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C
Below Standard

Accura HealthCare of Tekamah

823 M Street · Tekamah, NE 68061

4023741414 · For profit - Limited Liability company

44 beds30 residents73 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
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 Tekamah receives an overall staffing grade of C (Below Standard). With 3.498 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4533 HPRD, below the recommended 0.75. It is 0.40 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 10.55% compared to weekdays. The facility has low agency staff usage (6.64% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Had 4 days with zero RN hours this quarter — CMS automatically assigns a 1-star staffing rating for 4+ days.
⚠️RN staffing (0.4533 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
3.498hrs/resident/day▼ 0.40
CMS benchmark: 3.48
RN HPRD
0.4533hrs/resident/day▼ 0.23
Recommended: 0.75
Weekend Drop-off
10.55%
3.6055 weekday → 3.225 weekend
Agency Staff
6.64%
20.16% of RN hours from contractors
Days with Zero RN
4days this quarter
4+ days = auto 1-star
⚠ Auto 1-star triggered
CNA HPRD
1.0106hrs/resident/day
Direct care aides
LPN HPRD
0.7715hrs/resident/day
Licensed practical nurses
Consistency
0.3509std 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. Burt County Average-0.23 HPRD
3.73
03.50 HPRD
vs. Nebraska State Average-0.64 HPRD
4.14
03.50 HPRD
vs. National Average-0.40 HPRD
3.90
03.50 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 Tekamah ★
Tekamah · This facility
—
C
3.4980.4533★★★☆☆
Oakland Heights
Oakland
13.2 mi
B
3.95950.6288★★★★★
Good Shepherd Lutheran Home
Blair
16.1 mi
C
3.11420.4229★☆☆☆☆
Crowell Memorial Home
Blair
16.6 mi
B
4.55110.5595★☆☆☆☆
Carl T Curtis Health Education Center Nursing Home
Macy
24.7 mi
A+
5.97741.324★★★★★
St Joseph's Hillside Villa
West Point
25.8 mi
A
4.57280.9763★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
12
Total Deficiencies
$0
Fines Assessed
Oct 31, 2024Health
4 deficiencies cited
▼
Sep 14, 2023Health
2 deficiencies cited
▼
Jul 21, 2022Health
6 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.