill · 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.