Lilisity

Nursing home

Accura HealthCare of Kenesaw

100 West Elm Avenue, Kenesaw, NE 68956 · Map
For profit - Corporation · Part of Accura Healthcare (37 facilities) · 76 certified beds

Medicare and Medicaid certified
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Accura HealthCare of Kenesaw is a Medicare-certified nursing home in Kenesaw, Nebraska. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 2.87 hours per resident per day, below the Nebraska average of 4.17. Its most recent inspection on Aug 26, 2025 cited 10 deficiencies.

1 out of 5Overall CMS rating
1 out of 5Health inspections
1 out of 5Staffing
76 bedsCertified beds
  • 1 fine totaling $8,089In CMS records: 2 total penalties, 1 Medicare payment denial.

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating1/5
Health inspections1/5
Staffing1/5
Quality measures2/5
Long-stay quality2/5
Short-stay quality2/5

How Accura HealthCare of Kenesaw 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.

MetricThis facilityNebraska avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)2.874.173.89below avg
RN staffing (hrs/resident/day)0.310.710.68below avg
Aide staffing (hrs/resident/day)1.872.762.34below avg
Nursing staff turnover—%49.3%46.4%—
Deficiencies cited, last inspection10.06.79.5above avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

2.87Total nurse hrs/resident/day
0.31RN hrs/resident/day
0.69LPN hrs/resident/day
1.87Aide hrs/resident/day
2.56Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff—
Registered nurses—
Administrator changes3 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Aug 26, 2025Most recent inspection
10Deficiencies found
151Health inspection score
1Fines

Penalties in CMS records: 1 fine totaling $8,089, 2 total penalties, 1 Medicare payment denial.

What inspectors found at Accura HealthCare of Kenesaw

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Actual 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 · Feb 17, 2026 · Full report (PDF)
  • Potential for harm

    Ensure medication error rates are not 5 percent or greater.

    Pharmacy Service Deficiencies · Feb 17, 2026 · Full report (PDF)
  • Potential for harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 17, 2026 · Full report (PDF)
  • Potential for harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Resident Rights Deficiencies · Feb 17, 2026 · Full report (PDF)
  • Potential for harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Aug 26, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

    Implement a program that monitors antibiotic use.

    Infection Control Deficiencies · Aug 26, 2025 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Aug 26, 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 · Aug 26, 2025 · Full report (PDF)
  • Potential for harm

    Ensure medication error rates are not 5 percent or greater.

    Pharmacy Service Deficiencies · Aug 26, 2025 · Full report (PDF)
  • Potential for harm

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Nursing and Physician Services Deficiencies · Aug 26, 2025 · Full report (PDF)
  • Potential for harm

    Ensure each resident receives an accurate assessment.

    Resident Assessment and Care Planning Deficiencies · Aug 26, 2025 · Full report (PDF)
  • Potential for harm

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    Resident Rights Deficiencies · Aug 26, 2025 · 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
100 West Elm Avenue
Kenesaw, NE 68956
CMS certification #
285166
Ownership
For profit - Corporation
Certified beds
76
Avg residents/day
65.1
Provider type
Medicare and Medicaid
First certified
1995-10-17
Chain
Accura Healthcare (37 facilities)
Setting
Rural

Part of Accura Healthcare

Accura Healthcare operates 37 nursing facilities across the United States. View all Accura Healthcare facilities →

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around Accura HealthCare of Kenesaw using Google Maps.

Other public records

  • Website says Respite stays, nurse 24 hours a day, works with hospice
  • Emergency In FEMA's high-risk flood area (Zone A)
Full public records, with dates and sources

Care and services

From the community’s website

What Accura HealthCare of Kenesaw says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.

  • Offers respite or short-term stays. Respite Care (page, checked Oct 12, 2026)
  • Nurse on site: 24 hours a day. 24-hour skilled nursing care (page, checked Oct 12, 2026)
  • Offers hospice care on site or works with hospice providers. Hospice & Palliative Care (page, checked Oct 15, 2026)
  • Apartment types named: private room, semi-private room. Private and semi-private rooms (page, checked Oct 12, 2026)

Location and nearby care

Nearest hospital with an emergency room
Mary Lanning Healthcare, Hastings. 14.3 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
Nearest Medicare nursing home
Good Samaritan Society - Hastings Village, Hastings. 15.5 miles away, straight line.
Nearest home health agency office
Evangelical Lutheran Gss Home Care Of Central Nebraska, Kearney. 21.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Russ's Market Pharmacy. 14.0 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 68956 as micropolitan (micropolitan high commuting).
Dialysis within 15 miles
Davita Hastings Dialysis Center, Hastings, 14.3 miles away, straight line (CMS rating 2 of 5 stars)
Hospice
3 Medicare hospices tell CMS they serve ZIP code 68956.
Good Samaritan Society - Hospice, office in Hastings, 15.4 miles away, straight line
Nearest geriatric medicine practice
Unmc Physicians, Omaha. 135.2 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
Zone A: 1% annual chance flood area (high risk); no base flood elevation set. This is inside FEMA's Special Flood Hazard Area, where flood insurance is required for federally backed mortgages. (FEMA flood map)
FEMA National Risk Index
Overall: relatively high. By hazard: inland flooding relatively moderate, wildfire relatively low, 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.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Only cases that look tied to an earlier operator (not shown)
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here relatively low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteSee above

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Frequently asked questions

Is Accura HealthCare of Kenesaw a good nursing home?

CMS gives Accura HealthCare of Kenesaw an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Accura HealthCare of Kenesaw staffed?

Accura HealthCare of Kenesaw reports 2.87 total nurse hours per resident per day, compared with the Nebraska average of 4.17.

Has Accura HealthCare of Kenesaw had inspection problems?

Its most recent CMS inspection cited 10 deficiencies.

How many beds does Accura HealthCare of Kenesaw have?

Accura HealthCare of Kenesaw is certified for 76 beds.