Accura Healthcare of Fullerton
202 North Esther · Fullerton, NE · 68638 · 3085362488
75 certified beds For profit - Corporation Chain: Arbor Care Centers
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.30 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
61% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.02 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.30 | 0.55–0.75 |
| Weekend hours / resident-day | 2.80 | ≈ weekday level |
| Nursing turnover / year | 61% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (19 in the current record)
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Potential for harm · D April 2, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 10, 2026 · Nutrition and Dietary
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Potential for harm · F April 2, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 10, 2026 · Nutrition and Dietary
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Potential for harm · D April 2, 2026 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected April 10, 2026 · Pharmacy Service
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Potential for harm · D April 2, 2026 · found via complaint
Have enough outside ventilation via a window or mechanical ventilation, or both.
Corrected April 10, 2026 · Environmental
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Potential for harm · E January 6, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected February 20, 2025 · Resident Rights
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Potential for harm · D January 6, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 20, 2025 · Quality of Life and Care
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Potential for harm · F January 6, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 20, 2025 · Nutrition and Dietary
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Potential for harm · E January 6, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected February 20, 2025 · Pharmacy Service
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Potential for harm · E January 17, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 15, 2024 · Quality of Life and Care
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Potential for harm · D December 19, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 2, 2024 · Resident Rights
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Potential for harm · D December 19, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected February 2, 2024 · Resident Rights
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Potential for harm · E December 19, 2023
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected February 2, 2024 · Resident Rights
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Potential for harm · E December 19, 2023
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected February 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 19, 2023
Respond appropriately to all alleged violations.
Corrected February 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 19, 2023
Ensure each resident receives an accurate assessment.
Corrected February 2, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 19, 2023
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected February 2, 2024 · Pharmacy Service
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Potential for harm · D December 19, 2023
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.
Corrected February 2, 2024 · Pharmacy Service
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Potential for harm · F December 19, 2023
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected February 2, 2024 · Nutrition and Dietary
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Potential for harm · F December 19, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 2, 2024 · Nutrition and Dietary
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285115 · certified since February 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.