Home›Nebraska›Adams County›Accura HealthCare of Kenesaw
D
Poor

Accura HealthCare of Kenesaw

100 West Elm Avenue · Kenesaw, NE 68956

4027523212 · For profit - Corporation

76 beds65.1 residents78 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
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 Kenesaw receives an overall staffing grade of D (Poor). With 2.8787 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3175 HPRD, below the recommended 0.75. It is 1.02 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 14.52% compared to weekdays. The facility relies heavily on temporary agency staff (19.48% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.8787 HPRD — needs 0.60 more hours per resident per day.
⚠️RN staffing (0.3175 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️19.48% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
2.8787hrs/resident/day▼ 1.02
CMS benchmark: 3.48
RN HPRD
0.3175hrs/resident/day▼ 0.37
Recommended: 0.75
Weekend Drop-off
14.52%
3.0019 weekday → 2.5661 weekend
Agency Staff
19.48%
48.5% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.3706hrs/resident/day
Direct care aides
LPN HPRD
0.6908hrs/resident/day
Licensed practical nurses
Consistency
0.4331std 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. Adams County Average-0.26 HPRD
3.14
02.88 HPRD
vs. Nebraska State Average-1.26 HPRD
4.14
02.88 HPRD
vs. National Average-1.02 HPRD
3.90
02.88 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 Kenesaw ★
Kenesaw · This facility
—
D
2.87870.3175★☆☆☆☆
Good Samaritan Society - Hastings Village
Hastings
15.5 mi
C
3.39160.6389★☆☆☆☆
Bethany Home, Inc
Minden
17.9 mi
A
4.37210.8289★☆☆☆☆
Good Samaritan Society - St Luke's Village
Kearney
21.5 mi
C
3.44470.8543★☆☆☆☆
Mother Hull Home
Kearney
22.7 mi
B
4.87350.6097★★★☆☆
The Pines at Blue Hill
BLUE HILL
22.8 mi
D
3.63590.3672★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
25
Total Deficiencies
$8,089
Fines Assessed
Aug 26, 2025Health
8 deficiencies cited
▼
Mar 18, 2025Health
2 deficiencies cited· Includes actual harm
▼
Aug 1, 2024Health
5 deficiencies cited
▼
Jun 25, 2024Health
1 deficiency cited
▼
Aug 24, 2023Health
9 deficiencies cited
▼

Penalty History

Aug 26, 2025Payment Denial
Mar 18, 2025Fine
$8,089
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.