Accura Healthcare of O'Neill
1102 North Harrison Street · O' Neill, NE · 68763 · 4023362384
84 certified beds For profit - Limited Liability company Chain: Arbor Care Centers
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 73 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
67% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.10 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.95 | 0.55–0.75 |
| Weekend hours / resident-day | 3.64 | ≈ weekday level |
| Nursing turnover / year | 67% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (26 in the current record)
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Potential for harm · D February 26, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 6, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 10, 2025 · Resident Rights
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Potential for harm · D May 6, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 10, 2025 · Resident Rights
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Potential for harm · D May 6, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected June 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 6, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected June 10, 2025 · Pharmacy Service
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Potential for harm · E May 6, 2025
Ensure 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.
Corrected June 10, 2025 · Pharmacy Service
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Potential for harm · E May 6, 2025
Provide and implement an infection prevention and control program.
Corrected June 10, 2025 · Infection Control
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Potential for harm · F May 6, 2025
Implement a program that monitors antibiotic use.
Corrected June 10, 2025 · Infection Control
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Potential for harm · E May 6, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 10, 2025 · Quality of Life and Care
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Potential for harm · D May 6, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 10, 2025 · Quality of Life and Care
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Potential for harm · E May 6, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 10, 2025 · Quality of Life and Care
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Potential for harm · E April 18, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected June 2, 2024 · Resident Rights
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Potential for harm · D April 18, 2024
Notify 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.
Corrected June 2, 2024 · Resident Rights
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Potential for harm · D April 18, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected June 2, 2024 · Resident Assessment and Care Planning
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Potential for harm · E April 18, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 2, 2024 · Pharmacy Service
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Potential for harm · E April 18, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 2, 2024 · Nutrition and Dietary
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Potential for harm · F April 18, 2024
Provide and implement an infection prevention and control program.
Corrected June 2, 2024 · Infection Control
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Potential for harm · D February 20, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 24, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 15, 2024 · Resident Rights
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Potential for harm · E March 9, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 14, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 9, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 14, 2023 · Quality of Life and Care
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Potential for harm · D March 9, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 14, 2023 · Quality of Life and Care
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Potential for harm · D March 9, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 14, 2023 · Quality of Life and Care
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Potential for harm · D March 9, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected April 14, 2023 · Quality of Life and Care
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Potential for harm · D March 9, 2023
Implement 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.
Corrected April 14, 2023 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285108 · certified since August 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.