Nursing Home Alerts

Accura Healthcare of O'Neill

1102 North Harrison Street, O' Neill, NE 68763

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Accura Healthcare of O'Neill is a nursing home in O' Neill, Nebraska. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

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CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

  2. CMS update of October 8, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 1 of 5.

  3. CMS update of July 29, 2026

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 4 of 5.

    • Name

      CMS lists a new legal business name for this home.

    • Ownership

      CMS lists this home under a new chain.

  4. July 3, 2026

    Payment stopped

    CMS stopped payment for new admissions from July 3, 2026, for 10 days.

    See this home on CMS Care Compare

  5. Health inspection on June 8, 2026

    16 citations

    CMS lists this as a standard inspection and a complaint inspection.

    Severity H is the second-highest of CMS's four levels. It means a resident was harmed.

    18 of 180 Nebraska homes (10%) got a citation at the actual harm level in 2026.

    CMS fine of $71,750 on June 8, 2026.

    Show the 16 citations
    • Citation F0684. Severity H: actual harm, pattern.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on July 13, 2026.

      CMS has cited this home for F0684 2 times since 2025.

    • Citation F0692. Severity G: actual harm, isolated.

      The rule CMS cited: Provide enough food/fluids to maintain a resident's health.

      CMS lists it as corrected on July 13, 2026.

    • Citation F0865. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have a plan that describes the process for conducting QAPI and QAA activities.

      CMS lists it as corrected on July 13, 2026.

    • Citation F0552. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that residents are fully informed and understand their health status, care and treatments.

      CMS lists it as corrected on July 13, 2026.

    • Citation F0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on July 13, 2026.

      CMS has cited this home for F0761 2 times since 2025.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on July 13, 2026.

      CMS has cited this home for F0812 2 times since 2024.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on July 13, 2026.

      CMS has cited this home for F0880 3 times since 2024.

    • Citation F0881. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Implement a program that monitors antibiotic use.

      CMS lists it as corrected on July 13, 2026.

      CMS has cited this home for F0881 2 times since 2025.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on July 13, 2026.

      CMS has cited this home for F0609 3 times since 2024.

    • Citation F0644. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

      CMS lists it as corrected on July 13, 2026.

      CMS has cited this home for F0644 2 times since 2024.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on July 13, 2026.

    • Citation F0690. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      CMS lists it as corrected on July 13, 2026.

    • Citation F0756. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

      CMS lists it as corrected on July 13, 2026.

      CMS has cited this home for F0756 2 times since 2025.

    • Citation F0883. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement policies and procedures for flu and pneumonia vaccinations.

      CMS lists it as corrected on July 13, 2026.

    • Citation F0605. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

      CMS lists it as corrected on July 13, 2026.

      CMS has cited this home for F0605 2 times since 2025.

    • Citation F0606. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

      CMS lists it as corrected on July 13, 2026.

    See this home on CMS Care Compare

  6. Fire safety inspection on June 8, 2026

    2 citations

    CMS lists this as a standard inspection.

    Show the 2 citations
    • Citation K0324. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on June 10, 2026.

      CMS has cited this home for K0324 3 times since 2024.

    • Citation K0341. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Install a fire alarm system that can be heard throughout the facility.

      CMS lists it as corrected on June 10, 2026.

    See this home on CMS Care Compare

  7. CMS update of April 29, 2026

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

  8. Health inspection on February 26, 2026

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on March 20, 2026.

    See this home on CMS Care Compare

  9. CMS update of February 25, 2026

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5.

  10. CMS update of November 20, 2025

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5.

  11. CMS update of July 30, 2025

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

  12. CMS update of June 25, 2025

    • Name

      CMS lists a new name for this home. It was ARBOR CARE CENTERS-O'NEILL LLC.

  13. CMS update of May 28, 2025

    • Health citation

      CMS removed citation F0625 from the health inspection on April 18, 2024.

  14. Health inspection on May 6, 2025

    10 citations

    CMS lists this as a standard inspection and a complaint inspection.

    Show the 10 citations
    • Citation F0881. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Implement a program that monitors antibiotic use.

      CMS lists it as corrected on June 10, 2025.

    • Citation F0684. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on June 10, 2025.

    • Citation F0689. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on June 10, 2025.

    • Citation F0756. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

      CMS lists it as corrected on June 10, 2025.

    • Citation F0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 10, 2025.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on June 10, 2025.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on June 10, 2025.

