Homestead of Hastings
State licensed1116 North Sycamore, Hastings, NE 68901
Assisted Living
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Prices not published
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Medicare-certifiedSkilled Nursing
Accura HealthCare of Kenesaw
Kenesaw, NebraskaMedicare inspection record
About Accura HealthCare of Kenesaw
Accura HealthCare of Kenesaw provides compassionate skilled nursing and rehabilitation services to residents throughout Nebraska. Our experienced care team focuses on recovery, healing, and helping patients regain independence with personalized medical attention and therapeutic support.
Community at a glance
Capacity
76 residents
Location
Kenesaw, NE
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
100 West Elm Avenue, Kenesaw, Nebraska 68956
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on August 26, 2025, state inspectors cited 13 health deficiencies (the Nebraska average is 7.4).
Nurses and nurse aides spend 2 hours 52 minutes with each resident a day, below the Nebraska average of 3 hours 59 minutes.
Medicare fined Accura HealthCare of Kenesaw 3 times in the last three years, $71,975 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 2 hours 52 minutesBelow the Nebraska average |
| Registered nurse time per resident, per day | 24 minutesBelow the Nebraska average |
| Nursing staff who left in the past year | 48% |
1 administrator has left the home in the past year.
Inspections
21 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
July 1, 2026 · Complaint investigation · 1 citation
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Immediate danger to residents, a few residents (level J)Resident RightsFrom a complaintCorrected Jul 30, 2026
February 17, 2026 · Complaint investigation · 4 citations
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Apr 20, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Mar 2, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 10, 2026Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Apr 20, 2026
August 26, 2025 · Standard inspection · 8 citations+
Implement a program that monitors antibiotic use.
Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Sep 19, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Sep 19, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Risk of harm, no one hurt, widespread (level F)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Sep 19, 2025Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Sep 19, 2025Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Sep 19, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Sep 19, 2025Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Sep 19, 2025Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Sep 19, 2025
March 18, 2025 · Complaint investigation · 2 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Mar 22, 2025Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Mar 22, 2025
August 1, 2024 · Standard inspection · 5 citations+
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Aug 23, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 23, 2024Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 23, 2024Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Aug 23, 2024Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Aug 23, 2024
June 25, 2024 · Complaint investigation · 1 citation+
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jul 17, 2024
Fines and payment denials
3 fines totaling $71,975 and 2 Medicare payment denials in the last three years.
- July 1, 2026Fine: $26,810
- February 17, 2026Fine: $37,076
- February 17, 2026Payment denial, 40 days
- August 26, 2025Payment denial, 5 days
- March 18, 2025Fine: $8,089
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- Legal Business Name Not Available
- Medicare-certified beds
- 76
- Average residents per day
- 65
- Accepts
- Medicare and Medicaid
- First certified
- October 17, 1995
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 285166
Location
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100 West Elm AvenueKenesaw, NE 68956
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Questions about Accura HealthCare of Kenesaw
How did Accura HealthCare of Kenesaw do on its last inspection?+
State inspectors visited on August 26, 2025 and cited 13 health deficiencies, 7 of them from complaint investigations. The Nebraska average is 7.4.
How much nursing care does each resident get at Accura HealthCare of Kenesaw?+
Nurses and aides spend 2 hours 52 minutes with each resident per day, including 24 minutes from registered nurses. 48% of nursing staff left over the past year.
Has Accura HealthCare of Kenesaw been fined by Medicare?+
Yes. Medicare fined Accura HealthCare of Kenesaw 3 times in the last three years, totaling $71,975.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.