Federal inspection record · CMS data as of October 1, 2026
Accura HealthCare of Pierce
515 East Main Street, Pierce, NE · (402) 329-6228
- Certified beds
- 75
- Residents per day
- 35
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1994
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Nebraska.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nebraska homes
Accura HealthCare of Pierce carries 16 inspection points. That is fewer than 81% of Nebraska's 178 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Nebraska: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–31 pts
- 3★ 31–50 pts
- 2★ 50–94.25 pts
- 1★ over 94.25 pts
Bars show every rated home in Nebraska by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
18 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning5E
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Ensure each resident receives an accurate assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- E
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care4D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Provide enough food/fluids to maintain a resident's health.
Nutrition and Dietary2F
- F
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.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights2D
- D
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.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Pharmacy Service2D
- D
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.
- D
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.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1C
- C
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Inspection history
2026-04-21
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2025-02-10
7 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-02-26
9 health deficiencies · 9 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 59 min of nursing staff time a day, 21 min of it from a registered nurse.
This home
2 h 59 min
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 62% of nursing staff and 0% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.9 pts better | 0.8 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.4 pts better | 0.5 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2 pts better | 95.0% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.4 pts better | 100.0% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.8 pts better | 0.7% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.9 pts worse | 5.3% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.2 pts worse | 6.3% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.6 pts better | 17.4% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication24.5 pts worse | 45.2% | 20.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.8 pts worse | 20.6% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.4 pts better | 15.6% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts worse | 1.9% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 1.5% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.8 pts worse | 27.8% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.5 pts better | 3.5% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.9 pts better | 85.2% | 81.3% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication10.8 pts worse | 12.9% | 2.1% | 1.5% |
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Who owns and runs it
15 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Iane Properties I LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Albin, Pamela | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Arboreta Health And Rehabilitation Centers, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Arboreta Healthcare Consulting, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Arboreta Healthcare Consulting, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Balmoral Castle Investments LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Bancroft, Cassidy | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Bench, Gregory | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Bench, Shari | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Bucuti Investments LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Mason, Christine | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Mason, Richard | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Mccoy, Brian | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Newman, Felicia | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Trillium Healthcare Group LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
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Fire safety
16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Install an approved automatic sprinkler system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems5F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
Emergency Preparedness4F
- F
Implement emergency and standby power systems.
- F
Conduct testing and exercise requirements.
- F
Implement emergency and standby power systems.
- C
Provide family notifications of emergency plan.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Heritage of Bel Air
Norfolk, NE · Vetter Senior Living
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 3 min
- Fines
- $0
-
St. Joseph's Rehabilitation and Care Center
Norfolk, NE · The Ensign Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 59 min
- Fines
- $0
-
Colonial Manor of Randolph
Randolph, NE · The Ensign Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 20 min
- Fines
- $0