Accura Healthcare of Franklin
1006 M Street, Franklin, NE 68939 · Franklin County · (308) 425-6262
42 certified beds, about 33 residents a day · For profit - Corporation · Medicare and Medicaid since 1990
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
1 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 285096 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 28, 2026, inspectors cited 7 health deficiencies (the Nebraska average is 7.4, the national average 9.2).
None of its 16 health citations since February 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 2.75 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.58 of those hours.
70.0% of nursing staff left within the year CMS measured (Nebraska average 48.7%).
CMS links it to Accura Healthcare, an affiliated group of 41 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
302/24
603/25
707/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 16 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
4E
2F
Potential for minimal harm
0A
0B
0C
July 28, 2026Standard inspection · 7 citations
- F Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.11(D) Based on observation, record review, and interview the facility failed to ensure that food item temperatures were checked prior to food service to ensure that foods were served at a safe and appetizing temperature. This affected all facility residents. The facility census was 30.
- E Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.05(B) Based on interview and record reviews, the facility failed to inform the resident of services available in the facility and the charges for those services not covered by the facility's per dem rate. This affected 4 residents (Residents 1, 5, 36, and 37) of 4 residents sampled. The facility census was 30.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(I) Based on observation, record review, and interview the facility failed to implement interventions to prevent falls for 1 of 1 residents reviewed (Resident 23). The facility census was 30.
- D Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H)(vi)(3)(c) Based on record review, observation, and interview, the facility failed to ensure that nursing staff were competent in the administration of Intravenous (IV) medications when a using Peripherally Inserted Central Catheter (PICC, a long, thin, flexible tube inserted into a vein in the upper arm and threaded up to a large vein near the heart) line for 1 (Resident 38) of 1 sampled resident. The facility census was 30.
- D Provide and implement an infection prevention and control program.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.18(B) Based on record reviews, observations and interviews, the facility failed to use appropriate infection control practices when providing respiratory care services for 1 resident (Resident 12) of 1 sampled. The facility census was 30.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.18(A) Based on record review and interview, the facility failed to provide an influenza and pneumococcal immunization when offered. This affected 1 resident (Resident 4) of the 3 residents sampled. The facility census was 30.
- D Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.18(A) Based on record review and interview, the facility failed to provide a COVID-19 immunization after 1 (Resident 4) of 3 sampled residents had consented to receive it. The facility census was 30.
March 20, 2025Standard inspection · 6 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.18(B) Based on interview and record review, the facility failed to ensure the low temperature (temp) dish machine reached the minimum required temperature of 120 degrees Fahrenheit (F) during the wash cycle to prevent foodborne illness. This had the potential to affect all of the residents in the facility. The facility census was 30.
- E Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.04(B)(i)(6) Based on interview and record review, the facility failed to ensure dementia care training was completed prior to nursing staff taking care of residents with a diagnosis of dementia. The facility census was 30.
- E Provide and implement an infection prevention and control program.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.18(B) Based on observation, record review and interviews, the facility failed to complete a clean dressing change for Resident 2, wear gloves during blood glucose testing for Resident 5, ensure nebulizer kits were cleaned after treatments for Residents 13 and 27, ensure Resident 27's oxygen concentrator filter was clean, and failed to ensure Resident 27's wheelchair oxygen nasal cannula was stored to prevent cross contamination. The facility census was 30 at the time of survey.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.05 Based on record review and interview, the facility failed to provide a written notice of transfer to the resident/resident representative upon a transfer to a hospital for 1 resident (Resident 13) of 2 sampled residents for hospitalization. The facility census was 30.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09B Based on record review and interview, the facility failed to ensure the Minimum Data Set (MDS- a comprehensive assessment of each resident's functional capabilities used to develop a resident's plan of care) reflected insulin injections for 1 (Resident 5) of 4 sampled residents. The facility census was 30.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H)(iv)(5) Based on record review and interview, the facility failed to assess a resident's skin condition and provide treatment for impaired skin conditions for 1 (Resident 6) of 4 sampled residents for skin conditions. The facility census was 30.
