Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 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.
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.
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.
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What surveyors actually found near you
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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.
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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 | — | 0 | 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 | — | 0 | 0 |
| Mid-nebraska Lutheran Home | 30 mi | — | 13 | 0 |
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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 August 2026) and official state health department websites.