Lilisity

Nursing home

Accura Healthcare of O'Neill

1102 North Harrison Street, O' Neill, NE 68763 · Map
For profit - Limited Liability company · Part of Arbor Care Centers (9 facilities) · 84 certified beds

Medicare and Medicaid certified
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Accura Healthcare of O'Neill is a Medicare-certified nursing home in O' Neill, Nebraska. CMS rates it 2 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.83 hours per resident per day, below the Nebraska average of 4.17. Its most recent inspection on May 6, 2025 cited 10 deficiencies.

2 out of 5Overall CMS rating
2 out of 5Health inspections
2 out of 5Staffing
84 bedsCertified beds

CMS quality ratings

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

Overall rating2/5
Health inspections2/5
Staffing2/5
Quality measures2/5
Long-stay quality2/5
Short-stay quality3/5

How Accura Healthcare of O'Neill 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)3.834.173.89below avg
RN staffing (hrs/resident/day)0.680.710.68below avg
Aide staffing (hrs/resident/day)2.592.762.34below avg
Nursing staff turnover64.3%49.3%46.4%above avg
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.

3.83Total nurse hrs/resident/day
0.68RN hrs/resident/day
0.56LPN hrs/resident/day
2.59Aide hrs/resident/day
3.23Weekend 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 staff64.3%
Registered nurses90.9%
Administrator changes—

Recent health inspection

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

May 6, 2025Most recent inspection
10Deficiencies found
72Health inspection score
0Fines

What inspectors found at Accura Healthcare of O'Neill

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 26, 2026 · Full report (PDF)
  • Potential for harm

    Implement a program that monitors antibiotic use.

    Infection Control Deficiencies · May 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 · May 6, 2025 · Full report (PDF)
  • Potential for harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Quality of Life and Care Deficiencies · May 6, 2025 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · May 6, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

    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.

    Pharmacy Service Deficiencies · May 6, 2025 · Full report (PDF)
  • Potential for harm

    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 · May 6, 2025 · Full report (PDF)
  • Potential for harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Quality of Life and Care Deficiencies · May 6, 2025 · Full report (PDF)
  • Potential for harm

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 6, 2025 · Full report (PDF)
  • Potential for harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Resident Rights Deficiencies · May 6, 2025 · 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 · May 6, 2025 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Apr 18, 2024 · 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
1102 North Harrison Street
O' Neill, NE 68763
CMS certification #
285108
Ownership
For profit - Limited Liability company
Certified beds
84
Avg residents/day
40.9
Provider type
Medicare and Medicaid
First certified
1991-08-01
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 →

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Location and nearby

Explore the area around Accura Healthcare of O'Neill using Google Maps.

Other public records

  • Website says Works with hospice, transportation
  • Workplace safety 1 OSHA workplace safety inspection since 2019, 4 violations cited
Full public records, with dates and sources

Care and services

From the community’s website

What Accura Healthcare of O'Neill 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 hospice care on site or works with hospice providers. Hospice/Palliative Care (page, checked Oct 15, 2026)
  • Provides transportation. Transportation Services (page, checked Oct 12, 2026)
  • Apartment types named: private room, semi-private room. Private and Semi-Private Rooms (page, checked Oct 12, 2026)

Staff pay and workplace safety

Federal records about how the employer here treats its staff.

OSHA workplace safety inspections

OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.

  • Feb 6, 2019: programmed (planned) inspection, complete (safety). Case closed Aug 2, 2019. 4 violations cited (3 serious, 1 other). Penalties: $14,652 proposed, $10,250 now. OSHA record. OSHA recorded the employer as O'Neill Care & Rehabilitation Center, LLC.
    Details
    • Serious: Keeping exit routes clear and marked (1910.37(a)(3)). Penalty $4,508 proposed, $3,153 now.
    • Serious: Machine guarding (1910.212(a)(1)). Penalty $4,508 proposed, $3,153 now. To be fixed by Aug 16, 2019.
    • Serious: Electrical wiring methods and equipment (1910.305(b)(1)(ii)). Penalty $4,508 proposed, $3,153 now.
    • Other than serious: Injury and illness log forms (OSHA 300 and 301) (1904.29(b)(1)). Penalty $1,128 proposed, $791 now. To be fixed by Aug 16, 2019.

Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.

Location and nearby care

Nearest hospital with an emergency room
Avera St Anthony'S Hospital, O' Neill. 0.6 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
Nearest Medicare nursing home
Good Samaritan Society - Atkinson, Atkinson. 16.6 miles away, straight line.
Nearest home health agency office
Avera At Home Dba Avera@Home, O' Neill. 0.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Wanek's. 39.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 68763 as rural (rural area).
Dialysis within 15 miles
Avera St Anthonys Hospital Esrd, Oneill, 4.9 miles away, straight line
Hospice
5 Medicare hospices tell CMS they serve ZIP code 68763.
Nearest geriatric medicine practice
Unmc Physicians, Omaha. 152.6 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
FEMA has a flood map for this community (effective September 22, 1999), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
FEMA National Risk Index
Overall: relatively moderate. By hazard: inland flooding relatively low, wildfire relatively low, tornado relatively 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, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026See above
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 O'Neill a good nursing home?

CMS gives Accura Healthcare of O'Neill 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 O'Neill staffed?

Accura Healthcare of O'Neill reports 3.83 total nurse hours per resident per day, compared with the Nebraska average of 4.17.

Has Accura Healthcare of O'Neill had inspection problems?

Its most recent CMS inspection cited 10 deficiencies.

How many beds does Accura Healthcare of O'Neill have?

Accura Healthcare of O'Neill is certified for 84 beds.