7 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Pierce, NE
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
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
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
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
| 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
| 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
Top issue: Quality of Life and Care (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
9 fire-safety deficiencies
Top issue: Emergency Preparedness (3 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
Implement emergency and standby power systems.
Corrected 2025-03-06
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-03-06
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-06
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-04-01
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-04-01
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-04-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-01
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-04-01
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-04-01
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-01
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-04-01
Fire Safety
Provide family notifications of emergency plan.
Corrected 2024-04-01
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-02-03
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-02-03
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-02-03
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-02-03
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-03
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-02-03
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-02-03
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
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-02-03
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
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-02-03
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-02-03
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2023-02-03
Inspection history
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
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
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-03-06
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-03-06
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-03-06
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-03-06
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
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
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-04-01
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-04-01
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
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-04-01
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
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-01
Health
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2024-04-01
Health
Post nurse staffing information every day.
Corrected 2024-04-01
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-02
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
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
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
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
Health
Provide and implement an infection prevention and control program.
Corrected 2023-02-03
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
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-02-03
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-02-03
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-02-03
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
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-02-03
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
5% Or Greater Direct Ownership Interest · Organization
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
W-2 Managing Employee · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Norfolk, NE
4-star overall rating with 3-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Norfolk, NE
2-star overall rating with 2-star inspections with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Randolph, NE
1-star overall rating with 1-star inspections with 12 recent health deficiencies
Jump out