Pierce, NE

Accura HealthCare of Pierce

3-star overall rating with 3-star inspections with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

515 East Main Street, Pierce, NE

(402) 329-6228

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

75

Certified beds

Average residents

40

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Arboreta Healthcare

Operator or chain grouping

Approved since

1994-04-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

8 facilities

Chain averages 2 overall / 3 health / 2 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.34

Registered nurse staffing · state 0.71 · national 0.68

LPN hours / resident day

0.65

Licensed practical nurse staffing · state 0.71 · national 0.87

Aide hours / resident day

1.87

Nurse aide staffing · state 2.76 · national 2.35

Total nurse hours

2.87

All reported nurse hours · state 4.17 · national 3.89

Licensed hours

0.99

RN + LPN hours · state 1.41 · national 1.54

Weekend hours

2.50

Weekend nurse staffing · state 3.61 · national 3.43

Weekend RN hours

0.28

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.43

CMS adjusted RN staffing hours

Adjusted total hours

3.58

CMS adjusted total nurse staffing hours

Case-mix index

1.10

Higher values indicate more complex resident acuity

RN turnover

78%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

69%

Annual nurse turnover · state 49% · national 46%

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.99%
10.72%
1.3 pts worse
No Different than the National Rate · Eligible stays 38 · Observed rate 21.05% · Lower 95% interval 8.07%
Discharge to community Not Available
50.57%
Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 0.84
1.02
0.2 pts better
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 20 · Denominator 20
Falls with major injury 5%
0.77%
4.2 pts worse
Numerator 1 · Denominator 20
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened 5%
2.29%
2.7 pts worse
Numerator 1 · Denominator 20 · Adjusted rate 3.69%
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 19 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 40
Staff flu vaccination coverage 28.85%
42%
13.1 pts worse
Numerator 15 · Denominator 52
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.4
1.8
0.6 pts worse
1.9
0.5 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.1 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.5
2.0
1.5 pts better
1.8
1.3 pts better
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.5 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 90.6%
92.8%
2.2 pts worse
93.4%
2.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 79.3% · Q2 96.9% · Q3 96.9% · Q4 88.6% · 4Q avg 90.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.1%
96.1%
1 pts better
95.5%
1.6 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.1%
Percentage of long-stay residents experiencing one or more falls with major injury 0.8%
4.5%
3.7 pts better
3.3%
2.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
4.4%
4.4 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight 8.8%
5.3%
3.5 pts worse
5.4%
3.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 16.0% · Q3 6.2% · Q4 9.4% · 4Q avg 8.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.8%
19.5%
1.7 pts better
19.6%
1.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 26.9% · Q2 10.7% · Q3 16.1% · Q4 18.2% · 4Q avg 17.8%
Percentage of long-stay residents who received an antipsychotic medication 35.4%
21.6%
13.8 pts worse
16.7%
18.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q3 30.4% · Q4 39.1% · 4Q avg 35.4% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.3%
0.3 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 23.2%
20.4%
2.8 pts worse
16.3%
6.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q4 21.0% · 4Q avg 23.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 13.9%
19.9%
6 pts better
14.9%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 14.8% · Q3 16.1% · Q4 12.5% · 4Q avg 13.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.9%
1.6%
2.3 pts worse
1.0%
2.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 8.7% · Q3 0.0% · Q4 3.2% · 4Q avg 3.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 3.3%
2.9%
0.4 pts worse
1.7%
1.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 3.4% · Q3 3.1% · Q4 2.9% · 4Q avg 3.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 25.6%
26.6%
1 pts better
19.8%
5.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 16.2% · Q3 20.9% · Q4 38.7% · 4Q avg 25.6%
Percentage of long-stay residents with pressure ulcers 1.7%
4.3%
2.6 pts better
5.1%
3.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.8% · Q3 0.0% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 88.6%
80.5%
8.1 pts better
81.7%
6.9 pts better
Short Stay · 2024Q4-2025Q3 · Q1 85.0% · Q3 90.0% · Q4 90.0% · 4Q avg 88.6%
Percentage of short-stay residents who had an outpatient emergency department visit 5.1%
11.6%
6.5 pts better
12.0%
6.9 pts better
Short Stay · 20240701-20250630 · Adjusted 5.1% · Observed 4.8% · Expected 10.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
2.4%
2.4 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 90.0%
75.9%
14.1 pts better
79.7%
10.3 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 10.9%
20.9%
10 pts better
23.9%
13 pts better
Short Stay · 20240701-20250630 · Adjusted 10.9% · Observed 9.5% · Expected 20.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-10 · Fire 2025-02-10

7 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-02-26 · Fire 2024-02-26

9 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

9 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Cycle 3 Health 2023-01-12 · Fire 2023-01-12

13 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

13 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-10

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2025-03-06

F · Potential for more than minimal harm 2025-02-10

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-03-06

F · Potential for more than minimal harm 2025-02-10

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-03-06

D · Potential for more than minimal harm 2025-02-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-06

F · Potential for more than minimal harm 2024-02-26

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-04-01

F · Potential for more than minimal harm 2024-02-26

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-04-01

F · Potential for more than minimal harm 2024-02-26

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-04-01

F · Potential for more than minimal harm 2024-02-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-01

F · Potential for more than minimal harm 2024-02-26

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-04-01

F · Potential for more than minimal harm 2024-02-26

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-04-01

F · Potential for more than minimal harm 2024-02-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-04-01

F · Potential for more than minimal harm 2024-02-26

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-04-01

C · Minimal harm 2024-02-26

E35 · Emergency Preparedness Deficiencies

Fire Safety

Provide family notifications of emergency plan.

