Nursing homeActive
Accura Healthcare of O'Neill
1102 North Harrison Street, O' Neill, NE 68763402336238484 certified beds · 43 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
7
since 2023
Deficiencies
29
● 0● 28● 1
Penalties · 3 yrs
—
none on file
Last survey
2026-06-08
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 4
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Nebraska DHHS · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-06-08 | Complaint | 021 | CMS-2567 (Care Compare) | — |
| 2026-02-26 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-05-06 | Standard | 0100 | CMS-2567 (Care Compare) | — |
| 2024-04-18 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2024-02-20 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-01-24 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-03-09 | Standard | 070 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Nebraska DHHS publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity HHarm
Care planning
Pattern; actual harm that is not immediate jeopardy.Correction not yet recordedRecord 285108-20260608-F684
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 285108-20260608-F609
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 285108-20260608-F690
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 285108-20260226-F609
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-10Record 285108-20250506-F550
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-10Record 285108-20250506-F580
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-10Record 285108-20250506-F605
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-10Record 285108-20250506-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-10Record 285108-20250506-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-10Record 285108-20250506-F689
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-10Record 285108-20250506-F756
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-10Record 285108-20250506-F761
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-10Record 285108-20250506-F880
F881Implement a program that monitors antibiotic use.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-06-10Record 285108-20250506-F881
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-02Record 285108-20240418-F565
F625Notify 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-02Record 285108-20240418-F625
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-02Record 285108-20240418-F644
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-02Record 285108-20240418-F755
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-02Record 285108-20240418-F812
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-06-02Record 285108-20240418-F880
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-05Record 285108-20240220-F609
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-15Record 285108-20240124-F580
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-14Record 285108-20230309-F600
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-14Record 285108-20230309-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-14Record 285108-20230309-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-14Record 285108-20230309-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-14Record 285108-20230309-F692
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-14Record 285108-20230309-F758
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-14Record 285108-20230309-F804
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.86
Facility
Nebraska
National
Nebraska 0.67 · National 0.69
Total nurse hours per resident day3.77
Facility
Nebraska
National
Nebraska 3.98 · National 3.86
Weekend total nurse hours3.37
Facility
Nebraska
National
Nebraska 3.49 · National 3.42
Total nursing staff turnover64%
Facility
Nebraska
National
Nebraska 49% · National 46%
Registered nurse turnover44%
Facility
Nebraska
National
Nebraska 44% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Nebraska | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.1% | 4.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.7% | 4.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 31.8% | 20.7% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.9% | 2.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 18.5% | 19.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 8.5% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 43.9% | 19.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Accura Management Consulting Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Allen, Brady Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Boettcher, Tammy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Glaser, Kristopher Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kleinsasser, Megan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kohl, Sean Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Leneave, Ted Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Taylor, Pamela Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Toti, Lisa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Accura Management Consulting Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Allen, Brady Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Aviv Financing II LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Aviv Healthcare Properties Operating Partnership I LP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Boettcher, Tammy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Glaser, Kristopher Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kleinsasser, Megan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kohl, Sean Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Leneave, Ted Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nebraska SNF Facilities, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ohi Healthcare Properties Limited Partnership Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Omega Healthcare Investors Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Taylor, Pamela Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Toti, Lisa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Accura Healthcare — 41 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Nebraska.
No county cost figures on file for Holt.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Good Samaritan Society - Atkinson Atkinson | 16.6 mi | 2026-02-10 | 1402 |
| Parkside Manor Stuart | 26.5 mi | 2026-03-11 | 080 |
| Alpine Village Retirement Center Verdigre | 32.6 mi | 2025-05-15 | 050 |
| Lake Andes Senior Living Lake Andes | 48.0 mi | 2025-08-21 | 0183 |
| Accura Healthcare of Neligh Neligh | 39.0 mi | 2026-05-07 | 2160 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |