Accura Healthcare of Neligh has a 1 out of 5 overall rating, with 1-star staffing and quality measures and 3-star health inspections. It is flagged as the lowest overall rating; reported nurse staffing is 3.75 hours per resident per day, below the 4.1-hour federal benchmark, and there were no fines in the last 24 months.
Last inspection: March 25, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7537.
Staffing detail
Registered nurses
0.35
Licensed practical nurses
0.86
Nurse aides
2.55
Weekend nursing
3.16
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 80%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
37.1%Steady
Residents with a fall causing major injury
5.8%Steady
Residents with pressure ulcers (bedsores)
5%Steady
Residents with a urinary tract infection
7%Steady
Residents who lost too much weight
3.1%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
27.7%Improving
Residents whose ability to walk got worse
24.1%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
17.3%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
3.1%Improving
Residents with new or worsening incontinence
30.9%Improving
Residents with depressive symptoms
2.6%Worsening
Long-stay residents given the seasonal flu vaccine
88.9%Steady
Long-stay residents given the pneumonia vaccine
89.3%Improving
Short-stay residents given the pneumonia vaccine
65.6%Steady
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited March 2025 — limited pattern, potential for harm.
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F-Tag 584 — 42 CFR §483.10 — S/S: E
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2024 — limited pattern, potential for harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: E
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited March 2025 — isolated incident, potential for harm.
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F-Tag 690 — 42 CFR §483.25(e) — S/S: D
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited March 2025 — isolated incident, potential for harm.
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F-Tag 756 — 42 CFR §483.45(c) — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 5 health deficiencies.
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INSPECTION
Health inspection found 7 health deficiencies.
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INSPECTION
Health inspection found 7 health deficiencies.
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Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of ARBOR CARE CENTERS · 8 homes · 2.3 stars avg
Occupancy
33.2 residents on an average day (47% of 70 beds)
Resident voice
Resident council
Medicare history
Certified for 33 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.