Accura Healthcare of Neligh

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF921Jul 29, 2026

  Licensure Reference Number 175 NAC 12-006.19 Based on observation, interview, and record review, the facility failed to ensure an air conditioning system to maintain comfortable temperatures below 81 degrees F [Fahrenheit] in common areas of the facility. This has the potential to affect all 30 residents of the facility. Findings are:A review of facility temperature log revealed the following temperatures in the dining room:-7/27/26 at 2:25 PM the temperature was 86 F-7/28/26 at 3:00 PM the temperature was 81 F In an interview on 7/29/26 at 10:05 AM, Infection Control Licensed Practical Nurse (LPN)-A reported that the facility had no air conditioning in the hallways and that portable air conditioning units were used in the hallways every summer. […]

• No harm, potential for more than minimal, widespreadF727May 7, 2026

  Licensure Reference Number 175 NAC 12-006.04(D) Based on record review and interview; the facility failed to ensure 8 hours of consecutive Registered Nurse (RN) coverage in a 24-hour period 7 days per week as required. This had the potential to affect all facility residents. The facility census was 30.Findings are: A. Review of the Facility Assessment with a revised date of 1/13/26 revealed the following:- The facility assessment would be used to ensure that there were sufficient number of staff with the appropriate competencies and skill sets needed to care for the residents' needs.-The facility would have one RN on day shift and one RN on evening shift. B. […]

• No harm, potential for more than minimal, widespreadF880Mar 19, 2024

  Licensure Reference Number 175 NAC 12-006.17 Based on observations, interviews, and record review the facility staff failed to: 1). utilize Personal Protective Equipment (PPE) in a manor to prevent the potential spread of COVID-19; 2) administer medication in a manner to prevent the potential for cross contamination; and 3) develop/implement a water management program which identified a risk assessment and control measures to address potential hazards. This had the potential to affect all residents. The total sample size was 21 and the facility census was 33. Findings are: A. […]

• No harm, potential for more than minimal, patternF584May 7, 2026

  Licensure Reference Number 175 NAC 12-006.19(A)Based on observation, record review and interview; the facility failed to ensure the building was clean and in good repair. The facility census was 30.Findings are: A. Review of the facility deep clean checklist, undated, revealed that cleaning vents and light fixtures was one of the tasks on the checklist to deep clean a room. B. Observation of resident rooms on 5/4/26 at 9:00 AM revealed resident rooms B42, C12, C14, D17, D22, D26, D27 and ACU 6 vents in the bathroom had a heavy layer of gray fuzzy layer covering the vent. C. […]

• No harm, potential for more than minimal, patternF584Mar 25, 2025

  Licensure Reference Number 175 NAC 12-006.19 Based on observations, record review and interview; the facility failed to ensure mechanical lifts were maintained in a manner to promote resident safety. This has the potential to affect all residents who utilized mechanical lifts. In addition, the facility failed to ensure the wall, curtain, light cover and bathroom door frame were maintained in good repair in room C11, maintain the cleanliness of the bathroom ceiling ventilation covers, maintain the door frames to the resident's room and bathrooms to be free of chipped paint to 29 rooms ( C5 to C14, D15 to D27, B30 to B530) and maintain the cleanliness and condition of bathroom floors in room C11 and D25. The sample size was 19 and the facility census was 33. Findings are: A. […]