Accura Healthcare of Kenesaw
100 West Elm Avenue · Kenesaw, NE · 68956 · 4027523212
76 certified beds For profit - Corporation Chain: Accura Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $65,129 in fines in the last 24 months.
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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$65,129 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.87 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 2.87 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.50 | 0.55–0.75 |
| Weekend hours / resident-day | 2.46 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | 2 · $65,129 |
Inspection citations (29 in the current record)
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Actual harm · G February 17, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 20, 2026 · Quality of Life and Care
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Potential for harm · D February 17, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 2, 2026 · Resident Rights
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Potential for harm · D February 17, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 10, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 17, 2026 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected April 20, 2026 · Pharmacy Service
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Potential for harm · D August 26, 2025
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected September 19, 2025 · Resident Rights
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Potential for harm · D August 26, 2025
Ensure each resident receives an accurate assessment.
Corrected September 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 26, 2025
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected September 19, 2025 · Nursing and Physician Services
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Potential for harm · D August 26, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected September 19, 2025 · Pharmacy Service
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Potential for harm · F August 26, 2025
Provide and implement an infection prevention and control program.
Corrected September 19, 2025 · Infection Control
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Potential for harm · F August 26, 2025
Implement a program that monitors antibiotic use.
Corrected September 19, 2025 · Infection Control
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Potential for harm · F August 26, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected September 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 26, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 19, 2025 · Quality of Life and Care
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Immediate jeopardy · J March 18, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 22, 2025 · Quality of Life and Care
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Potential for harm · D March 18, 2025 · found via complaint
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected March 22, 2025 · Nursing and Physician Services
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Potential for harm · D August 1, 2024
Ensure each resident receives an accurate assessment.
Corrected August 23, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 1, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected August 23, 2024 · Quality of Life and Care
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Potential for harm · D August 1, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 23, 2024 · Quality of Life and Care
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Potential for harm · D August 1, 2024
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 August 23, 2024 · Pharmacy Service
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Potential for harm · F August 1, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 23, 2024 · Nutrition and Dietary
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Potential for harm · E June 25, 2024 · found via complaint
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 July 17, 2024 · Resident Rights
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Potential for harm · D August 24, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 20, 2023 · Quality of Life and Care
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Potential for harm · D August 24, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 20, 2023 · Quality of Life and Care
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Potential for harm · E August 24, 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 September 20, 2023 · Pharmacy Service
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Potential for harm · F August 24, 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 September 20, 2023 · Nutrition and Dietary
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Potential for harm · F August 24, 2023
Provide and implement an infection prevention and control program.
Corrected September 20, 2023 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 17, 2026 | Fine | $57,040 |
| February 17, 2026 | Payment Denial | 40 days |
| August 26, 2025 | Payment Denial | 5 days |
| March 18, 2025 | Fine | $8,089 |
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 285166 · certified since October 17, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.