Deficiency Index

Accura Healthcare of Fullerton

Fullerton, Nebraska · CCN 285115

20 surveys since 2010. The first finding at harm level was recorded in 2016.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
87
Surveys
20
Harm or worse
1
Immediate jeopardy
0
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file16/20

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
75
Ownership
For profit - Corporation
Chain
ACCURA HEALTHCARE
County
Nance · rural
Medicare-certified since
1992

CMS ratings

Overall
3
Health inspection
3
Staffing
2
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 26 for-profit facilities of 66–99 beds in Nebraska.

Last survey on record

Apr 2, 2026

221 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day2.933.50
Registered-nurse hours per resident day0.27—
Annual nurse turnover41.9%62.5%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1052.6%E526.3%F421.1%
No harm, potential for minimalA—B—C—
CMS’s current file: 19 of the 87 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5842×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F7592×

    Ensure medication error rates are not 5 percent or greater.

  • F5801×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

In the surveyor’s words

From the most serious findings on record at Accura Healthcare of Fullerton, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Apr 2, 2026

    Licensure Reference Number 175 NAC 12-006.11(E) Based on observations, record reviews, and interviews, the facility failed to ensure water temperatures in the dishwasher reached the required temperature during the wash cycle to ensure sanitization, failed to maintain cleanliness of the ice machine and convection oven surfaces, and failed to ensure hand hygiene was completed between glove changes in a manner to prevent the spread of foodborne illness. This had the potential to affect all residents. […]

  • No harm, potential for more than minimal, widespreadF812Jan 6, 2025

    Licensure Reference Number 175 NAC 12-006.11(E) Based on observation, record review and interview; the facility failed to ensure measures were implemented to prevent the potential for food borne illness related to the proper storage and labeling of food items and the maintenance and cleaning of kitchen equipment. This had the ability to affect all residents that ate from the facility kitchen. The total sample size was 16 and the facility census was 57. Findings are: A. A record review of the Nebraska Food Code dated 2017, used as an authoritative reference for food service sanitation practices, revealed the following: -3-201.11(C) Packaged Food shall be labeled as specified by law, including 21 CFR 101 Food labeling, 9 CFR 317 Labeling, Marking Devices, and Containers and 9 CFR 381… […]

  • No harm, potential for more than minimal, widespreadF801Dec 19, 2023

    LICENSURE REFERENCE NUMBER 175 NAC 12-006.04D2 Based on interview and record review; the facility failed to have a qualified Dietary Manager (DM). This had the potential to affect all residents who consumed food from the kitchen. The facility staff identified a census of 58. Review of the facility Job Description for the role of Dietary Service Manager revealed necessary qualifications included the completion of a Dietary Manager certification course. An interview with the DM on 12/13/23 at 8:30 AM revealed the DM was enrolled in dietary manager classes and would not finish until March of 2024. Review of a list of key personnel received from the facility for this location revealed that the Food Service Supervisor was listed as the DM, and there was no Certified DM on the list.

  • No harm, potential for more than minimal, widespreadF812Dec 19, 2023

    LICENSURE REFERENCE NUMBER NAC 12-006.11E Based on observation, record review, and interview; the facility failed to maintain food storage areas and kitchen equipment in a sanitary manner and to store food and perform meal service in a manner to prevent the potential for food borne illness and assure food safety as 1) failed to utilize handwashing and gloving techniques to prevent potential food contamination; 2) touched ready to eat food items with bare hands; 3) failed to properly store food items and to assure items were labeled and dated; and 4) kitchen equipment was free of dirt and debris. This had the ability to affect all residents that ate from the facility kitchen. The total sample size was 22 and the facility census was 58. Findings are: A. […]

  • No harm, potential for more than minimal, patternF584Jan 6, 2025

    Licensure Reference Number 175 NAC 12-006.19 Based on observations, record review and interview; the facility failed to maintain the cleanliness and the condition of the bathroom ceiling ventilation covers, the bathroom floors and toilets and the walls in 14 (Rooms 2, 4, 6, 8, 10, 11, 12, 13, 18, 19, 20, 21, 32 and 35) of 38 occupied resident rooms in the facility. In addition, the facility failed to address missing dentures for Resident 35. The total sample size was 16 and the facility census was 57. Findings are: A. A record review of the facility Maintenance Log revealed the following concerns were reported by the staff: -10/1/24 the toilet in the bathroom of resident room [ROOM NUMBER] was leaking around the base of the toilet. […]

Read 21 findings in full →The most serious and the most recent: 21 of 87 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 2, 2026Standard and complaint4 findings
  • Jan 6, 2025Standard and complaint4 findings
  • Jan 17, 2024Complaint1 finding
  • Dec 19, 2023Standard10 findings
  • Nov 17, 2022Standard9 findings
  • Jul 26, 2021Standard6 findings
  • Feb 8, 2021Complaint1 finding
  • Jul 14, 2020Infection control1 finding
Show the 12 earlier surveys
  • Nov 25, 2019Standard and complaint4 findings
  • Oct 25, 2018Standard6 findings
  • Aug 28, 2017Standard and complaint8 findings
  • Jul 20, 2016Standard5 findings
  • Mar 10, 2016Complaint5 findings · 1 harm
  • May 26, 2015Standard3 findings
  • Apr 1, 2014Standard3 findings
  • Jul 17, 2013—2 findings
  • Dec 4, 2012—2 findings
  • May 9, 2012—1 finding
  • Aug 3, 2011—8 findings
  • Sep 15, 2010—4 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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