Accura HealthCare of Tekamah

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF727Feb 12, 2026

  Based on record review and interview, the facility failed to ensure Registered Nurse [RN] coverage was provided at least 8 consecutive hours a day for 7 days a week. This had the potential to affect all residents. The facility census was 33. Findings are:Review of the Payroll-Based Journal [PBJ] (a mandatory reporting system requiring long term care facilities to electronically submit direct care staff data-including daily hours worked by employees and contract staff to the Centers for Medicare and Medicaid Services quarterly) Staffing Data Report dated 2/5/26 revealed the Metric 'No RN Hours' triggered for no RN hours on 7/6/25, 7/19/25, 8/2/25, & 8/16/25. In an interview with the Administrator on 2/11/26 at 10:35 AM confirmed there was no RN scheduled 7/6/25, 7/19/25 & 8/2/25.

• No harm, potential for more than minimal, widespreadF947Feb 12, 2026

  Licensure Reference Number 175 NAC 12-006.04 Based on record review and interview, the facility failed to ensure 12 hours of yearly training was completed for 2 Nursing Assistant (NA) ( D and F) of 5 employees. The facility census was 33. Findings are: A. Record review of an undated list of employee with their date of hire revealed NA F was hired on 7-14-2020. Record review of a form titled Training Hours dated 2/11/26 revealed NA F had completed 6.1 hours annual training. Record review of an Inservice record dated 1/20/26 for Dementia and Behaviors revealed NA F had attended bringing her total yearly in-service hours to 7.1 hours to include 2.5 hours for dementia training and no Abuse training. B. […]

• No harm, potential for more than minimal, widespreadF801Mar 18, 2021

  Licensure Reference number 175 NAC 12-006.04D2 Based on record review and interview, the facility failed to ensure the Dietary Manager (DM) held the required certification credentials for the position or employed a full time dietician. This had the potential to affect all residents that resided in the facility. The facility census was 27. Findings are: Interview on 03/15/21 at 10:21 AM with the facility Dietary Manager (DM) revealed that the DM was hired as the DM on 1/22/21 and was not currently certified as a DM and had no formal education in food service management. The DM stated the Dietician was not a full time employee. […]

• No harm, potential for more than minimal, widespreadF812Mar 18, 2021

  Licensure Reference Number 175 NAC 12-006.11E Based on observation and interview, the facility failed to maintain the cleanliness of ventilation covers, stove hood, pipes, and light fixtures in the facility kitchen. This had the potential to affect 27 residents that ate foods prepared in the facility kitchen. The facility census was 27. Findings are: Record review of the Nebraska Food Code 4-602.12 revealed that nonfood contact surfaces of equipment shall be cleaned at a frequency necessary to prevent the accumulation of soil residues. […]

• No harm, potential for more than minimal, patternF605Feb 12, 2026

  Licensure Reference Number 175 NAC 12-006.05(G) Based on interview and record review, the facility failed to monitor for side effects related to psychotropic medication (medications that affect the mind, emotions, and behaviors) use for 3 (Residents 4, 6, and 33) of 5 sampled residents. The facility census was 33. Findings are:A record review of the facility's Use of Psychotropic Medications (s) dated 04/21/2025 revealed the resident's response to medications including the presence or absence of adverse consequences should have been documented in the resident's medical record. […]