Accura Healthcare of Hartington
401 W Darlene Street, Hartington, NE 68739 · Cedar County · (402) 254-3905
47 certified beds, about 34 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1989
CMS Care Compare ratings, data as of September 1, 2026 · CCN 285088 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 23, 2026, inspectors cited 1 health deficiency (the Nebraska average is 7.4, the national average 9.2).
None of its 6 health citations since January 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 3.41 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.82 of those hours.
31.4% 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.
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 6 health citations on file.
February 23, 2026Standard inspection · 1 citation
- D Implement a program that monitors antibiotic use.
Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.18Based on observation, record review and interview; the facility failed to ensure antibiotics ordered for 2 (Resident 9 and 14) of 12 sampled residents had an order for duration for use. The facility census was 34.
February 3, 2025Standard inspection · 2 citations
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H)(vi) Based on record review and interview; the facility failed to ensure that Resident 5 was free from use of unnecessary medications as a psychotropic medication (medication that affects the mind, emotions, and behavior) had been initiated without an indication for use. The sample size was 5 and the facility census was 32.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteLicensure Reference Number 175 NAC 12.006.12(D)(vi) Based on observation, record review, and interview; the facility failed to ensure insulin pens were dated when opened for Residents 25 and 26. The sample size was 2 and the facility census was 32.
January 31, 2024Standard inspection · 3 citations
- F Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteLicensure Reference Number: 175 NAC 12-006.04D2a Based on record review and interview; the facility failed to ensure the Dietary Manager (DM) had the credentialing to meet the requirements for the position. This had the potential to affect all residents who consumed food from the kitchen. The facility census was 33 with a total sample size of 15.
- 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 12-006.11E Based on observation, record review and interview; the facility staff failed to: 1) utilize handwashing and gloving techniques to prevent potential food contamination during food service; and 2) clean and disinfect equipment between uses to assure food safety. These practices had the potential to affect all residents who consumed food from the kitchen. The facility census was 33 with a total sample size of 15.
- C Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.04A3b Based on record review and interview, the facility failed to ensure background checks through the State Nurse Aide (NA) registry were completed on 2 of 5 employees. The facility census was 33 with a total sample size of 15.
Fire safety inspections
13 fire safety citations on file: 4 on February 23, 2026, 3 on February 3, 2025, 6 on January 31, 2024.
Every fire safety citation13 citations
- F Provide properly protected cooking facilities.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F Have simulated fire drills held at unexpected times.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure proper usage of power strips and extension cords.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have simulated fire drills held at unexpected times.
- E 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.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Ensure proper usage of power strips and extension cords.
- E Ensure that sources of ignition are removed from patients receiving respiratory therapy.
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) | 3.41 | 3.98 | 3.86 |
| Registered nurses | 0.82 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.02 | 3.48 | 3.42 |
| Nurse aides | 2.37 | ||
| Licensed practical nurses | 0.22 | ||
| Nursing staff turnover (share who left in a year) | 31.4% | 48.7% | 45.8% |
| Registered nurse turnover | 0.0% | 44.1% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.01 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 3.56 on weekdays and 3.02 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.63 in April to June 2025 to 3.41 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 | 3.41 | 0.82 | 3.56 | 3.02 | 1.1% | 0 of 90 | 34 |
| Oct to Dec 2025 | 3.58 | 0.91 | 3.73 | 3.18 | 1.2% | 0 of 92 | 32 |
| Jul to Sep 2025 | 3.90 | 1.00 | 4.13 | 3.32 | 0.0% | 0 of 92 | 28 |
| Apr to Jun 2025 | 3.63 | 0.87 | 3.85 | 3.09 | 0.0% | 0 of 91 | 31 |
| 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.
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 | 29.4 | 19.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 5.8 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.0 | 4.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.6 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.2 | 18.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.8 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 27.8 | 20.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.2 | 20.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.0 | 11.4 | 12.0 |
Owners and operators
Legal business name: ACCURA HEALTHCARE OF HARTINGTON, LLC. CMS links this home to Accura Healthcare, a group of 41 nursing homes averaging 2.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Leneave, Ted | Corporate officer | Individual | 05/01/2025 | |
| Accura Management Consulting Services LLC | Operational/managerial control | Organization | 05/01/2025 | |
| Allen, Brady | Operational/managerial control | Individual | 05/01/2025 | |
| Brummer, Heather | Operational/managerial control | Individual | 05/01/2025 | |
| Bullock, Kelly | Operational/managerial control | Individual | 05/01/2025 | |
| Glaser, Kristopher | Operational/managerial control | Individual | 05/01/2025 | |
| Kleinsasser, Megan | Operational/managerial control | Individual | 05/01/2025 | |
| Kneifl, Jodi | Operational/managerial control | Individual | 05/01/2025 | |
| Leneave, Ted | 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 | |
| Aviv Financing II LLC | Adp of the SNF | Organization | 05/01/2025 | |
| Aviv Healthcare of the Midwest LLC | Adp of the SNF | Organization | 07/08/2025 | |
| Aviv Healthcare Properties Operating Partnership I LP | Adp of the SNF | Organization | 05/01/2025 | |
| 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 | |
| Allen, Brady | Adp of the SNF | Individual | 05/01/2025 | |
| Brummer, Heather | Adp of the SNF | Individual | 05/01/2025 | |
| Bullock, Kelly | Adp of the SNF | Individual | 05/01/2025 | |
| Glaser, Kristopher | Adp of the SNF | Individual | 05/01/2025 | |
| Kleinsasser, Megan | Adp of the SNF | Individual | 05/01/2025 | |
| Kneifl, Jodi | Adp of the SNF | Individual | 05/01/2025 | |
| Leneave, Ted | 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.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on February 3, 2025: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on January 31, 2024: "Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on February 23, 2026: "Implement a program that monitors antibiotic use."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on January 31, 2024: "Not hire anyone with a finding of abuse, neglect, exploitation, or theft."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.02 hours per resident per day, below the Nebraska average of 3.48.
Other nursing homes nearby
- Park View Haven Nursing Home Coleridge, 8.2 mi · 3 of 5 stars · 13 citations
- Colonial Manor of Randolph Randolph, 17.7 mi · 1 of 5 stars · 23 citations
- Good Samaritan Society - Bloomfield Bloomfield, 19.6 mi · 3 of 5 stars · 20 citations
- Avera Sister James Care Center Yankton, 19.7 mi · 5 of 5 stars · 9 citations
- Sanford Care Center Vermillion Vermillion, 20.9 mi · 2 of 5 stars · 11 citations
- Sd Human Services Center - Geriatric Program Yankton, 21.4 mi · 5 of 5 stars · 5 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 Hartington's Medicare star rating?
- CMS rates Accura Healthcare of Hartington 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Accura Healthcare of Hartington get at its last inspection?
- 1 health deficiency at the standard inspection on February 23, 2026. The Nebraska average is 7.4.
- Has Accura Healthcare of Hartington been fined?
- CMS lists no fines in the last three years.
- Does Accura Healthcare of Hartington 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 Hartington?
- CMS lists 25 owners and managers, and links the home to Accura Healthcare. Legal business name: ACCURA HEALTHCARE OF HARTINGTON, 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.