Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Accura Healthcare Of Neligh during CMS and state inspections, most recent first.
Dirty vents and widespread environmental disrepair were observed throughout the facility. Bathroom vents in multiple resident rooms had a heavy gray fuzzy buildup, and the Housekeeping Aide-L confirmed vents were not routinely cleaned as part of deep cleaning. Surveyors also found stained and separating baseboards, chipped and peeling paint on hallway walls and resident room doors, deteriorated drywall, and a sunken crawl space door covered by a rug; the Administrator confirmed these conditions, and the report stated the lack of repair was not creating a homelike environment.
Failure to provide dignified toileting assistance: A resident with a hx of stroke, bladder incontinence, and dependence on staff for transfers and toileting hygiene reported feeling humiliated after staff told the resident they could not go to the bathroom, resulting in incontinence. The resident also sat on the toilet for 15 to 20 minutes waiting for help. The facility confirmed the staff comments and delayed response, and the Administrator acknowledged this was a dignity concern.
The facility failed to maintain mechanical lifts safely, as evidenced by a lift stopping abruptly during a transfer, requiring emergency lowering. Staff reported routine issues with lift functionality and battery performance. Additionally, the facility did not maintain a safe and homelike environment, with observations of damaged walls, curtains, and light covers, dusty ventilation covers, and chipped paint in multiple rooms. Interviews confirmed a lack of awareness and action regarding these issues.
A LTC facility failed to implement and revise fall prevention measures for residents with high fall risks, leading to multiple incidents. Residents with conditions like dementia and Alzheimer's were often left unsupervised, and fall alarms were not consistently used or functional. Care plans were not effectively monitored or updated, and staff re-education was not documented, resulting in repeated falls.
A resident with multiple health conditions, including an indwelling catheter, received improper catheter care in an LTC facility. Observations revealed that staff failed to maintain proper hygiene and positioning of the catheter drainage bag, contrary to facility guidelines. The drainage bag was placed on the floor, bed linens, and the resident's lap, increasing the risk of infection.
A facility failed to follow a consultant pharmacist's recommendations to obtain informed consent for a resident's antidepressant medication, Remeron, over a seven-month period. Despite repeated notifications, consent was delayed, contrary to the facility's policy. The issue was confirmed by the DON and other staff during an interview.
A long-term care facility failed to adhere to infection control protocols, leading to potential cross-contamination. Staff did not use required PPE or follow hand hygiene procedures during care for two residents with chronic wounds. An LPN was observed not changing gloves or performing hand hygiene between tasks, and staff did not use gowns during toileting and wound care. These actions violated the facility's infection prevention policies, compromising resident safety.
Dirty vents and widespread environmental disrepair
Penalty
Summary
The facility failed to ensure the building was clean and in good repair. Surveyors observed heavy gray fuzzy buildup covering bathroom vents in resident rooms B42, C12, C14, D17, D22, D26, D27, and ACU 6, even though the facility’s deep clean checklist included cleaning vents and light fixtures as part of room deep cleaning. Record review showed those rooms had been deep cleaned during April 2026, but the Housekeeping Aide-L confirmed that cleaning bathroom vents was not part of the deep cleaning process and that the vents were wiped off but not routinely cleaned. During the survey, multiple environmental concerns were also identified throughout the facility, including very soiled and stained baseboards pulling away from drywall in halls B and D, drywall gouges and deteriorated corners near the nurses’ stations, chipping and peeling paint on hallway walls and on resident room entry and bathroom door frames, and a heavily soiled floor near an exit door in the ACU hallway. Surveyors also observed a trap door/crawl space door that had sunken in and created an unlevel floor area covered by a rug. The Administrator confirmed these conditions during a tour, and the report stated that the lack of repair was not creating a homelike environment.
Failure to Provide Dignified Toileting Assistance
Penalty
Summary
The facility failed to ensure Resident 32 received dignified care when staff did not respond in a timely manner to requests for toileting assistance. Resident 32 had a history of stroke, bladder incontinence related to immobility, wore an incontinence product to protect the skin and maintain dignity, and was dependent on staff for transfers and toileting hygiene. The resident’s grievance stated that on one occasion the resident asked to go to the bathroom and staff told the resident they could not do that, after which the resident soiled self and the spouse reported the resident felt humiliated. The grievance also stated that on another occasion the resident sat on the toilet for 15 to 20 minutes waiting for assistance. The facility confirmed that staff made the reported comments and received verbal warnings. During interview, the Administrator confirmed that a resident reporting feeling humiliated was a dignity concern and that residents were to be treated with dignity at all times. The Administrator also confirmed that the resident’s concern involving lack of staff response to a toileting request resulting in unnecessary incontinence was a dignity concern.
Facility Fails to Maintain Mechanical Lifts and Physical Environment
Penalty
Summary
The facility failed to maintain mechanical lifts in a manner that promotes resident safety, as evidenced by an incident where a mechanical lift stopped abruptly during a transfer, requiring the use of an emergency switch to lower the lift. Staff reported routine struggles with the lifts, including issues with batteries not functioning properly, which sometimes required multiple attempts to get the lifts to work. The interim Director of Nursing (DON) confirmed awareness of the problem but was not aware of a long-term solution to ensure the lifts were maintained for safe and consistent care delivery. Additionally, the facility did not maintain the physical environment in a safe and homelike manner. Observations revealed that room C11 had a wall with peeled paint and gouges, a curtain liner hanging lower than the curtain, and a large hole in the light cover. Ventilation covers in multiple bathrooms were coated with dust, and door frames in several rooms had chipped and peeling paint. The bathroom in room D25 had cracked and stained flooring, while the bathroom in room C9/C11 had stained tiles and a damaged door frame with a sharp edge. Interviews with the Housekeeping Supervisor and the Maintenance Director confirmed that the ventilation covers were not being cleaned and that they were unaware of the conditions in certain rooms. The Maintenance Director acknowledged the need for repairs and painting but had not received approval to replace the power boxes for the mechanical lifts, which contributed to their inconsistent functioning.