Corrected 2024-04-01

F · Potential for more than minimal harm 2023-01-12

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-02-03

F · Potential for more than minimal harm 2023-01-12

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-02-03

F · Potential for more than minimal harm 2023-01-12

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2023-02-03

F · Potential for more than minimal harm 2023-01-12

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-02-03

F · Potential for more than minimal harm 2023-01-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-02-03

F · Potential for more than minimal harm 2023-01-12

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-02-03

F · Potential for more than minimal harm 2023-01-12

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-02-03

F · Potential for more than minimal harm 2023-01-12

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-02-03

F · Potential for more than minimal harm 2023-01-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-02-03

D · Potential for more than minimal harm 2023-01-12

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-02-03

D · Potential for more than minimal harm 2023-01-12

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-02-03

D · Potential for more than minimal harm 2023-01-12

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-02-03

D · Potential for more than minimal harm 2023-01-12

K922 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use and maintenance of medical gas equipment.

Corrected 2023-02-03

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-02-10

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2025-03-06

D · Potential for more than minimal harm 2025-02-10

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-03-06

D · Potential for more than minimal harm 2025-02-10

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-03-06

D · Potential for more than minimal harm 2025-02-10

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-03-06

D · Potential for more than minimal harm 2025-02-10

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-03-06

D · Potential for more than minimal harm 2025-02-10

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-03-06

D · Potential for more than minimal harm 2025-02-10

F758 · Pharmacy Service Deficiencies

Health

Implement 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.

Corrected 2025-03-06

F · Potential for more than minimal harm 2024-02-26

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-04-01

E · Potential for more than minimal harm 2024-02-26

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-02-26

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-02-26

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-02-26

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-02-26

F758 · Pharmacy Service Deficiencies

Health

Implement 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.

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-02-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-04-01

C · Minimal harm 2024-02-26

F606 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Corrected 2024-04-01

C · Minimal harm 2024-02-26

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-04-01

F · Potential for more than minimal harm 2023-04-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-05-02

E · Potential for more than minimal harm 2023-04-19

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-05-02

F · Potential for more than minimal harm 2023-01-12

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-02-03

F · Potential for more than minimal harm 2023-01-12

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2023-02-03

F · Potential for more than minimal harm 2023-01-12

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-02-03

F · Potential for more than minimal harm 2023-01-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-02-03

E · Potential for more than minimal harm 2023-01-12

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-02-03

E · Potential for more than minimal harm 2023-01-12

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-02-03

D · Potential for more than minimal harm 2023-01-12

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-02-03

D · Potential for more than minimal harm 2023-01-12

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2023-02-03

D · Potential for more than minimal harm 2023-01-12

F688 · Quality of Life and Care Deficiencies

Health

Provide 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.

Corrected 2023-02-03

D · Potential for more than minimal harm 2023-01-12

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-02-03

D · Potential for more than minimal harm 2023-01-12

F758 · Pharmacy Service Deficiencies

Health

Implement 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.

Corrected 2023-02-03

Penalties and ownership

What sits behind the stars

Ownership

Iane Properties I LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2012-01-26
Albin, Pamela

W-2 Managing Employee · Individual

0% 1 facilities 2015-07-01
Arboreta Health And Rehabilitation Centers, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2012-02-09
Arboreta Healthcare Consulting, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2012-02-09
Arboreta Healthcare Consulting, LLC

Operational/Managerial Control · Organization

0% 3 facilities 2014-03-01
Balmoral Castle Investments LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 2 facilities 2012-01-26
Bancroft, Cassidy

W-2 Managing Employee · Individual

0% 2 facilities 2018-01-01
Bench, Gregory

5% Or Greater Indirect Ownership Interest · Individual

0% 2 facilities 2012-01-26
Bench, Shari

5% Or Greater Indirect Ownership Interest · Individual

0% 2 facilities 2012-01-26
Bucuti Investments LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 2 facilities 2012-01-26
Mason, Christine

5% Or Greater Indirect Ownership Interest · Individual

0% 2 facilities 2012-01-26
Mason, Richard

5% Or Greater Indirect Ownership Interest · Individual

0% 3 facilities 2012-01-26
Mccoy, Brian

W-2 Managing Employee · Individual

0% 5 facilities 2017-08-01
Newman, Felicia

W-2 Managing Employee · Individual

0% 2 facilities 2017-08-01
Trillium Healthcare Group LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 2 facilities 2012-01-26

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