Home›Nebraska›Nance County›Accura Healthcare of Fullerton
D
Poor

Accura Healthcare of Fullerton

202 North Esther · Fullerton, NE 68638

3085362488 · For profit - Corporation

75 beds60.7 residents75 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
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 Fullerton receives an overall staffing grade of D (Poor). With 3.0877 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3212 HPRD, below the recommended 0.75. It is 0.81 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.13% compared to weekdays. The facility has low agency staff usage (2.78% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.0877 HPRD — needs 0.39 more hours per resident per day.
⚠️RN staffing (0.3212 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (2.78%) — mostly permanent, familiar staff
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.0877hrs/resident/day▼ 0.81
CMS benchmark: 3.48
RN HPRD
0.3212hrs/resident/day▼ 0.36
Recommended: 0.75
Weekend Drop-off
15.13%
3.2257 weekday → 2.7376 weekend
Agency Staff
2.78%
2.65% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.6732hrs/resident/day
Direct care aides
LPN HPRD
0.5927hrs/resident/day
Licensed practical nurses
Consistency
0.2858std 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. Nance County Average-0.17 HPRD
3.26
03.09 HPRD
vs. Nebraska State Average-1.05 HPRD
4.14
03.09 HPRD
vs. National Average-0.81 HPRD
3.90
03.09 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 Fullerton ★
Fullerton · This facility
—
D
3.08770.3212★★☆☆☆
Genoa Community Hospital/LTC
Genoa
13.3 mi
C
3.4250.621★★☆☆☆
Cloverlodge Care Center
St Edward
15.3 mi
B
3.49720.674★★★★★
Litzenberg Memorial County Hospital
Central City
18 mi
C
3.21920.6151★★★★☆
The Oaks at Central City
Central City
18.1 mi
D
3.09030.3654★★☆☆☆
Good Samaritan Society - Albion
Albion
21.8 mi
B
3.49020.7755★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
24
Total Deficiencies
$0
Fines Assessed
Jan 6, 2025Health
4 deficiencies cited
▼
Jan 17, 2024Health
1 deficiency cited
▼
Dec 19, 2023Health
10 deficiencies cited
▼
Nov 17, 2022Health
9 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.