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B
Good

Accura Healthcare of O'Neill

1102 North Harrison Street · O' Neill, NE 68763

4023362384 · For profit - Limited Liability company

84 beds40.9 residents72 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
B
Good
RN Staff
B
Good
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 O'Neill receives an overall staffing grade of B (Good). With 3.8411 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.6843 HPRD, below the recommended 0.75. It is 0.06 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 20.72% compared to weekdays. The facility relies heavily on temporary agency staff (19.74% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.6843 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️19.74% 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 (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.8411hrs/resident/day▼ 0.06
CMS benchmark: 3.48
RN HPRD
0.6843hrs/resident/day▲ 0.00
Recommended: 0.75
Weekend Drop-off
20.72%
4.08 weekday → 3.2347 weekend
⚠ Significant weekend reduction
Agency Staff
19.74%
15.65% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.6567hrs/resident/day
Direct care aides
LPN HPRD
0.566hrs/resident/day
Licensed practical nurses
Consistency
0.6169std 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. Holt County Average+0.23 HPRD
3.61
03.84 HPRD
vs. Nebraska State Average-0.29 HPRD
4.14
03.84 HPRD
vs. National Average-0.06 HPRD
3.90
03.84 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 O'Neill ★
O' Neill · This facility
—
B
3.84110.6843★★☆☆☆
Good Samaritan Society - Atkinson
Atkinson
16.6 mi
C
3.33750.6106★☆☆☆☆
Parkside Manor
Stuart
26.4 mi
B
3.6460.5897★★★★★
Alpine Village Retirement Center
Verdigre
32.6 mi
B
3.52621.0014★★★★☆
Avera Creighton Care Centre
Creighton
37.6 mi
A
4.84751.805★★★★☆
Accura Healthcare of Neligh
Neligh
38.9 mi
C
4.24820.5443★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
25
Total Deficiencies
$0
Fines Assessed
May 6, 2025Health
10 deficiencies cited
▼
Apr 18, 2024Health
6 deficiencies cited
▼
Feb 20, 2024Health
1 deficiency cited
▼
Jan 24, 2024Health
1 deficiency cited
▼
Mar 9, 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.