Accura Healthcare of Tekamah
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 10 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 staffing rating (1/5 stars)
- High staff turnover (100%)
- High RN turnover (100%)
Above average in NE · Below recommended RN staffing · Very high staff turnover · Chain outperformer · No penalties on record
What this means for your family
While some families appreciate the small-town environment, the recurring reports of poor hygiene and failure to provide basic medical necessities are deeply concerning. We strongly recommend that you conduct an unannounced visit and speak directly with current residents or their families to verify the quality of daily care and staff responsiveness.
Google Reviews
Google Reviews
10 reviews on Google“Accura HealthCare of Tekamah receives highly polarized feedback, with some families praising the small-town, caring environment while others report severe neglect. Critical concerns include poor hygiene, failure to provide necessary medical aids like eyeglasses, and unprofessional conduct by staff. Potential families should be aware of significant allegations regarding resident safety and communication barriers.”
Quality Themes
Tap a score for detailsStrengths
- Small-town, intimate environment
- Staff perceived as welcoming by some families
- Active communication regarding resident status
Concerns
- Poor hygiene and lack of basic personal care (mentioned by 2 reviewers)
- Failure to provide or facilitate medical aids (glasses, compression socks) (mentioned by 2 reviewers)
- Inadequate physical therapy or medical care delivery (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 12 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard that the staff here is very welcoming and great at communicating resident status; how do you ensure that families stay updated on daily changes?
- 2With the intimate, small-town feel of this facility, how do you ensure that every resident's personal hygiene and grooming needs are met consistently every day?
- 3How do you manage the logistics of making sure residents have all their essential medical aids, like glasses or compression socks, readily available and used?
- 4Could you walk us through your process for coordinating physical therapy and ensuring medical care is delivered according to the doctor's orders?
- 5What does a typical day of social activities and engagement look like for the residents here?
- 6In the event of a medical emergency during the night, what is the specific protocol for notifying the family and providing immediate care?
Personalized based on this facility's data
Key Review Excerpts
“The staff here do everything they can to keep residents safe! This can be difficult with visitation requirements and having to enforce measures that visitors are not pleased with at times.”
“My friend has her grandmother here and has shown me how dirty she always is. Once they arrived to see their grandmother she was shaking and saying she was extremely thirsty.”
“The nurses were rude, and didn't even give an option as to having a soft diet. My aunt chokes on her food.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
8
measures
5
measures
3
measures
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 with pressure sores (bedsores)
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents who lost too much weight
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 fire safety and electrical system deficiencies across all three surveys, with families filing recent complaints in 2024 about care planning, medication management, infection control, and staff training. While all violations have been corrected by the facility, the repeated fire safety issues and the fact that four complaint-triggered deficiencies occurred in the most recent survey suggest families should ask specific questions about safety protocols and care quality during visits.
Feb 12, 2026Routine13
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
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.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Feb 12, 2026Complaint1
Environmental Deficiencies
Have enough outside ventilation via a window or mechanical ventilation, or both.
Oct 31, 2024Routine4
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
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.
Oct 31, 2024Complaint4
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Sep 14, 2023Routine10
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Environmental Deficiencies
Have enough outside ventilation via a window or mechanical ventilation, or both.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Ownership & Operations
Who Operates This Facility
Accura Healthcare of Tekamah
for profit
Chain Affiliation
Accura Healthcare
41 facilities nationwide
Chain avg rating: 2.3/5 · Rank 4 of 9
Ownership & Management
Owners
Klaasmeyer, Aaron
Owner
Klaasmeyer, Jessica
Owner
Klaasmeyer, Kenneth
Owner
Klaasmeyer, Linda
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
10 reviews from families & visitors
Official Website
Visit accura.healthcare
Medicare data downloads
Original nursing home datasets
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