Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Accura Healthcare of Franklin

Franklin, NE · 42 certified beds · Last Life Safety survey July 28, 2026

CMS Certification Number 285096 · first certified April 1990

Ownership

Operated by ACCURA HEALTHCARE · For profit - Corporation

  • New ownershipOwnership changed May 1, 2025 (change of ownership)from ARBOR CARE CENTERS - FRANKLIN LLC
20
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
4
Tags cited more than once
Across separate surveys
8
Inspection & testing records
Of the citations on file

Position within NE

20 citations — more than 68% of the 180 certified nursing homes in NE. Compared within NE rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in CMS's current file.

The latest survey found 10 citations; the earlier surveys on file averaged 5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens August 2027 — about 9 months from now. This facility’s last Life Safety survey was July 2026. Facilities in NE are typically surveyed 12–15 months after the last one (median 13), measured over 277 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

3 of the 20 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 20 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations in CMS's current file

Compared with the median facility in NE, and nationally. Surveyors differ markedly between states, so the NE figure is the meaningful one.

This facility20NE median15National median11
Citations in CMS's current file, compared
MeasureCitations
This facility20
Median facility in NE15
Median facility nationally11

Survey history

Citations at each Life Safety survey
72024-0232025-03102026-07
Citations at each Life Safety survey
Survey dateCitations
February 29, 20247
March 20, 20253
July 28, 202610

Most-cited tags

Most-cited tags at this facility
K-03533K-03213K-09222K-03632K-02221E-00131E-00291E-00041
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32026-07-28
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.32026-07-28
K-0922Meet requirements for the use and maintenance of medical gas equipment.22026-07-28
K-0363Install corridor and hallway doors that block smoke.22025-03-20
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12026-07-28
E-0013Develop Emergency Preparedness policies and procedures.12024-02-29
E-0029Develop a communication plan.12024-02-29
E-0004Develop and maintain an Emergency Preparedness Program (EP).12024-02-29

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Egress Deficiencies 4
  • Emergency Preparedness Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Egress Deficiencies4
Emergency Preparedness Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies3
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

July 28, 2026 — 10 citations

Citations issued on July 28, 2026
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (September 23, 2026)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (September 23, 2026)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (September 23, 2026)
K-0300Meet other general requirements that are deficient.Deficient, Provider has date of correction (September 23, 2026)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (September 23, 2026)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (September 23, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 23, 2026)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (September 23, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (September 23, 2026)
K-0922Meet requirements for the use and maintenance of medical gas equipment.Deficient, Provider has date of correction (September 23, 2026)

March 20, 2025 — 3 citations

Citations issued on March 20, 2025
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (May 4, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 4, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (May 4, 2025)

February 29, 2024 — 7 citations

Citations issued on February 29, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (April 14, 2024)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (April 14, 2024)
E-0029Develop a communication plan.Deficient, Provider has date of correction (April 14, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (April 14, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 14, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 14, 2024)
K-0922Meet requirements for the use and maintenance of medical gas equipment.Deficient, Provider has date of correction (April 14, 2024)

Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.