facebook tracking Accura HealthCare of Pierce, Pierce NE: CMS Ratings
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Accura HealthCare of Pierce

All states › Nebraska › Pierce › Accura HealthCare of Pierce

515 East Main Street Pierce, NE 68767 · Pierce County

(402) 329-6228

Accepts Medicare Accepts Medicaid 75 certified beds For profit

CMS certification number 285139 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Accura HealthCare of Pierce a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Accura HealthCare of Pierce as of October 2026.

CMS rates it 5 out of 5 stars overall, above the Nebraska average of 2.9. Inspectors issued 18 citations in the last three years. CMS reports no fines or payment denials in that time.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 2.99 hours per resident per day at Accura HealthCare of Pierce, below the Nebraska median of 3.99 (US median: 3.72). About 0.36 of those hours are from registered nurses. On weekends it falls to 2.61 hours, 12% below its all-week average. 61.5% of nursing staff left within a year (Nebraska median 47.6%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.

Nursing care per resident per day 2.99 hours
Below the Nebraska median of 3.99 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.36 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.61 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 61.5% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover — Share of registered nurses who left over a year.
Administrators who left 2 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds75
Residents per day 35 About 46% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceApril 1994
Legal business namePREMIER ESTATES OF PIERCE, LLC

Paying for care at Accura HealthCare of Pierce: Medicare and Medicaid

Accura HealthCare of Pierce is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Nebraska's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on April 21, 2026 and found 2 deficiencies. In total, inspectors issued 18 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 18 citations at Accura HealthCare of Pierce across 3 inspection dates, 1 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 16 were "potential for more than minimal harm" (D–F) and 2 were minimal (A–C). The most common areas cited were resident assessment and care planning (5) and quality of life and care (4). The most serious was cited under the CMS rule to "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" (tag F0801, level F, February 10, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.

April 21, 2026 · 2 citations

DPASARR screening for Mental disorders or Intellectual Disabilities

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0645 · Deficient, Provider has date of correction (May 18, 2026)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (May 18, 2026)

February 10, 2025 · 7 citations · includes complaint inspection

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0801 · Deficient, Provider has date of correction (Mar 6, 2025)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0585 · Complaint inspection · Deficient, Provider has date of correction (Mar 6, 2025)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Mar 6, 2025)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (Mar 6, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (Mar 6, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0699 · Deficient, Provider has date of correction (Mar 6, 2025)

DImplement 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Mar 6, 2025)

February 26, 2024 · 9 citations

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Apr 1, 2024)

EEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Apr 1, 2024)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Apr 1, 2024)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Apr 1, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (Apr 1, 2024)

DImplement 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Apr 1, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Apr 1, 2024)

CNot hire anyone with a finding of abuse, neglect, exploitation, or theft.

Potential for minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0606 · Deficient, Provider has date of correction (Apr 1, 2024)

CPost nurse staffing information every day.

Potential for minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has date of correction (Apr 1, 2024)

Questions to ask on a tour of Accura HealthCare of Pierce

  1. CMS cited the home under its abuse and neglect rules on February 26, 2024. How are staff trained, and how are concerns reported?
  2. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  3. Nursing staff turnover was 61.5% a year. How many of the staff come from agencies?
  4. Several administrators left in the past year. What has changed for residents since then?
  5. The home averages about 46% of its beds filled. Are any units closed?
  6. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  7. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 4/5 2/5 5/5
August 2026 3/5 4/5 1/5 4/5
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Location

Hospitals near Accura HealthCare of Pierce

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 11.8 mi
    Osmond General Hospital Osmond
    Emergency room
    Median ER visit 1h 54m for patients treated and sent home
  • 12.0 mi
    Faith Regional Health Services Norfolk
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 1h 41m for patients treated and sent home
  • 17.5 mi
    Plainview Public Hospital Plainview
    Emergency room
    Median ER visit 1h 32m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Heritage of Bel Air Norfolk · 11.7 mi away ★★★★★ Inspection 4/5 · Staffing 4/5 112 beds · Medicaid
St. Joseph's Rehabilitation and Care Center Norfolk · 12.1 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 83 beds · Medicaid
Colonial Manor of Randolph Randolph · 14.6 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 45 beds · Medicaid
Community Pride Care Center Battle Creek · 14.9 mi away ★★★★★ Inspection 4/5 · Staffing 4/5 50 beds · Medicaid
Plainview Manor Plainview · 17.7 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 39 beds · Medicaid

More nursing homes near Accura HealthCare of Pierce ›   All nursing homes in Pierce ›

Compare Accura HealthCare of Pierce with the 3 closest homes side by side ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/nebraska/pierce/accura-healthcare-of-pierce/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.