Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
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 Tekamah during CMS and state inspections, most recent first.
Surveyors found that bathroom ventilation systems were not functioning properly in 12 of 27 occupied resident rooms when vents in those bathrooms failed to draw a 1‑ply piece of toilet paper to the vent surface during testing with the MD and Administrator. Facility records showed that monthly exhaust fan checks had been documented as completed, but the log did not identify which rooms were tested or how many rooms were actually checked, and the last recorded check lacked room-specific detail despite multiple rooms having inadequate ventilation.
A facility failed to include a suprapubic catheter in a resident's care plan, despite physician's orders detailing specific care instructions. The resident, diagnosed with Neuromuscular Dysfunction of Bladder, had a catheter noted in the Minimum Data Set. The omission was confirmed by the MDS coordinator, contradicting the facility's policy for comprehensive care plans.
A facility failed to monitor a resident's behavioral symptoms to ensure the continued need for antipsychotic medication, despite documented diagnoses and target behaviors. Additionally, another resident's PRN antianxiety medication lacked a stop date, contrary to facility policy. These deficiencies were confirmed through interviews with the MDS Coordinator and DON, highlighting non-compliance with psychotropic drug use policies.
A facility failed to perform adequate hand hygiene during wound care for a resident with chronic ulcers, with hand washing lasting only 9-12 seconds instead of the required 15-20 seconds. Additionally, a resident's suprapubic catheter bag was improperly placed on the floor without a protective covering, violating infection control protocols.
The facility failed to provide a nursing assistant/medication aide with the required 12 hours of ongoing inservice training over the past year. A review of the aide's training transcript showed zero hours of training in the last 12 months, confirmed by the DON. This deficiency had the potential to affect all 28 residents in the facility.
Failure to Maintain Operational Bathroom Ventilation Systems in Multiple Resident Rooms
Penalty
Summary
The deficiency involves the facility’s failure to ensure that resident bathroom ventilation systems were operational as required by licensure regulation 175 NAC 12-007.04D. Facility documentation titled “Exhaust Fans” dated as completed on 1/28/26 instructed staff to check all exhaust fans in bathrooms and other specified areas and to verify that airflow was sufficient to hold a piece of paper to the vent when operating. However, during an observation conducted with the Maintenance Director (MD) and the Administrator, the ventilation systems in resident bathrooms in rooms 1, 5, 10, 11, 15, 16, 17, and 18 on the East hall and rooms 1, 2, 3, and 4 on the South hall did not draw a 1‑ply square of toilet paper to the surface of the ventilation cover, indicating that the systems were not working properly at that time. During interview, the MD confirmed that the ventilation systems in these 12 resident bathrooms were not functioning properly, as evidenced by the failure to draw the toilet paper to the vent surface. The MD also confirmed that monthly checks of the ventilation system had been marked as completed in the electronic Exhaust Fan documentation on 1/28/26, but there was no record specifying which rooms had been tested or how many rooms had been completed. The MD acknowledged that the last documented check of the ventilation systems was on 1/28/26 and that the documentation did not identify the specific rooms where exhaust fans had been checked. The facility census at the time was 33, and 12 of 27 occupied resident rooms were found to have non-functioning or insufficient bathroom ventilation.
Failure to Include Suprapubic Catheter in Care Plan
Penalty
Summary
The facility failed to develop and implement a Comprehensive Care Plan (CCP) for a resident with a suprapubic catheter. The resident, admitted on 8/27/24, had a diagnosis of Neuromuscular Dysfunction of Bladder, unspecified, and was noted to have a catheter according to the Minimum Data Set dated 9/3/24. Physician's orders indicated specific care instructions for the catheter, including changing the dry dressing daily, ensuring catheter care during shifts, and irrigating the catheter with normal saline if clogged. Additionally, the orders specified changing the suprapubic catheter monthly or as needed based on clinical indications. Despite these detailed physician's orders, a review of the resident's care plan on 10/29/24 revealed that the suprapubic catheter was not included in the care plan. An interview with the MDS coordinator confirmed that the catheter should have been part of the care plan but was omitted. The facility's policy, revised in November 2023, mandates the development of a comprehensive, individualized care plan for each resident, addressing various needs and conditions. However, this policy was not adhered to in the case of the resident with the suprapubic catheter.
