Accura Healthcare of O'neill
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 13 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (10 vs median 5)
- High staff turnover (64%)
- High RN turnover (91%)
Below average in NE · Below recommended RN staffing · No penalties on record
What this means for your family
This facility has received consistently negative feedback regarding cleanliness and staff responsiveness. We strongly advise families to conduct an unannounced tour and review the most recent state health inspection reports before considering this location for a loved one.
Google Reviews
Google Reviews
13 reviews on Google“Accura Healthcare of O'Neill faces severe criticism regarding basic hygiene, staff professionalism, and resident care. Multiple reviewers report unsanitary conditions, including persistent odors and uncleaned rooms, alongside concerns about staff neglecting resident needs and personal belongings.”
Quality Themes
Tap a score for detailsConcerns
- Poor facility cleanliness and hygiene (mentioned by 3 reviewers)
- Negligent or rude staff behavior (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 14 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the recent feedback regarding facility maintenance, could you walk me through your current daily cleaning protocols and how you ensure high standards of hygiene in resident rooms?
- 2I noticed the facility has had some challenges with staffing consistency; what steps are you taking to improve staff retention and ensure residents receive attentive, compassionate care?
- 3How do you handle communication with families when there is a change in a resident's health status or a medication adjustment?
- 4With the current CMS ratings in mind, what specific quality improvement initiatives is the leadership team prioritizing right now to enhance the resident experience?
- 5Could you describe the dining experience and how you accommodate individual dietary needs or preferences to ensure residents truly enjoy their meals?
- 6What is your protocol for managing medical emergencies, and how quickly can a resident expect to be seen by a nurse if an urgent need arises?
Personalized based on this facility's data
Key Review Excerpts
“Place stinks like piss all the time. Dirty. Carpet is dirty.”
“Rooms were not cleaned up during my visit, same trash and paper littered on the floors the entire time. Towel racks missing from the walls leaving holes.”
“Staff was rude to my grandma. She would routinely be left in her room and not be helped to the bathroom.”
Staffing
Staffing Hours
per resident/day · Medicare 2026This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
3
measures
8
measures
6
measures
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents whose walking got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows a concerning pattern of recurring safety and care issues, with families filing 8 complaints that triggered federal investigations. The most frequent problems involve fire safety and building maintenance, medication management, and resident care quality. Issues with fire drills, safety equipment, and medication oversight have persisted across multiple surveys from 2023 to 2025, suggesting ongoing management challenges despite reported corrections.
Feb 26, 2026Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
May 6, 2025Routine13
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Provide properly protected cooking facilities.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use and maintenance of medical gas equipment.
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.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that sources of ignition are removed from patients receiving respiratory therapy.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
May 6, 2025Complaint3
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Apr 18, 2024Routine12
Emergency Preparedness Deficiencies
Provide family notifications of emergency plan.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Provide properly protected cooking facilities.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use and maintenance of medical gas equipment.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Feb 20, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Jan 24, 2024Complaint1
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.
Ownership & Operations
Who Operates This Facility
Accura Healthcare of O'neill
for profit
Chain Affiliation
Arbor Care Centers
8 facilities nationwide
Chain avg rating: 2.3/5 · Rank 6 of 9
Ownership & Management
Key personnel
Contact
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
13 reviews from families & visitors
Official Website
Visit arborcarecenter.com
Medicare data downloads
Original nursing home datasets
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