Accura Healthcare of O'Neill

1102 North Harrison Street, O' Neill, NE 68763 · CCN 285108 · 84 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections2 of 5CMS staffing4 of 5CMS quality2 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

No immediate-jeopardy or actual-harm citations, and no CMS enforcement fines, appear in this facility's current record.

Get the full report Watch this facility

Serious inspection findings

No citations at CMS's actual-harm or immediate-jeopardy levels appear in this facility's current record.

Staffing, from payroll records

Nursing hours / resident / day

2.61

state median 2.74

Weekend staffing gap

+2%

more nursing hours on weekends · state median −9%

RN hours / resident / day

0.55

registered nurses only

Contract (agency) staff

22%

share of all nursing hours

Nursing staff turnover

64%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

Keep an eye on this facility

Monitoring alerts are launching soon: new citations, penalties, ownership changes, and staffing drops for facilities you follow. Leave your email and we'll notify you when it goes live for Accura Healthcare of O'Neill.

Penalties and enforcement

CMS records no penalties for this facility.

Ownership

Ownership type: For profit - Limited Liability company. Part of the ACCURA HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Accura Healthcare of Lake City, LLC (Lake City, IA) — CMS overall2 of 5
Accura Healthcare of Carlisle (Carlisle, IA) — CMS overall1 of 5
Accura Healthcare of Onawa (Onawa, IA) — CMS overall2 of 5
Accura Healthcare of South Des Moines (Des Moines, IA) — CMS overall1 of 5
Accura Healthcare of Creston (Creston, IA) — CMS overall2 of 5
Accura Healthcare of New Hampton (New Hampton, IA) — CMS overall4 of 5
Shell Rock Senior Living (Shell Rock, IA) — CMS overall1 of 5
Accura Healthcare of Le Mars (Le Mars, IA) — CMS overall4 of 5

Full citation history

By severity: Potential for more than minimal harm: 26

Survey date	Tag	Category	Severity	Corrected
2026-02-26	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-05-06	F0550	Resident Rights Deficiencies	D	not recorded
2025-05-06	F0580	Resident Rights Deficiencies	D	not recorded
2025-05-06	F0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-05-06	F0684	Quality of Life and Care Deficiencies	E	not recorded
2025-05-06	F0686	Quality of Life and Care Deficiencies	D	not recorded
2025-05-06	F0689	Quality of Life and Care Deficiencies	E	not recorded
2025-05-06	F0756	Pharmacy Service Deficiencies	E	not recorded
2025-05-06	F0761	Pharmacy Service Deficiencies	E	not recorded
2025-05-06	F0880	Infection Control Deficiencies	E	not recorded
2025-05-06	F0881	Infection Control Deficiencies	F	not recorded
2024-04-18	F0565	Resident Rights Deficiencies	E	not recorded
2024-04-18	F0625	Resident Rights Deficiencies	D	not recorded
2024-04-18	F0644	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-04-18	F0755	Pharmacy Service Deficiencies	E	not recorded
2024-04-18	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2024-04-18	F0880	Infection Control Deficiencies	F	not recorded
2024-02-20	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-01-24	F0580	Resident Rights Deficiencies	D	not recorded
2023-03-09	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2023-03-09	F0677	Quality of Life and Care Deficiencies	D	not recorded
2023-03-09	F0684	Quality of Life and Care Deficiencies	D	not recorded
2023-03-09	F0689	Quality of Life and Care Deficiencies	D	not recorded
2023-03-09	F0692	Quality of Life and Care Deficiencies	D	not recorded
2023-03-09	F0758	Pharmacy Service Deficiencies	D	not recorded
2023-03-09	F0804	Nutrition and Dietary Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Accura Healthcare of O'Neill, O' Neill” at medicare.gov/care-compare.