    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on June 10, 2025.

      CMS has cited this home for F0580 2 times since 2024.

    • Citation F0605. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

      CMS lists it as corrected on June 10, 2025.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on June 10, 2025.

    See this home on CMS Care Compare

  15. Fire safety inspection on May 6, 2025

    6 citations

    CMS lists this as a standard inspection.

    Show the 6 citations
    • Citation K0211. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Keep aisles, corridors, and exits free of obstruction in case of emergency.

      CMS lists it as corrected on June 10, 2025.

    • Citation K0324. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on June 10, 2025.

    • Citation K0712. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on June 10, 2025.

    • Citation K0922. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Meet requirements for the use and maintenance of medical gas equipment.

      CMS lists it as corrected on June 10, 2025.

      CMS has cited this home for K0922 2 times since 2024.

    • Citation K0345. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.

      CMS lists it as corrected on June 10, 2025.

    • Citation K0925. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that sources of ignition are removed from patients receiving respiratory therapy.

      CMS lists it as corrected on June 10, 2025.

    See this home on CMS Care Compare

  16. CMS update of February 26, 2025

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

  17. CMS update of December 20, 2024

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

  18. CMS update of August 29, 2024

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

  19. CMS update of July 31, 2024

    • CMS abuse icon

      CMS removed its abuse icon from this home.

    • Staffing

      Total nurse staffing reported to CMS went from 3.3 to 2.6 hours per resident per day.

  20. CMS update of April 25, 2024

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

  21. Health inspection on April 18, 2024

    6 citations

    CMS lists this as a standard inspection.

    Show the 6 citations
    • Citation F0880. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on June 2, 2024.

    • Citation F0565. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to organize and participate in resident/family groups in the facility.

      CMS lists it as corrected on June 2, 2024.

    • Citation F0755. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on June 2, 2024.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on June 2, 2024.

    • Citation F0625. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 2, 2024.

    • Citation F0644. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

      CMS lists it as corrected on June 2, 2024.

    See this home on CMS Care Compare

  22. Fire safety inspection on April 18, 2024

    6 citations

    CMS lists this as a standard inspection.

    Show the 6 citations
    • Citation E0035. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide family notifications of emergency plan.

      CMS lists it as corrected on June 2, 2024.

    • Citation K0355. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Properly select, install, inspect, or maintain portable fire extinguishes.

      CMS lists it as corrected on June 2, 2024.

    • Citation K0761. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: To conduct inspection, testing and maintenance of fire doors by qualified individuals.

      CMS lists it as corrected on June 2, 2024.

    • Citation K0324. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on June 2, 2024.

    • Citation K0321. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on June 2, 2024.

    • Citation K0922. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Meet requirements for the use and maintenance of medical gas equipment.

      CMS lists it as corrected on June 2, 2024.

    See this home on CMS Care Compare

  23. Health inspection on February 20, 2024

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on April 5, 2024.

    See this home on CMS Care Compare

  24. CMS update of January 31, 2024

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

  25. Health inspection on January 24, 2024

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on February 15, 2024.

    See this home on CMS Care Compare

CMS star ratings

Facts from CMS

Phone
(402) 336-2384
Last standard health inspection
June 8, 2026 (5 months ago)
Certified beds
84
Residents per day, on average
44.3
Ownership type
For profit - Limited Liability company
Legal business name
Accura Healthcare of O'neill, LLC
Chain
Accura Healthcare
Takes part in
Medicare and Medicaid

More health citations than the Nebraska average (35 vs 19).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Show 4 more
  • KOHL, SEANOperational/managerial control · not applicable · since 05/01/2025
  • LENEAVE, TEDOperational/managerial control · not applicable · since 05/01/2025
  • TAYLOR, PAMELAOperational/managerial control · not applicable · since 05/01/2025
  • TOTI, LISAOperational/managerial control · not applicable · since 05/01/2025

Questions

When was Accura Healthcare of O'Neill last inspected?

CMS lists June 8, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Accura Healthcare of O'Neill have?

CMS lists 35 health citations since January 24, 2024. CMS also calls these deficiencies.

Has Accura Healthcare of O'Neill been fined?

CMS lists 1 fine in the past three years, $71,750 in total.

What is the CMS star rating of Accura Healthcare of O'Neill?

Its CMS overall star rating is 1 of 5.

Is Accura Healthcare of O'Neill a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.