Accura Healthcare of Tekamah
823 M Street · Tekamah, NE · 68061 · 4023741414
44 certified beds For profit - Corporation Chain: Accura Healthcare
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.08 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.35 | 0.55–0.75 |
| Weekend hours / resident-day | 2.67 | ≈ weekday level |
| Nursing turnover / year | 52% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (15 in the current record)
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Potential for harm · E February 12, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected March 3, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 12, 2026
Respond appropriately to all alleged violations.
Corrected March 3, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 12, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 3, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 3, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 12, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 3, 2026 · Quality of Life and Care
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Potential for harm · F February 12, 2026
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.
Corrected March 3, 2026 · Nursing and Physician Services
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Potential for harm · E February 12, 2026
Provide and implement an infection prevention and control program.
Corrected March 3, 2026 · Infection Control
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Potential for harm · F February 12, 2026
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected March 3, 2026 · Nursing and Physician Services
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Potential for harm · E February 12, 2026 · found via complaint
Have enough outside ventilation via a window or mechanical ventilation, or both.
Corrected March 3, 2026 · Environmental
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Potential for harm · D October 31, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 31, 2024 · found via complaint
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 December 15, 2024 · Pharmacy Service
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Potential for harm · D October 31, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 15, 2024 · Infection Control
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Potential for harm · D October 31, 2024 · found via complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected December 15, 2024 · Nursing and Physician Services
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Potential for harm · D September 14, 2023
Assess the resident when there is a significant change in condition
Corrected October 15, 2023 · Resident Assessment and Care Planning
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Potential for harm · E September 14, 2023
Have enough outside ventilation via a window or mechanical ventilation, or both.
Corrected October 15, 2023 · Environmental
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 285118 · certified since June 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.