Accura Healthcare of O'Neill

In the surveyor’s words

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

• Actual harm, patternF684Jun 8, 2026

  Licensure Reference Number 175 NAC 12-006.09Based on record review and interview; the facility failed to implement physicians' orders for Residents 3, 4,12, and 50. The sample size was 12 and the facility census was 45. Findings are: A. Review of the facility policy Provision of Quality Care dated 12/3/25 revealed the facility ensured resident's received treatment and care by qualified persons in accordance with professional standards of practice, the comprehensive person-centered care plans and the resident's choices. Qualified persons provided care and treatment in accordance with professional standards of practice, the residents' care plan, and the residents' choice. B. […]

• Actual harm, isolatedF692Jun 8, 2026

  License Reference Number 175 NAC 12-006.09(J)(i)(1)Based on observation, record review and interview; the facility failed to implement nutrition measures to prevent ongoing weight loss for Residents 1 and 14. The sample size was 3 and the facility census was 45. Findings are:A. Review of the facility policy Weight and Height Measurement last updated 10/25/21 revealed if a resident gained or lost three or more pounds the resident needed to be reweighed with nurse supervision. If the nurse verified the weight change, then the nurse would notify the physician and nursing leadership. B. […]

• No harm, potential for more than minimal, widespreadF865Jun 8, 2026

  Licensure Reference Number 175 NAC 12-006.02(I)Based on record review and interview; the facility failed to ensure the Quality Assurance Performance Improvement (QAPI) plan was effective in addressing recently identified deficient practice and preventing repeat deficient practice with similar concerns. This had the potential to affect all facility residents. The facility census was 45. Findings are: Review of the facility policy Quality Assurance and Performance Improvement Plan (QAPI)/ and Assurance (QAA) dated 5/23/23 revealed the facility developed a process for conducting quality activity and identification and correction of deficiencies as well as opportunities for improvement through continuous attention to quality of care, quality of life, and resident safety. […]

• No harm, potential for more than minimal, widespreadF881May 6, 2025

  Licensure Reference Number 175 NAC 12-006.18 Based on record review and interview; the facility failed to implement an Antibiotic Stewardship (coordinated plan aimed at optimizing antibiotic use to prevent resistance, unnecessary exposure, and adverse outcomes) Plan to identify if the facility use of antibiotic was within the criteria defined to prevent the overuse or unnecessary use, of antibiotics and/or to prevent potential adverse outcomes. This had the potential to affect all residents residing within the facility. The facility census was 45. […]

• No harm, potential for more than minimal, widespreadF880Apr 18, 2024

  Licensure Reference Number 175 NAC 12-006.17 Based on record review and interview; the facility failed to develop/implement a water management program which identified a risk assessment and control measures/testing protocols to address potential hazards. This had the potential to affect all facility residents. The facility census was 34. Findings are: Review of the facility policy Water Management Program dated 9/2022 revealed the Water Management Plan referred to the documents that contained all the information pertaining to the development and implementation of the facility's water management activities for reducing the risk of Legionella (bacterium which causes Legionnaires disease, a serious type of pneumonia. […]