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
Nursing home report
Accura Healthcare of O'Neill
O' Neill, NE · Medicare-certified · 84 beds
In good standing
For-profitChain member
2 of 5 overall
Accura Healthcare of O'Neill has a 2-star overall rating, with 2-star health inspection and quality ratings and a 3-star staffing rating. Reported nurse staffing is 4.10 hours per resident per day, matching the federal benchmark of 4.1, with no fines in the last 24 months; recent inspection issues included antibiotic use monitoring, infection prevention and control, and monthly pharmacist drug regimen review.
Facility ratings
Health inspections
Staffing
4.1004 hrs/resident/day
Quality measures
Last inspection: February 26, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1004.
Staffing detail
- Registered nurses
- 0.95
- Licensed practical nurses
- 0.36
- Nurse aides
- 2.79
- Weekend nursing
- 3.64
Hours per resident per day.
Total staff turnover: 67%
Registered nurse turnover: 89%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
28.6%Steady
Residents with a fall causing major injury
7.1%Steady
Residents with pressure ulcers (bedsores)
3.8%Steady
Residents with a urinary tract infection
0.7%Steady
Residents who lost too much weight
6.4%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
17.2%Worsening
Residents whose ability to walk got worse
20.3%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
42.6%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
1.4%Steady
Residents with new or worsening incontinence
23.6%Worsening
Residents with depressive symptoms
5.6%Improving
Long-stay residents given the seasonal flu vaccine
95%Steady
Long-stay residents given the pneumonia vaccine
88.4%Improving
Short-stay residents given the seasonal flu vaccine
6.9%Steady
Short-stay residents given the pneumonia vaccine
76.8%Improving
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 April 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 a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 756 — 42 CFR §483.45(c) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
Recent history
- 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
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of ARBOR CARE CENTERS · 8 homes · 2.3 stars avg
- Occupancy
- 40.2 residents on an average day (48% of 84 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 34 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.