February 29, 2024Standard inspection · 3 citations
- E Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteLicensure Reference 175 NAC 12-006.05(5) Based on record review and interviews, the facility failed to provide written notice of transfer to the resident or resident representative upon transfer to the hospital for 3 (Residents 11, 2, and 25) of 3 sampled residents. The facility census was 27.
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteLicensure Reference 175 NAC 12-006.09C3a Based on record review and interviews, the facility failed to ensure a discharge summary was completed for 1 (Resident 26) of 1 sampled residents. The facility census was 27.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteLicensure Reference Number 175 NAC 12-006 11E Based on record review, observation, and interview; the facility failed to ensure that hair restraints fully covered all hair during food preparation to prevent potential food contamination. This had the potential to affect all residents. The facility census was 27.
Fire safety inspections
20 fire safety citations on file: 10 on July 28, 2026, 3 on March 20, 2025, 7 on February 29, 2024.
Every fire safety citation20 citations
- F Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Meet other general requirements that are deficient.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Provide properly protected cooking facilities.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Install proper backup exit lighting.
- E Have restrictions on the use of highly flammable decorations.
- E Meet requirements for the use and maintenance of medical gas equipment.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Install corridor and hallway doors that block smoke.
- F Inspect, test, and maintain automatic sprinkler systems.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Install corridor and hallway doors that block smoke.
- D Meet requirements for the use and maintenance of medical gas equipment.
- C Develop and maintain an Emergency Preparedness Program (EP).
- C Develop Emergency Preparedness policies and procedures.
- C Develop a communication plan.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Nebraska | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.75 | 3.98 | 3.86 |
| Registered nurses | 0.58 | 0.67 | 0.69 |
| All nursing staff on weekends | 2.39 | 3.48 | 3.42 |
| Nurse aides | 1.62 | ||
| Licensed practical nurses | 0.56 | ||
| Nursing staff turnover (share who left in a year) | 70.0% | 48.7% | 45.8% |
| Registered nurse turnover | not reported | 44.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.32 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 2.89 on weekdays and 2.39 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.51 in April to June 2025 to 2.75 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.75 | 0.58 | 2.89 | 2.39 | 0.0% | 0 of 90 | 33 |
| Oct to Dec 2025 | 3.10 | 0.78 | 3.24 | 2.75 | 8.7% | 0 of 92 | 29 |
| Jul to Sep 2025 | 3.05 | 0.71 | 3.15 | 2.80 | 8.4% | 0 of 92 | 28 |
| Apr to Jun 2025 | 3.51 | 0.71 | 3.59 | 3.31 | 1.1% | 0 of 91 | 28 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Nebraska, Jan to Mar 2026 | 4.01 | 0.66 | 4.21 | 3.53 | 7.1% | 1.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Nebraska
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Nebraska, all employers | |||
| CNAs (nursing assistants) | $19.23 | $18.29 to $22.31 | 16,450 |
| LPNs and LVNs | $30.13 | $28.41 to $34.55 | 4,580 |
| Registered nurses | $40.74 | $38.09 to $47.90 | 24,720 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Nebraska | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 26.7 | 19.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 8.0 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.0 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.9 | 4.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.5 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.8 | 18.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.5 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.3 | 20.7 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 1.9 | 1.8 |
Owners and operators
