Accura Healthcare Of Kenesaw
Inspection Findings
F-Tag F0559
Federal health inspectors cited Accura HealthCare of Kenesaw in Kenesaw, NE for a deficiency under regulatory tag F-F0559 during a standard health inspection conducted on 2025-08-26.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of Accura HealthCare of Kenesaw.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-19.
F-Tag F0607
F 0607 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many
FORM CMS-2567 (02/99) Previous Versions Obsolete
during a transfer from their wheelchair to their bed in the full body lift they fell out of the lift and landed half
on their bed and half on the floor. The resident stated that they only suffered some soreness and bruises from the incident. A record review of a facility supplied document titled Witnessed Fall and dated 06/16/2025 revealed that Resident 59 was observed lying on the floor and staff stated the strap on the sling for the full body list broke causing the resident to fall from the lift to the floor. The report listed a predisposing environmental factor of the incident was malfunctioning equipment and the resident was observed to have no injuries from the incident. In an interview completed on 08/21/2025 at 2:30 PM with
the facility Director of Nursing (DON), the DON confirmed that this event was an unusual unanticipated event that had the potential to cause serious injury. The DON confirmed that this incident was not reported to the appropriate agencies as outlined in the facility policy.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/26/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Accura Healthcare of Kenesaw
100 West Elm Avenue Kenesaw, NE 68956
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0641
Federal health inspectors cited Accura HealthCare of Kenesaw in Kenesaw, NE for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-08-26.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of Accura HealthCare of Kenesaw.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-19.
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
had exited the building behind them. Resident 62 was outside the building on the patio and had started walking to the sidewalk that leads to a busy street. Licensed Practical Nurse (LPN)-B exited the building approximately 1 minute later, saw Resident 62 and assisted the resident back into the building. In an
interview completed on 08/25/2025 at 4:45 PM with the facility Director of Nursing (DON), the DON confirmed that no new or changes to interventions to prevent Resident 62 from exiting the building without staff knowledge had been placed. The DON confirmed that the resident had exited the building without staff knowledge on 08/18/2025 and 08/19/2025 and no incident reports had been completed for these incidents and no changes to interventions to prevent the resident from exiting the building without staff knowledge had been placed on these dates. The DON confirmed a wander guard had been placed on Resident 62 on 08/21/2025 due to the resident's increased exit seeking, and confirmed that no incident reports or interventions were placed from 08/18/2025 through 08/21/2025 to prevent the resident from exiting the building without staff knowledge, ensuring the resident's safety.
Event ID:
Facility ID:
If continuation sheet
F-Tag F0712
Federal health inspectors cited Accura HealthCare of Kenesaw in Kenesaw, NE for a deficiency under regulatory tag F-F0712 during a standard health inspection conducted on 2025-08-26.
Category: Nursing and Physician Services Deficiencies
The facility was found deficient in the following area: Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of Accura HealthCare of Kenesaw.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-19.
F-Tag F0759
Federal health inspectors cited Accura HealthCare of Kenesaw in Kenesaw, NE for a deficiency under regulatory tag F-F0759 during a standard health inspection conducted on 2025-08-26.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure medication error rates are not 5 percent or greater.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of Accura HealthCare of Kenesaw.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-19.
F-Tag F0880
Federal health inspectors cited Accura HealthCare of Kenesaw in Kenesaw, NE for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-26.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of Accura HealthCare of Kenesaw.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-19.
F-Tag F0881
Federal health inspectors cited Accura HealthCare of Kenesaw in Kenesaw, NE for a deficiency under regulatory tag F-F0881 during a standard health inspection conducted on 2025-08-26.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Implement a program that monitors antibiotic use.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of Accura HealthCare of Kenesaw.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-19.
Accura HealthCare of Kenesaw in Kenesaw, NE inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Kenesaw, NE, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Accura HealthCare of Kenesaw or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.