Nursing home
Accura HealthCare of Tekamah
823 M Street, Tekamah, NE 68061 · Map
For profit - Limited Liability company · Part of Arbor Care Centers (9 facilities) · 44 certified beds
Accura HealthCare of Tekamah is a Medicare-certified nursing home in Tekamah, Nebraska. CMS rates it 3 out of 5 stars overall (1/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.49 hours per resident per day, below the Nebraska average of 4.17. Its most recent inspection on Oct 31, 2024 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 Tekamah 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) | 3.49 | 4.17 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.45 | 0.71 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.27 | 2.76 | 2.34 | below avg |
| Nursing staff turnover | 100.0% | 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.
- Every deficiency from the February 12, 2026 inspection was corrected by March 3, 2026
What inspectors found at Accura HealthCare of Tekamah
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
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Feb 12, 2026 · Full report (PDF) - Potential for harm
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 · Feb 12, 2026 · Full report (PDF) - Potential for harm
Have enough outside ventilation via a window or mechanical ventilation, or both.
Environmental Deficiencies · Feb 12, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 12, 2026 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Feb 12, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Feb 12, 2026 · 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 · Feb 12, 2026 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Feb 12, 2026 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 12, 2026 · Full report (PDF) - Potential for harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Oct 31, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Oct 31, 2024 · 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 · Oct 31, 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
- 823 M Street
Tekamah, NE 68061 - CMS certification #
- 285118
- Ownership
- For profit - Limited Liability company
- Certified beds
- 44
- Avg residents/day
- 30.0
- Provider type
- Medicare and Medicaid
- First certified
- 1992-06-01
- 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 Tekamah using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Memorial Community Hospital & Health System, Blair. 16.1 miles away, straight line.
- Nearest Medicare nursing home
- Oakland Heights, Oakland. 13.2 miles away, straight line.
- Nearest home health agency office
- Burgess Home Health, Onawa. 18.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 16.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 68061 as rural (rural area).
- Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 68061.
- Nearest geriatric medicine practice
- Physicians Clinic Inc, Omaha. 36.9 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 X: 1 Percent Depth Less Than 1 Foot. (FEMA flood map)
- Wildfire risk to homes
- In Tekamah, NE, risk to homes is greater than 76% of communities in Nebraska and 74% 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: relatively high. By hazard: inland flooding relatively high, wildfire relatively moderate, tornado very high, heat wave relatively moderate, 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 | Only cases that look tied to an earlier operator (not shown) |
| 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 |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Accura HealthCare of Tekamah a good nursing home?
CMS gives Accura HealthCare of Tekamah an overall rating of 3 out of 5 stars, including 1/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Accura HealthCare of Tekamah staffed?
Accura HealthCare of Tekamah reports 3.49 total nurse hours per resident per day, compared with the Nebraska average of 4.17.
Has Accura HealthCare of Tekamah had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Accura HealthCare of Tekamah have?
Accura HealthCare of Tekamah is certified for 44 beds.