Accura HealthCare of Tekamah – Nursing Home, Tekamah, Nebraska
Medicare and Medicaid
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
1 substantiated complaint
Last cited survey: 12 February 2026 · 40 health and 59 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Main info
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Location
823 M Street
Tekamah, NE 68061
Phone: (402) 374-1414
Compare to NE average
See how this facility compares to the NE state average among rated nursing homes (198 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | NE average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 1 | 2.87 | 5 |
| Health inspection | 2 | 2.78 | 5 |
| Staffing | 1 | 3.31 | 4 |
| Quality measures | 3 | 3.04 | 4 |
| Certified beds | 44 | 73 | — |
| Citations on file (health + fire) | 99 | ~8.4 health* | — |
- Accura HealthCare of Hartington — 5★ overall
- Accura HealthCare of Kenesaw — 1★ overall
- Accura HealthCare of North Platte — 4★ overall
- Accura HealthCare of Pierce — 3★ overall
- Accura Healthcare of Franklin — 3★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| SATTAR, ARIF A | ADP OF THE SNF | Individual | - | 05/01/2025 |
| AVIV HEALTHCARE PROPERTIES OPERATING PARTNERSHIP I LP | ADP OF THE SNF | Organization | - | 05/01/2025 |
| MCNEILL, TRISHTIAN LYNN | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 05/01/2025 |
| MCNEILL, TRISHTIAN LYNN | ADP OF THE SNF | Individual | - | 05/01/2025 |
| AVENUE94 LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 5.00 | 05/01/2025 |
| KLEINSASSER, MEGAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 5.00 | 05/01/2025 |
| KLEINSASSER, MEGAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 05/01/2025 |
| KLEINSASSER, MEGAN | ADP OF THE SNF | Individual | - | 05/01/2025 |
| KIMMONS HEALTHCARE INVESTMENTS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 80.00 | 05/01/2025 |
| LENEAVE, TED A | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 80.00 | 05/01/2025 |
| LENEAVE, TED A | CORPORATE OFFICER | Individual | - | 05/01/2025 |
| LENEAVE, TED A | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 05/01/2025 |
| LENEAVE, TED A | ADP OF THE SNF | Individual | - | 05/01/2025 |
| ALLEN, BRADY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 5.00 | 05/01/2025 |
| ALLEN, BRADY | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 05/01/2025 |
| ALLEN, BRADY | ADP OF THE SNF | Individual | - | 05/01/2025 |
| NEBRASKA SNF FACILITIES, LLC | ADP OF THE SNF | Organization | - | 05/01/2025 |
| RISCH, SHAYLA | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 05/01/2025 |
| RISCH, SHAYLA | ADP OF THE SNF | Individual | - | 05/01/2025 |
| OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP | ADP OF THE SNF | Organization | - | 05/01/2025 |
| OMEGA HEALTHCARE INVESTORS INC | ADP OF THE SNF | Organization | - | 05/01/2025 |
| ACCURA MANAGEMENT CONSULTING SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 05/01/2025 |
| ACCURA MANAGEMENT CONSULTING SERVICES LLC | ADP OF THE SNF | Organization | - | 05/01/2025 |
| ZRR OPCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 5.00 | 05/01/2025 |
| LITTLE RIVER INVESTMENTS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 5.00 | 05/01/2025 |
| TOTI, LISA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 5.00 | 05/01/2025 |
| TOTI, LISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 05/01/2025 |
| TOTI, LISA | ADP OF THE SNF | Individual | - | 05/01/2025 |
| AVIV HEALTHCARE HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100.00 | 05/01/2025 |
| KTL ENTERPRISES LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 5.00 | 05/01/2025 |
| SATTAR, ARIF A | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 05/01/2025 |
| GLASER, KRISTOPHER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 5.00 | 05/01/2025 |
| GLASER, KRISTOPHER | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 05/01/2025 |
| GLASER, KRISTOPHER | ADP OF THE SNF | Individual | - | 05/01/2025 |
| AVIV HEALTHCARE OF THE MIDWEST LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100.00 | 05/01/2025 |
| AVIV HEALTHCARE OF THE MIDWEST LLC | ADP OF THE SNF | Organization | - | 08/07/2025 |
| AVIV FINANCING II LLC | ADP OF THE SNF | Organization | - | 05/01/2025 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
99 citations on file · Latest survey: 12 February 2026 · 40 health · 59 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2026-02-12 | F947 | F — Minimal harm, widespread | Health | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. |
| 2026-02-12 | F923 | E — Minimal harm, pattern | Health | Have enough outside ventilation via a window or mechanical ventilation, or both. |
| 2026-02-12 | F923 | E — Minimal harm, pattern | Health | Have enough outside ventilation via a window or mechanical ventilation, or both. |
| 2026-02-12 | F880 | E — Minimal harm, pattern | Health | Provide and implement an infection prevention and control program. |
| 2026-02-12 | F727 | F — Minimal harm, widespread | Health | 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. |
| 2026-02-12 | F695 | E — Minimal harm, pattern | Health | Provide safe and appropriate respiratory care for a resident when needed. |
| 2026-02-12 | F657 | D — Minimal harm, isolated | Health | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| 2026-02-12 | F656 | E — Minimal harm, pattern | Health | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| 2026-02-12 | F610 | D — Minimal harm, isolated | Health | Respond appropriately to all alleged violations. |
| 2026-02-12 | F605 | E — Minimal harm, pattern | Health | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. |
