Nursing home
Accura Healthcare of Fullerton, North Esther
202 North Esther, Fullerton, NE 68638 · Map
For profit - Corporation · Part of Arbor Care Centers (9 facilities) · 75 certified beds
Accura Healthcare of Fullerton, North Esther is a Medicare-certified nursing home in Fullerton, Nebraska. CMS rates it 2 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.09 hours per resident per day, below the Nebraska average of 4.17. Its most recent inspection on Jan 6, 2025 cited 4 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Accura Healthcare of Fullerton, North Esther compares
This facility vs. the Nebraska and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Nebraska avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.09 | 4.17 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.32 | 0.71 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.17 | 2.76 | 2.34 | below avg |
| Nursing staff turnover | 62.1% | 49.3% | 46.4% | above avg |
| Deficiencies cited, last inspection | 4.0 | 6.7 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Accura Healthcare of Fullerton, North Esther
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jan 6, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Jan 6, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Jan 6, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 6, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 17, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Dec 19, 2023 · Full report (PDF) - Potential for harm
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.
Nutrition and Dietary Deficiencies · Dec 19, 2023 · Full report (PDF) - Potential for harm
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 19, 2023 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Dec 19, 2023 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Dec 19, 2023 · Full report (PDF) - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Dec 19, 2023 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Dec 19, 2023 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 202 North Esther
Fullerton, NE 68638 - CMS certification #
- 285115
- Ownership
- For profit - Corporation
- Certified beds
- 75
- Avg residents/day
- 60.7
- Provider type
- Medicare and Medicaid
- First certified
- 1992-02-01
- Chain
- Arbor Care Centers (9 facilities)
- Setting
- Rural
Part of Arbor Care Centers
Arbor Care Centers operates 9 nursing facilities across the United States. View all Arbor Care Centers facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Accura Healthcare of Fullerton, North Esther using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Genoa Community Hospital, Genoa. 13.2 miles away, straight line.
- Nearest Medicare nursing home
- Genoa Community Hospital/LTC, Genoa. 13.3 miles away, straight line.
- Nearest home health agency office
- Boone County Health Center Home Health, Albion. 22.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Wells Pharmacy. 22.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 68638 as rural (rural area).
- Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 68638.
- Nearest geriatric medicine practice
- Unmc Physicians, Omaha. 92.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Fullerton, NE, risk to homes is greater than 47% of communities in Nebraska and 59% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: very high. By hazard: inland flooding relatively high, wildfire relatively moderate, tornado very high, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Accura Healthcare of Fullerton, North Esther a good nursing home?
CMS gives Accura Healthcare of Fullerton, North Esther an overall rating of 2 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Accura Healthcare of Fullerton, North Esther staffed?
Accura Healthcare of Fullerton, North Esther reports 3.09 total nurse hours per resident per day, compared with the Nebraska average of 4.17.
Has Accura Healthcare of Fullerton, North Esther had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Accura Healthcare of Fullerton, North Esther have?
Accura Healthcare of Fullerton, North Esther is certified for 75 beds.