Inadequate Fall Prevention Measures in LTC Facility
Penalty
Summary
The facility failed to implement and revise fall interventions for several residents, leading to multiple incidents of falls. Resident 5, who had a history of various medical conditions including dementia and Parkinson's disease, experienced several falls due to inadequate supervision and failure to ensure the functionality of fall alarms. Despite being identified as a high fall risk, the resident was often left unsupervised, and the fall alarm was not consistently attached or functioning. The care plan interventions were not effectively monitored or updated to prevent further falls. Resident 19, diagnosed with Alzheimer's disease and other conditions, also experienced multiple falls. The resident's care plan included the use of a motion sensor alarm and video monitoring, but these measures were not consistently implemented. The resident was left unsupervised, and the video camera was not properly positioned to monitor the resident. The facility failed to document staff re-education and did not develop new interventions to address the resident's fall risk effectively. Resident 15, with severe cognitive impairment and a history of falls, was not adequately supervised despite being at high risk for falls. The resident's care plan required hourly checks and supervision when in a wheelchair, but these interventions were not consistently followed. The resident was often left alone, and the bed was not maintained in a safe position, contributing to the risk of falls. The facility's failure to implement and monitor fall prevention strategies resulted in repeated incidents of falls for these residents.
Improper Catheter Care and Handling in LTC Facility
Penalty
Summary
The facility staff failed to provide proper care and management of a resident's urinary catheter, which could potentially lead to infections and complications. The facility's policy on catheter care, dated September 2024, outlined specific procedures to ensure residents with indwelling catheters received appropriate care while maintaining their dignity and privacy. However, during an observation of wound care, it was noted that the urinary catheter drainage bag was improperly positioned on the floor, which was confirmed by the LPN as incorrect practice. Further observations revealed additional deficiencies in catheter care. During a catheter care session, a nurse aide failed to perform hand hygiene after removing soiled gloves and before putting on clean gloves. The catheter drainage bag was also mishandled, being placed directly on the resident's bed linens and lap, and later held against the nurse aide's uniform during a transfer. These actions were contrary to the facility's guidelines, which required the drainage bag to remain below the level of the bladder and not be placed on the bed or resident's lap. The resident involved had an indwelling catheter and ostomy, with active diagnoses including diabetes, hypertension, peripheral vascular disease, hyperlipidemia, depression, a stage 3 pressure ulcer, obstructive sleep apnea, and osteoarthritis. The resident required substantial assistance with various activities of daily living and had a history of feeling down and tired. Despite these needs, the facility staff's failure to adhere to proper catheter care protocols posed a risk of infection and compromised the resident's care.
Failure to Obtain Timely Informed Consent for Medication
Penalty
Summary
The facility failed to adhere to the consultant pharmacist's recommendations regarding the medication regimen for a resident, identified as Resident 16. The facility's policy required a monthly Medication Regimen Review (MRR) by a consultant pharmacist, who would report any irregularities to the relevant staff, including the Administrator, Director of Nursing, attending physicians, and the Medical Director. Despite these procedures, the facility did not act on the pharmacist's repeated recommendations to obtain informed consent for the antidepressant medication Remeron prescribed to Resident 16. The pharmacist noted the need for consent on four separate occasions over a seven-month period, but the consent was not obtained until March 18, 2025. Resident 16's records indicated that they were receiving Mirtazapine (Remeron) for appetite and insomnia. The consultant pharmacist's MRR highlighted the absence of informed consent for this medication starting from August 2024. The deficiency was confirmed during an interview with the Director of Nursing, a Registered Nurse, and the Social Services Director, who acknowledged that the facility did not address the MRR request in a timely manner, contrary to the facility's policy. This oversight was part of a broader review involving a sample size of six residents, with the facility census at 33.
Inadequate Infection Control Practices in LTC Facility
Penalty
Summary
The facility failed to prevent potential cross-contamination by not adhering to proper infection prevention and control protocols. Specifically, staff did not utilize the required Personal Protective Equipment (PPE) when providing direct care to a resident on Enhanced Barrier Precautions (EBP). Additionally, there were lapses in hand hygiene and glove use during wound care for two residents. The facility's policies on hand hygiene and clean dressing changes were not followed, leading to these deficiencies. One resident, who was admitted with a stage 3 pressure ulcer and a diabetic foot ulcer, was observed receiving wound care without proper glove changes and hand hygiene by an LPN. The LPN failed to remove gloves and perform hand hygiene after removing soiled dressings and before donning clean gloves. This resident was on EBP due to their chronic wounds, yet the necessary precautions were not consistently applied during care activities. Another resident, with a history of pneumonia, heart failure, and an unstageable pressure ulcer, also received inadequate care. During toileting and wound care, staff did not use gowns, and the LPN did not perform hand hygiene between glove changes. The resident's pressure ulcer was still under treatment, indicating the need for continued EBP, which was not properly implemented. These observations highlight the facility's failure to adhere to established infection control protocols, increasing the risk of cross-contamination and infection transmission.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 24 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Neligh
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Plainview Manor | 19.5 mi | ★★★★★ | 10 | 0 |
| Avera Creighton Care Centre | 23.6 mi | ★★★★★ | 7 | 0 |
| Community Pride Care Center | 24.6 mi | ★★★★★ | 7 | 0 |
| Accura Healthcare Of Pierce | 26.9 mi | ★★★★★ | 2 | 0 |
| Mid-nebraska Lutheran Home | 30 mi | ★★★★★ | 14 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.