| 2024-10-31 | F947 | D — Minimal harm, isolated | Health | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. |
| 2024-10-31 | F947 | D — Minimal harm, isolated | Health | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. |
| 2024-10-31 | F947 | D — Minimal harm, isolated | Health | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. |
| 2024-10-31 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2024-10-31 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2024-10-31 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2024-10-31 | F758 | D — Minimal harm, isolated | Health | 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. |
| 2024-10-31 | F758 | D — Minimal harm, isolated | Health | 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. |
| 2024-10-31 | F758 | D — Minimal harm, isolated | Health | 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. |
| 2024-10-31 | F656 | D — Minimal harm, isolated | Health | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
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Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2026-02-12 | K921 | F — Minimal harm, widespread | Fire Safety | Ensure that testing and maintenance of electrical equipment is performed. |
| 2026-02-12 | K761 | F — Minimal harm, widespread | Fire Safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. |
| 2026-02-12 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2026-02-12 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2026-02-12 | K291 | D — Minimal harm, isolated | Fire Safety | Install emergency lighting that can last at least 1 1/2 hours. |
| 2024-10-31 | K321 | E — Minimal harm, pattern | Fire Safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
| 2024-10-31 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2024-10-31 | K921 | F — Minimal harm, widespread | Fire Safety | Ensure that testing and maintenance of electrical equipment is performed. |
| 2024-10-31 | K922 | E — Minimal harm, pattern | Fire Safety | Meet requirements for the use and maintenance of medical gas equipment. |
| 2024-10-31 | K922 | E — Minimal harm, pattern | Fire Safety | Meet requirements for the use and maintenance of medical gas equipment. |
| 2024-10-31 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2024-10-31 | K921 | F — Minimal harm, widespread | Fire Safety | Ensure that testing and maintenance of electrical equipment is performed. |
| 2024-10-31 | K321 | E — Minimal harm, pattern | Fire Safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
| 2024-10-31 | K922 | E — Minimal harm, pattern | Fire Safety | Meet requirements for the use and maintenance of medical gas equipment. |
| 2024-10-31 | K921 | F — Minimal harm, widespread | Fire Safety | Ensure that testing and maintenance of electrical equipment is performed. |
| 2024-10-31 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2024-10-31 | K321 | E — Minimal harm, pattern | Fire Safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
| 2023-09-14 | K921 | F — Minimal harm, widespread | Fire Safety | Ensure that testing and maintenance of electrical equipment is performed. |
| 2023-09-14 | E6 | F — Minimal harm, widespread | Fire Safety | Conduct risk assessment and an All-Hazards approach. |
| 2023-09-14 | K291 | F — Minimal harm, widespread | Fire Safety | Install emergency lighting that can last at least 1 1/2 hours. |
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Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 1 |
| Health Inspection Rating | 2 |
| Quality of Resident Care Rating | 3 |
| Quality of Resident Care Rating (Long Stay) | 3 |
| Quality of Resident Care Rating (Short Stay) | 4 |
| Staffing Rating | 1 |
| RN Staffing Rating | 4 |
| Reported CNA Staffing Hours per Resident per Day | 2.15955 |
| Reported LPN Staffing Hours per Resident per Day | 0.76207 |
| Reported RN Staffing Hours per Resident per Day | 0.35301 |
| Reported Licensed Staffing Hours per Resident per Day | 1.11507 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.07518 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.01731 |
| Casemix CNA Staffing Hours per Resident per Day | 2.06988 |
| Casemix LPN Staffing Hours per Resident per Day | 0.6374 |
| Casemix RN Staffing Hours per Resident per Day | 0.30703 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 3.0143 |
| Adjusted CNA Staffing Hours per Resident per Day | 2.15386 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.87742 |
| Adjusted RN Staffing Hours per Resident per Day | 0.40644 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.54065 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-07-11 |
Date of Standard Health Survey (Cycle 2) | 2018-06-11 |
Total Number of Health Deficiencies (Cycle 1) | 8 |
Number of Standard Health Deficiencies (Cycle 1) | 8 |
Number of Complaint Health Deficiencies (Cycle 1) | 1 |
Health Deficiency Score (Cycle 1) | 44 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 44 |
Total Number of Health Deficiencies (Cycle 2) | 3 |
Number of Standard Health Deficiencies (Cycle 2) | 3 |
Health Deficiency Score (Cycle 2) | 20 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 20 |
Date of Standard Health Survey (Cycle 3) | 2017-04-12 |
Total Number of Health Deficiencies (Cycle 3) | 2 |
Number of Standard Health Deficiencies (Cycle 3) | 2 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 24 |
Total Health Score (Cycle 3) | 24 |
Total Weighted Health Survey Score | 64 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Facility Reported Incidents | 3 |
Number of Substantiated Complaints | 1 |
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Resident |
Automatic Sprinkler Systems in All Required Areas | Yes |
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