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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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
No Medicare penalties on record
This facility has areas of concern that warrant careful consideration. The latest standard survey recorded 11 findings, above the NE average of 6.7. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
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
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Rating Trends
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Distribution · 14 analyzed
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.”
This facility meets both EveryPlace staffing reference benchmarks. Higher staffing is generally associated with stronger day-to-day care.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
4
measures
9
measures
4
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 vaccinated for pneumonia
Residents whose walking got worse
Residents whose bladder or bowel control 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
Detailed Medicare record · up to 3-year lookback
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
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.
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.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use and maintenance of medical gas equipment.
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.
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.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
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
Provide properly protected cooking facilities.
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.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
Accura Healthcare of O'neill
for profit
Arbor Care Centers
7 facilities nationwide
Chain avg rating: 2.3/5 · Rank 6 of 9
Owners
Klaasmeyer, Aaron
Owner
Klaasmeyer, Jessica
Owner
Klaasmeyer, Kenneth
Owner
Klaasmeyer, Linda
Owner
Key personnel
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