Nursing Home Alerts

Accura HealthCare of Tekamah

823 M Street, Tekamah, NE 68061

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Accura HealthCare of Tekamah is a nursing home in Tekamah, 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 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.

    • Star rating

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

  2. CMS update of July 29, 2026

    • Star rating

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

  3. CMS update of June 24, 2026

    • Name

      CMS lists a new legal business name for this home.

  4. CMS update of May 27, 2026

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 1 of 5.

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 2 of 5.

    • Ownership

      CMS lists this home under a new chain.

  5. CMS update of April 29, 2026

    • Staffing

      Total nurse staffing reported to CMS went from 3.5 to 3.1 hours per resident per day.

  6. Health inspection on February 12, 2026

    9 citations

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

    Show the 9 citations
    • Citation F0727. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 3, 2026.

    • Citation F0947. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

      CMS lists it as corrected on March 3, 2026.

      CMS has cited this home for F0947 2 times since 2024.

    • Citation F0605. Severity E: potential for more than minimal harm, pattern.

      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 March 3, 2026.

    • Citation F0656. Severity E: potential for more than minimal harm, pattern.

      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 March 3, 2026.

      CMS has cited this home for F0656 2 times since 2024.

    • Citation F0695. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on March 3, 2026.

    • 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 March 3, 2026.

      CMS has cited this home for F0880 2 times since 2024.

    • Citation F0923. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have enough outside ventilation via a window or mechanical ventilation, or both.

      CMS lists it as corrected on March 3, 2026.

      CMS has cited this home for F0923 2 times since 2023.

    • Citation F0610. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on March 3, 2026.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on March 3, 2026.

    See this home on CMS Care Compare

  7. Fire safety inspection on February 12, 2026

    5 citations

    CMS lists this as a standard inspection.

    Show the 5 citations
    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on March 3, 2026.

    • 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 March 3, 2026.

      CMS has cited this home for K0712 3 times since 2023.

    • 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 March 3, 2026.

    • Citation K0921. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure that testing and maintenance of electrical equipment is performed.

      CMS lists it as corrected on March 3, 2026.

      CMS has cited this home for K0921 3 times since 2023.

    • Citation K0291. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Install emergency lighting that can last at least 1 1/2 hours.

      CMS lists it as corrected on March 3, 2026.

      CMS has cited this home for K0291 2 times since 2023.

    See this home on CMS Care Compare

  8. CMS update of July 30, 2025

    • Star rating

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

  9. CMS update of June 25, 2025

    • Name

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

  10. CMS update of April 30, 2025

    • Star rating

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

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 1 of 5.

    • Staffing

      Total nurse staffing reported to CMS went from 3.5 to 0.2 hours per resident per day.

  11. CMS update of February 26, 2025

    • Star rating

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

    • 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.

  12. Health inspection on October 31, 2024

    4 citations

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

    Show the 4 citations
    • 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 December 15, 2024.

    • Citation F0758. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on December 15, 2024.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on December 15, 2024.

    • Citation F0947. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

      CMS lists it as corrected on December 15, 2024.

    See this home on CMS Care Compare

  13. Fire safety inspection on October 31, 2024

    4 citations

    CMS lists this as a standard inspection.

    Show the 4 citations
    • 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 December 6, 2024.

    • Citation K0921. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure that testing and maintenance of electrical equipment is performed.

      CMS lists it as corrected on December 6, 2024.

    • Citation K0321. Severity E: potential for more than minimal harm, pattern.

      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 December 6, 2024.

      CMS has cited this home for K0321 2 times since 2023.

    • 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 December 6, 2024.

    See this home on CMS Care Compare

  14. CMS update of October 30, 2024

    • Star rating

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

    • Star rating

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

    • Star rating

      The CMS quality measures star rating changed from 1 of 5 to 3 of 5.

  15. CMS update of July 31, 2024

    • Star rating

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

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

  16. CMS update of April 25, 2024

    • Star rating

      The CMS overall 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 1 of 5.

  17. CMS update of January 31, 2024

    • Star rating

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

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 1 of 5.

    • Star rating

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

  18. CMS update of December 21, 2023

    • Star rating

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

    • Star rating

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

  19. Health inspection on September 14, 2023

    2 citations

    CMS lists this as a standard inspection.

    Show the 2 citations
    • Citation F0923. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have enough outside ventilation via a window or mechanical ventilation, or both.

      CMS lists it as corrected on October 15, 2023.

    • Citation F0637. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Assess the resident when there is a significant change in condition

      CMS lists it as corrected on October 15, 2023.

    See this home on CMS Care Compare

  20. Fire safety inspection on September 14, 2023

    8 citations

    CMS lists this as a standard inspection.

    Show the 8 citations
    • Citation E0006. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Conduct risk assessment and an All-Hazards approach.

      CMS lists it as corrected on October 15, 2023.

    • Citation K0291. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Install emergency lighting that can last at least 1 1/2 hours.

      CMS lists it as corrected on October 23, 2023.

    • Citation K0345. Severity F: potential for more than minimal harm, widespread.

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

      CMS lists it as corrected on October 23, 2023.

    • 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 October 23, 2023.

    • 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 October 23, 2023.

    • Citation K0920. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on October 23, 2023.

    • Citation K0921. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure that testing and maintenance of electrical equipment is performed.

      CMS lists it as corrected on October 23, 2023.

    • Citation K0321. Severity E: potential for more than minimal harm, pattern.

      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 October 23, 2023.

    See this home on CMS Care Compare

CMS star ratings

Facts from CMS

Phone
(402) 374-1414
Last standard health inspection
February 12, 2026 (8 months ago)
Certified beds
44
Residents per day, on average
36.2
Ownership type
For profit - Corporation
Legal business name
Accura Healthcare of Tekamah, LLC
Chain
Accura Healthcare
Takes part in
Medicare and Medicaid

Fewer health citations than the Nebraska average (15 vs 19).

Owners and managers

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

Show 4 more
  • MCNEILL, TRISHTIANOperational/managerial control · not applicable · since 05/01/2025
  • RISCH, SHAYLAOperational/managerial control · not applicable · since 05/01/2025
  • SATTAR, ARIFOperational/managerial control · not applicable · since 05/01/2025
  • TOTI, LISAOperational/managerial control · not applicable · since 05/01/2025

Questions

When was Accura HealthCare of Tekamah last inspected?

CMS lists February 12, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Accura HealthCare of Tekamah have?

CMS lists 15 health citations since September 14, 2023. CMS also calls these deficiencies.

Has Accura HealthCare of Tekamah been fined?

CMS lists no fines for this home in the past three years.

What is the CMS star rating of Accura HealthCare of Tekamah?

Its CMS overall star rating is 2 of 5.

Is Accura HealthCare of Tekamah a Special Focus Facility?

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