Nursing home report
Tekamah, NE · Medicare-certified · 44 beds
Accura HealthCare of Tekamah has a 1-star overall rating, with 1-star staffing and 2-star health inspection and quality ratings. It is flagged for the lowest overall rating, reported nurse staffing is below the federal benchmark (2.91 vs. 4.1 hours per resident per day), and it had $0 in fines over the last 24 months.
Health inspections
Staffing
2.9079 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9079.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the pneumonia vaccine
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited February 2026 — widespread issue, potential for harm.
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to ensure nurse aides had the skills and training needed to care for residents safely, including dementia care and abuse prevention. Cited February 2026 — widespread issue, potential for harm.
F-Tag 947 — 42 CFR §483.95 — S/S: F
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited February 2026 — limited pattern, potential for harm.
F-Tag 605 — 42 CFR §483.12 — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited February 2026 — limited pattern, potential for harm.
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited February 2026 — limited pattern, potential for harm.
F-Tag 695 — 42 CFR §483.25(i) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 9 health deficiencies.
Health inspection found 4 health deficiencies.
Health inspection found 2 health deficiencies.
Now operated by Accura Healthcare of Tekamah, LLC, previously Arbor Care Centers - Tekamah LLC.
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.
