The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2026 — limited pattern, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: H
Nursing home report
Arbor Care Centers – O’Neill
Registered name: Accura Healthcare of O'Neill
O' Neill, NE · Medicare-certified · 84 beds
Needs attention
For-profitChain member
Data as of September 1, 2026
1 of 5 overall
Arbor Care Centers – O’Neill has a 1-star overall rating, with a 1-star health inspection rating and recent federal penalty history, including $71,750 in fines in the last 24 months. Staffing is rated 4 stars, but reported nurse staffing is 3.77 hours per resident per day, below the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.768 hrs/resident/day
Quality measures
Last inspection: June 8, 2026Penalties, last 24 months: $71,750recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.768.
Staffing detail
- Registered nurses
- 0.86
- Licensed practical nurses
- 0.36
- Nurse aides
- 2.55
- Weekend nursing
- 3.37
Hours per resident per day.
Total staff turnover: 64%
Registered nurse turnover: 44%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
28.6%34.6%Worsening
Residents with a fall causing major injury
10%0%Improving
Residents with pressure ulcers (bedsores)
2.2%4%Worsening
Residents with a urinary tract infection
0%4.9%Worsening
Residents who lost too much weight
7.7%14.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.7%18.8%Worsening
Residents whose ability to walk got worse
—22.2%—
Long-stay residents on antianxiety or sleep medication
46.4%42.9%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
2.8%2.9%No change
Residents with new or worsening incontinence
30.3%35.4%Worsening
Residents with depressive symptoms
7.7%2.7%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—95%—
Long-stay residents given the pneumonia vaccine
77.5%100%Improving
Short-stay residents given the seasonal flu vaccine
—6.9%—
Short-stay residents given the pneumonia vaccine
76.2%100%Improving
What the inspectors found
The home failed to provide enough food and fluids to keep residents healthy. Cited June 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited June 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: F
The home failed to monitor antibiotic use properly. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 881 — 42 CFR §483.80 — S/S: F
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 April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
Recent history
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $71,750 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $71,750 in total fines · 1 payment denial.
- 10 days
Medicare/Medicaid payment denial
Jun 8, 2026
- $71,750
Federal fine
Jun 8, 2026
Operator & ownership
Recent ownership change · May 1, 2025
Now operated by Accura Healthcare of O'neill, LLC, previously Arbor Care Centers - Oneill LLC.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of ACCURA HEALTHCARE · 41 homes · 2.5 stars avg
- Occupancy
- 43.4 residents on an average day (52% of 84 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 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.