Accura HealthCare of Tekamah

823 M Street, Tekamah, NE 68061 · CCN 285118 · 44 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections2 of 5CMS staffing1 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.

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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

1.36

state median 2.74

Weekend staffing gap

+18%

more nursing hours on weekends · state median −9%

RN hours / resident / day

0.26

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

52%

per year, per CMS

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

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Penalties and enforcement

CMS records no penalties for this facility.

Ownership

Ownership type: For profit - Corporation. 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: 15

Survey date	Tag	Category	Severity	Corrected
2026-02-12	F0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2026-02-12	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-02-12	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2026-02-12	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-02-12	F0695	Quality of Life and Care Deficiencies	E	not recorded
2026-02-12	F0727	Nursing and Physician Services Deficiencies	F	not recorded
2026-02-12	F0880	Infection Control Deficiencies	E	not recorded
2026-02-12	F0923	Environmental Deficiencies	E	not recorded
2026-02-12	F0947	Nursing and Physician Services Deficiencies	F	not recorded
2024-10-31	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-10-31	F0758	Pharmacy Service Deficiencies	D	not recorded
2024-10-31	F0880	Infection Control Deficiencies	D	not recorded
2024-10-31	F0947	Nursing and Physician Services Deficiencies	D	not recorded
2023-09-14	F0637	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-09-14	F0923	Environmental Deficiencies	E	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 Tekamah, Tekamah” at medicare.gov/care-compare.