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C
Below Standard

Accura Healthcare of Franklin

1006 M Street · Franklin, NE 68939

3084256262 · For profit - Limited Liability company

42 beds0 residents44 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Accura Healthcare of Franklin receives an overall staffing grade of C (Below Standard). With 3.0624 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.7068 HPRD, below the recommended 0.75. It is 0.83 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 10.92% compared to weekdays. The facility uses a moderate level of agency staff (8.38% of hours), suggesting some reliance on temporary workers.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.0624 HPRD — needs 0.42 more hours per resident per day.
⚠️RN staffing (0.7068 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.0624hrs/resident/day▼ 0.83
CMS benchmark: 3.48
RN HPRD
0.7068hrs/resident/day▲ 0.02
Recommended: 0.75
Weekend Drop-off
10.92%
3.16 weekday → 2.8148 weekend
Agency Staff
8.38%
10.94% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
0.9703hrs/resident/day
Direct care aides
LPN HPRD
0.3875hrs/resident/day
Licensed practical nurses
Consistency
0.3788std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Franklin County Average+0.00 HPRD
3.06
03.06 HPRD
vs. Nebraska State Average-1.07 HPRD
4.14
03.06 HPRD
vs. National Average-0.83 HPRD
3.90
03.06 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Accura Healthcare of Franklin ★
Franklin · This facility
—
C
3.06240.7068★★★☆☆
Good Samaritan Society - Colonial Villa
Alma
21.3 mi
B
3.72750.6541★★★★☆
Heritage of Webster County
Red Cloud
23.4 mi
B
4.35980.7203★☆☆☆☆
Bethany Home, Inc
Minden
27.5 mi
A
4.37210.8289★☆☆☆☆
The Pines at Blue Hill
BLUE HILL
31.9 mi
D
3.63590.3672★☆☆☆☆
Holdrege Memorial Homes, Inc
Holdrege
32 mi
B
3.61390.7873★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
16
Total Deficiencies
$0
Fines Assessed
Mar 20, 2025Health
6 deficiencies cited
▼
Feb 29, 2024Health
3 deficiencies cited
▼
Mar 30, 2023Health
7 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.