Accura Healthcare of PierceCMS ratings, inspections and fines
- Address
- 515 East Main Street, Pierce, NE 68767
- CCN
- 285139
- Ownership type
- For-profit, corporation
- Certified beds
- 75
- Chain
- Arboreta Healthcare
- Residents per day
- 38
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Accura Healthcare of Pierce an overall rating of 3 of 5 stars. The last standard survey was on 21 Apr 2026. The latest survey cycle has 2 health citations. The median for nursing homes in Nebraska is 6. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Pierce County median | Nebraska median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 4 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 1.0 | 3.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 2 homes in the county, 180 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Nebraska median |
|---|---|---|---|
| Cycle 1 (latest) | 21 Apr 2026 | 2 | 6 |
| Cycle 2 | 10 Feb 2025 | 7 | 5 |
| Cycle 3 | No date | 9 | 4 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 2 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 21 Apr 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 18 May 2026 |
| 21 Apr 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 18 May 2026 |
Survey cycle 2: 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 Feb 2025 | F0585 | 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 | Complaint investigation | 6 Mar 2025 |
| 10 Feb 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 6 Mar 2025 |
| 10 Feb 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 6 Mar 2025 |
| 10 Feb 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 6 Mar 2025 |
| 10 Feb 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 6 Mar 2025 |
| 10 Feb 2025 | F0758 | 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 | Standard survey | 6 Mar 2025 |
| 10 Feb 2025 | F0801 | 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 | Standard survey | 6 Mar 2025 |
Survey cycle 3: 9 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Feb 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 1 Apr 2024 |
| 26 Feb 2024 | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | C | Standard survey | 1 Apr 2024 |
| 26 Feb 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 1 Apr 2024 |
| 26 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 1 Apr 2024 |
| 26 Feb 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 1 Apr 2024 |
| 26 Feb 2024 | F0732 | Post nurse staffing information every day. | C | Standard survey | 1 Apr 2024 |
| 26 Feb 2024 | F0758 | 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 | Standard survey | 1 Apr 2024 |
| 26 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 1 Apr 2024 |
| 26 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 1 Apr 2024 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Nebraska median | Nebraska average (CMS) |
|---|---|---|---|
| All nurse staff | 2.82 | 3.90 | 3.98 |
| Registered nurses (RN) | 0.31 | 0.60 | 0.67 |
| Licensed practical nurses (LPN) | 0.80 | 0.67 | |
| Nurse aides | 1.71 | 2.64 | |
| All nurse staff, weekends | 2.53 | 3.40 | 3.49 |
- Nurse staff turnover in a year
- 61.8%
- Nurse staff turnover, Nebraska median
- 47.1%
- RN turnover in a year
- No data
- Administrators who left in a year
- 2
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Nebraska median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.7% | 18.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.9% | 0.9% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.2% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 4.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 9.4% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 19.8% | 17.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.5% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 40.2% | 19.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Premier Estates of Pierce, LLC
- Chain
- Arboreta Healthcare (2 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Iane Properties I LLC | 5% or greater direct ownership interest | 100% | 26 Jan 2012 |
| Arboreta Health and Rehabilitation Centers, LLC | 5% or greater indirect ownership interest | 9 Feb 2012 | |
| Arboreta Healthcare Consulting, LLC | 5% or greater indirect ownership interest | 9 Feb 2012 | |
| Balmoral Castle Investments LLC | 5% or greater indirect ownership interest | 26 Jan 2012 | |
| Bucuti Investments LLC | 5% or greater indirect ownership interest | 26 Jan 2012 | |
| Trillium Healthcare Group LLC | 5% or greater indirect ownership interest | 26 Jan 2012 | |
| Arboreta Healthcare Consulting, LLC | Operational/managerial control | 1 Mar 2014 |
The site shows organisations only. It does not show the names of persons.
Other homes in Pierce County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Plainview Manor | Plainview | 1 of 5 | 10 | $0 | 12 Aug 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Accura Healthcare of Pierce (CCN 285139). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/accura-healthcare-of-pierce-pierce-ne-285139/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Accura Healthcare of Pierce last inspected?
- The latest inspection with a citation in the CMS record was on 21 Apr 2026. It was a standard survey. It gave 2 citations. The standard survey before the last one was on 10 Feb 2025.
- Who operates Accura Healthcare of Pierce?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Arboreta Healthcare. The CMS ownership file names Arboreta Healthcare Consulting, LLC for operational or managerial control. This site does not show the names of persons.
- Is Accura Healthcare of Pierce a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Nebraska as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.