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Nursing HomeMedicaid Investigative

Accura Healthcare of Neligh

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1100 T Street, Neligh, NE 6875670 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.0/5

based on 4 Google reviews

Accura Healthcare of Neligh Nursing Home in Neligh, NE — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • High staff turnover (51%)

Bottom 25% in NE · Below recommended RN staffing · Above recommended total nurse staffing · Worst in ARBOR CARE CENTERS chain · No penalties on record

Source: Medicare data

What this means for your family

Due to the extreme lack of detail in these reviews, it is impossible to determine the quality of care from this data alone. Families should conduct an in-person visit and speak directly with current residents' families to verify the quality of the staff and care.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.35hrs
47%
Registered nurses for medical care
Total Nursing
3.75hrs
92%
All nurses + aides combined
Staff Turnover
54%
Lower is better (< 30% = good)
RN Turnover
80%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
1/ 5
Better Than Avg

5

measures

Worse Than Avg

11

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility37.1%
Worse than Avg
Here
37.1%
US
15.4%
NE
20.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility27.7%
Worse than Avg
Here
27.7%
US
14.4%
NE
19.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility30.9%
Worse than Avg
Here
30.9%
US
19.4%
NE
26.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.6%
Better than Avg
Here
2.6%
US
12.1%
NE
4.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility24.1%
Worse than Avg
Here
24.1%
US
15.3%
NE
19.1%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility88.9%
Worse than Avg
Here
88.9%
US
95.5%
NE
96.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility65.6%
Worse than Avg
Here
65.6%
US
81.8%
NE
80.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
NE
2.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
Near state avg (6.7)
3 complaint-triggered

This facility shows a consistent pattern of fire safety violations and infection control issues across all three surveys, with families filing complaint reports about emergency preparedness and accident prevention. The most recurring problems involve fire safety systems (sprinklers, doors, drills), infection control programs, and medication management oversight. While all deficiencies show correction dates, the persistence of fire safety and infection control violations across multiple years suggests ongoing challenges with maintaining safety standards.

Mar 25, 2025Routine
10
0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0300Potential for harm · PatternCorrected

Egress Deficiencies

Meet other general requirements that are deficient.

0911Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 19, 2024Routine
12
0020Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures including evacuation.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0922Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use and maintenance of medical gas equipment.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0606Minimal · WidespreadCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

0943Minimal · WidespreadCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Mar 19, 2024Complaint
3
0024Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for volunteers.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Feb 16, 2023Routine
12
0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0886Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Perform COVID19 testing on residents and staff.

0888Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Ensure staff are vaccinated for COVID-19

Ownership & Operations

Who Operates This Facility

Owner / Operator

Accura Healthcare of Neligh

Organization Type

for profit

Chain Affiliation

Chain Name

Arbor Care Centers

Chain Size

8 facilities nationwide

Chain avg rating: 2.3/5 · Rank 8 of 9 (Worst)

Ownership & Management

Key personnel

Klaasmeyer, KennethW-2 Managing EmployeeKlaasmeyer, LindaW-2 Managing EmployeeMcwhorter, EverettW-2 Managing EmployeeStuhr, StephanieW-2 Managing Employee
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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