Nursing homeActive
Accura Healthcare of Fullerton
202 North Esther, Fullerton, NE 68638308536248875 certified beds · 63 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
19
● 0● 19● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-04-02
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 2
Quality 3
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 |
|---|---|---|---|---|
| 2026-04-02 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2025-01-06 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2024-01-17 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-12-19 | Standard | 0100 | 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.
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-10Record 285115-20260402-F759
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 2026-04-10Record 285115-20260402-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-04-10Record 285115-20260402-F812
F923Have enough outside ventilation via a window or mechanical ventilation, or both.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-10Record 285115-20260402-F923
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-20Record 285115-20250106-F584
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 2025-02-20Record 285115-20250106-F689
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-20Record 285115-20250106-F759
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-02-20Record 285115-20250106-F812
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 2024-02-15Record 285115-20240117-F689
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 2024-02-02Record 285115-20231219-F580
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-02Record 285115-20231219-F582
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-02Record 285115-20231219-F584
F606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-02Record 285115-20231219-F606
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-02Record 285115-20231219-F610
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-02Record 285115-20231219-F641
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-02Record 285115-20231219-F757
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 2024-02-02Record 285115-20231219-F758
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-02-02Record 285115-20231219-F801
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-02-02Record 285115-20231219-F812
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.27
Facility
Nebraska
National
Nebraska 0.67 · National 0.69
Total nurse hours per resident day2.93
Facility
Nebraska
National
Nebraska 3.98 · National 3.86
Weekend total nurse hours2.63
Facility
Nebraska
National
Nebraska 3.49 · National 3.42
Total nursing staff turnover42%
Facility
Nebraska
National
Nebraska 49% · National 46%
Registered nurse turnover71%
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 | 2.9% | 4.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.8% | 4.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 39.3% | 20.7% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.8% | 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 | 16.4% | 19.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.1% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 32.6% | 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 | — | — |
| Francis, Sara 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 | — | — |
| Snygg, Carrie 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 Of The Midwest LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Aviv Healthcare Properties Operating Partnership I LP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Francis, Sara 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 | — | — |
| Leneave, Ted Individual | CORPORATE OFFICER | 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 | — | — |
| Snygg, Carrie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Toti, Lisa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Toti, Lisa Individual | CORPORATE OFFICER | 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 Nance.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Cloverlodge Care Center St Edward | 15.3 mi | 2025-04-23 | 080 |
| Genoa Community Hospital/LTC Genoa | 13.3 mi | 2025-05-28 | 090 |
| Litzenberg Memorial County Hospital Central City | 18.1 mi | 2025-09-11 | 060 |
| Adept Nursing & Rehab of Central City Central City | 18.2 mi | 2025-12-03 | 0190 |
| Good Samaritan Society - Albion Albion | 21.8 mi | 2026-05-19 | 040 |
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 |