Failure to Monitor Behavioral Symptoms and PRN Medication Management
Penalty
Summary
The facility failed to monitor the behavioral symptoms of a resident to ensure the effectiveness or continued need for antipsychotic medication. The resident, who was admitted with diagnoses including paranoid schizophrenia, anxiety disorder, major depressive disorder, insomnia, unspecified dementia, and cognitive communication deficit, had a comprehensive care plan that identified target behaviors such as paranoia, delusional thinking, hallucinations, and aggression. Despite these documented behaviors, there was no specific behavior charting for the months of October, November, and December 2023, and the last gradual dose reduction was noted in January 2024. Interviews with the MDS Coordinator and the Director of Nursing confirmed the lack of behavior charting and the need for physician awareness. Additionally, the facility failed to include a stop date on a PRN antianxiety medication for another resident. This resident, who was admitted with diagnoses of unspecified dementia, depressive disorder, vascular dementia, and anxiety disorder, had a BIMS score indicating moderate cognitive impairment. The resident's care plan included focus, goals, and interventions for PRN depression medication. However, a physician's order for Xanax, prescribed for irritability, lacked a stop date, which was confirmed by the Director of Nursing during an interview. These deficiencies highlight the facility's failure to adhere to its policy on the use of psychotropic drugs, which requires monitoring and documentation of residents' responses to medications and the inclusion of stop dates for PRN orders. The lack of behavior monitoring and documentation, as well as the absence of a stop date for PRN medication, indicate non-compliance with regulatory requirements designed to ensure the safe and effective use of psychotropic medications.
Inadequate Hand Hygiene and Improper Catheter Bag Placement
Penalty
Summary
The facility staff failed to perform adequate hand hygiene during wound care for a resident with chronic venous hypertension and multiple ulcers. The resident, who had a BIMS score of 15 indicating high cognitive function, refused certain aspects of the wound care treatment. During an observation, a registered nurse washed hands for only 12 seconds before donning protective gear and performing wound care. The nurse continued to perform hand hygiene inadequately, washing hands for only 9 seconds at different stages of the procedure, contrary to the facility's hand hygiene policy which requires at least 15 seconds of hand washing. Another deficiency was observed with a resident who had a suprapubic catheter due to neuromuscular dysfunction of the bladder. The catheter bag was improperly placed, being hooked onto a trash can and resting on the floor without a protective covering. This was observed on two separate occasions, indicating a failure to adhere to proper catheter bag placement protocols to prevent potential contamination. Interviews with the RN and the Director of Nursing confirmed the hand hygiene practices were not in compliance with the facility's policy, which mandates hand washing for at least 15-20 seconds. The Director of Nursing also confirmed that the facility's expectation is not to have catheter bags resting on the floor, highlighting a lapse in maintaining infection control standards.
Deficiency in Ongoing Inservice Training for Medication Aide
Penalty
Summary
The facility failed to ensure that a nursing assistant/medication aide received the required 12 hours of ongoing inservice training over the past year. This deficiency was identified through interviews and record reviews conducted by surveyors. The medication aide in question was hired on August 16, 2021, and a review of their training transcript from Relias, dated October 31, 2024, showed zero hours of training in the last 12 months. An interview with the Director of Nursing on October 31, 2024, confirmed that the medication aide had not participated in any ongoing inservice training since July 9, 2023. This lack of training had the potential to affect all 28 residents residing in the facility, as the facility census was 28.
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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 Tekamah
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Oakland Heights | 13.2 mi | — | 0 | 0 |
| Good Shepherd Lutheran Home | 16.1 mi | — | 3 | 0 |
| Crowell Memorial Home | 16.6 mi | — | 3 | 0 |
| Accura Healthcare Of Onawa | 18.7 mi | — | 0 | 0 |
| Azria Health Longview | 22.4 mi | — | 3 | 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.