Accura Healthcare of O’Neill – O’ Neill, NE

CMS Verified | 2026-03-01

Accura Healthcare Of O’Neill

1102 North Harrison Street, O’ Neill, NE 68763
(402) 336-2384
84 beds
All O’ Neill facilities
2.0*
Overall
2.0*
Health Inspection
2.0*
Quality Care
2.0*
Staffing
57.41
Score /100
#12761
National Rank

#12761
of 14703 facilities
National
13.2% position
#144
of 179 in NE
State Rank
#3
of 3 in Holt
County Rank
#1
of 1 in O’ Neill
City Rank
#1
of 1 in ZIP 68763
ZIP Rank






About Accura Healthcare Of O’NeillAccura Healthcare Of O’Neill is located at 1102 North Harrison Street, O’ Neill, NE, reachable at (402) 336-2384. This For profit – Limited Liability company facility operates 84.0 certified beds and serves an average of 40 residents per day. It is part of the Arbor Care Centers network (9 facilities nationwide). Medicare and Medicaid services have been provided since 1991-08-01. The facility currently holds a below average (2-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Accura Healthcare Of O’Neill

Address

1102 North Harrison Street, O’ Neill, NE 68763

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 84 Certified Beds
  • Ownership: For profit – Limited Liability company
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: ARBOR CARE CENTERS

Quick Verdict

Overall Quality
⚠️ Below Average (2★) overall rating
Health Inspection
⚠️ Below Average (2★) health inspection
Staffing
⚠️ Below Average (2★) staffing rating
Quality of Care
⚠️ Below Average (2★) quality of care
Compliance
❌ 3 fine(s) over 5 years
5-Year Trend
Declining over 5 years
57.41
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#12761 of 14703 nationally – #144 of 179 in Nebraska

Who Is This Facility Best For?

Accura Healthcare Of O’Neill may be considered for families with limited options in O’ Neill, NE, but its lower CMS ratings suggest careful due diligence is warranted. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 2 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

2 / 5
Health Inspection

2 / 5
Staffing Rating

2 / 5
Quality Measures (QM)

2 / 5
Long-Stay QM Rating

2 / 5
Short-Stay QM Rating

3 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightAccura Healthcare Of O’Neill currently provides 3 hours 50 minutes of total nurse staffing per resident per day, including 41 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 64.3%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 50 minutes
Nurse Aide Hours2 hours 35 minutes
Licensed Practical Nurse (LPN) Hours34 minutes
Registered Nurse (RN) Hours41 minutes
Physical Therapist Hours2 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 14 minutes
Weekend Registered Nurse (RN) Hours26 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryThe facility has received 3 fine(s) over the 5-year period, totaling $19,500. 25 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record N
Total Weighted Health Survey Score 72.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#12,761
of 14,703
National
Bottom 13%
#144
of 179
NE State
Bottom 20% in NE
#3
of 3
️ Holt County
#3 of 3
#1
of 1
️ O’ Neill
Best in city
#1
of 1
ZIP 68763
Best in ZIP

Nationally, Accura Healthcare Of O’Neill ranks 12761st out of 14,703 facilities (composite score: 57.4/100), placing it in the bottom 25% nationwide. Within NE, it ranks 144th out of 179 nursing homes. For 2026 staffing: total nurse hours rank #6,032 nationally and RN hours rank #5,235 nationally (#75 in NE).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank NE State Rank Note
2022 3.60 #7,041 / 14,703 #107 / 179 Above average
2023 3.43 #8,415 / 14,703 #119 / 179 Below average
2024 3.34 #9,775 / 14,703 #139 / 179 Below average
2025 3.27 #11,107 / 14,703 #153 / 179 ⚠️ Bottom 25%
2026 3.83 #6,032 / 14,703 #97 / 179 Above average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank NE State Rank Note
2022 0.76 #4,319 / 14,703 #74 / 179 Above average
2023 0.79 #3,460 / 14,703 #54 / 179 Top 25%
2024 0.73 #4,032 / 14,703 #55 / 179 Above average
2025 0.64 #5,621 / 14,703 #85 / 179 Above average
2026 0.68 #5,235 / 14,703 #75 / 179 Above average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Accura Healthcare Of O’Neill is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1991-08-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (402) 336-2384 or your local Medicaid office to verify current eligibility.

Accura Healthcare Of O’Neill holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (2★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 57.4/100, placing it #12761 of 14703 facilities nationally and #144 of 179 in Nebraska. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Accura Healthcare Of O’Neill receives a reported average of 3 hours 50 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 41 minutes; Licensed Practical Nurse (LPN) — 34 minutes; Nurse Aide — 2 hours 35 minutes. On weekends, total nurse staffing is 3 hours 14 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 64.3%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 3 fine(s) over the 5-year period, totaling $19,500. 25 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 72.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Accura Healthcare Of O’Neill ranks 12761st out of 14,703 facilities (composite score: 57.4/100), placing it in the bottom 25% nationwide. Within NE, it ranks 144th out of 179 nursing homes. For 2026 staffing: total nurse hours rank #6,032 nationally and RN hours rank #5,235 nationally (#75 in NE). Our composite quality score of 57.4/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in O’ Neill, visit: https://nursinghomesnearme.org/nebraska/o-neill/

Contact and Location

ADR
Address

1102 North Harrison Street, O’ Neill, NE 68763
Get directions on Google Maps

TEL
LLC
Legal Name

ARBOR CARE CENTERS – ONEILL LLC

MAP
Browse by Location

All Nebraska ·
Holt County ·
O’ Neill ·
ZIP 68763

Facility Details

Number of Certified Beds 84
Average Residents / Day 40 (49% occupancy)
Ownership Type For profit – Limited Liability company
Provider Type Medicare and Medicaid
County Holt County, NE
City O’ Neill, NE
ZIP Code 68763
Approved Since August 1, 1991
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 285108
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org