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C
Below Standard

Accura Healthcare of Neligh

1100 T Street · Neligh, NE 68756

4028875428 · For profit - Limited Liability company

70 beds30.4 residents92 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
C
Below Standard
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 Neligh receives an overall staffing grade of C (Below Standard). With 4.2482 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5443 HPRD, below the recommended 0.75. It is 0.35 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 18.1% compared to weekdays. The facility uses a moderate level of agency staff (12.68% of hours), suggesting some reliance on temporary workers.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Had 6 days with zero RN hours this quarter — CMS automatically assigns a 1-star staffing rating for 4+ days.
⚠️RN staffing (0.5443 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
Total Nurse HPRD
4.2482hrs/resident/day▲ 0.35
CMS benchmark: 3.48
RN HPRD
0.5443hrs/resident/day▼ 0.14
Recommended: 0.75
Weekend Drop-off
18.1%
4.4773 weekday → 3.6667 weekend
Agency Staff
12.68%
20.71% of RN hours from contractors
Days with Zero RN
6days this quarter
4+ days = auto 1-star
⚠ Auto 1-star triggered
CNA HPRD
1.8407hrs/resident/day
Direct care aides
LPN HPRD
0.8136hrs/resident/day
Licensed practical nurses
Consistency
0.618std 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. Antelope County Average+0.00 HPRD
4.25
04.25 HPRD
vs. Nebraska State Average+0.11 HPRD
4.14
04.25 HPRD
vs. National Average+0.35 HPRD
3.90
04.25 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 Neligh ★
Neligh · This facility
—
C
4.24820.5443★☆☆☆☆
Plainview Manor
Plainview
19.5 mi
B
3.63710.9626★★★★☆
Avera Creighton Care Centre
Creighton
23.6 mi
A
4.84751.805★★★★☆
Community Pride Care Center
Battle Creek
24.5 mi
C
3.20720.7414★★★★☆
Accura HealthCare of Pierce
Pierce
26.9 mi
D
2.86740.342★★★☆☆
Mid-Nebraska Lutheran Home
Newman Grove
29.9 mi
D
4.90290.3526★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
19
Total Deficiencies
$0
Fines Assessed
Mar 25, 2025Health
5 deficiencies cited
▼
Mar 19, 2024Health
7 deficiencies cited
▼
Feb 16, 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.