Legal business name: ACCURA HEALTHCARE OF FRANKLIN, LLC. CMS links this home to Accura Healthcare, a group of 41 nursing homes averaging 2.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Accura Management Consulting Services LLC | Operational/managerial control | Organization | 05/01/2025 | |
| Allen, Brady | Operational/managerial control | Individual | 05/01/2025 | |
| Glaser, Kristopher | Operational/managerial control | Individual | 05/01/2025 | |
| Grams, Kim | Operational/managerial control | Individual | 05/01/2025 | |
| Kleinsasser, Megan | Operational/managerial control | Individual | 05/01/2025 | |
| Leneave, Ted | Operational/managerial control | Individual | 05/01/2025 | |
| Mazour, Linda | Operational/managerial control | Individual | 05/01/2025 | |
| Meade, Deborah | Operational/managerial control | Individual | 05/01/2025 | |
| Toti, Lisa | Operational/managerial control | Individual | 05/01/2025 | |
| Accura Management Consulting Services LLC | Adp of the SNF | Organization | 05/01/2025 | |
| Avenue94 LLC | Adp of the SNF | Organization | 10/15/2025 | |
| Aviv Financing II LLC | Adp of the SNF | Organization | 05/01/2025 | |
| Aviv Healthcare Holdings LLC | Adp of the SNF | Organization | 10/15/2025 | |
| Aviv Healthcare of the Midwest LLC | Adp of the SNF | Organization | 10/15/2025 | |
| Aviv Healthcare Properties Operating Partnership I LP | Adp of the SNF | Organization | 05/01/2025 | |
| Aviv Op Limited Partner LLC | Adp of the SNF | Organization | 10/15/2025 | |
| Kimmons Healthcare Investments LLC | Adp of the SNF | Organization | 10/15/2025 | |
| Ktl Enterprises LLC | Adp of the SNF | Organization | 10/15/2025 | |
| Little River Investments LLC | Adp of the SNF | Organization | 10/15/2025 | |
| Nebraska SNF Facilities, LLC | Adp of the SNF | Organization | 05/01/2025 | |
| Ohi Healthcare Properties Limited Partnership | Adp of the SNF | Organization | 05/01/2025 | |
| Omega Healthcare Investors Inc | Adp of the SNF | Organization | 05/01/2025 | |
| Zrr Opco LLC | Adp of the SNF | Organization | 10/15/2025 | |
| Allen, Brady | Adp of the SNF | Individual | 05/01/2025 | |
| Glaser, Kristopher | Adp of the SNF | Individual | 05/01/2025 | |
| Grams, Kim | Adp of the SNF | Individual | 05/01/2025 | |
| Kleinsasser, Megan | Adp of the SNF | Individual | 05/01/2025 | |
| Leneave, Ted | Adp of the SNF | Individual | 05/01/2025 | |
| Mazour, Linda | Adp of the SNF | Individual | 05/01/2025 | |
| Meade, Deborah | Adp of the SNF | Individual | 05/01/2025 | |
| Toti, Lisa | Adp of the SNF | Individual | 05/01/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on July 28, 2026: "Provide and implement an infection prevention and control program."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on July 28, 2026: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on July 28, 2026: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on July 28, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.39 hours per resident per day, below the Nebraska average of 3.48.
Other nursing homes nearby
- Good Samaritan Society - Colonial Villa Alma, 21.3 mi · 4 of 5 stars · 9 citations
- Heritage of Webster County Red Cloud, 23.5 mi · 2 of 5 stars · 20 citations
- Sunporch of Smith County Smith Center, 24.2 mi · 5 of 5 stars · 9 citations
Nebraska contacts for a concern about a nursing home
These are the official offices in Nebraska. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Nebraska Department of Health and Human Services, Licensure Unit, Long Term Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Nebraska Long-Term Care Ombudsman Program, (800) 942-7830. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Accura Healthcare of Franklin's Medicare star rating?
- CMS rates Accura Healthcare of Franklin 2 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Accura Healthcare of Franklin get at its last inspection?
- 7 health deficiencies at the standard inspection on July 28, 2026. The Nebraska average is 7.4.
- Has Accura Healthcare of Franklin been fined?
- CMS lists no fines in the last three years.
- Does Accura Healthcare of Franklin accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Accura Healthcare of Franklin?
- CMS lists 31 owners and managers, and links the home to Accura Healthcare. Legal business name: ACCURA HEALTHCARE OF FRANKLIN, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.