All states › Nebraska › Pierce › Accura HealthCare of Pierce
515 East Main Street Pierce, NE 68767 · Pierce County
CMS certification number 285139 · See this home on Medicare Care Compare
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.
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.
About this nursing home
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
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
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.
DEnsure each resident receives an accurate assessment.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DProvide enough food/fluids to maintain a resident's health.
DProvide care or services that was trauma informed and/or culturally competent.
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.
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.
EEnsure each resident receives an accurate assessment.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide enough food/fluids to maintain a resident's health.
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.
DProvide and implement an infection prevention and control program.
CNot hire anyone with a finding of abuse, neglect, exploitation, or theft.
CPost nurse staffing information every day.
Questions to ask on a tour of Accura HealthCare of Pierce
- CMS cited the home under its abuse and neglect rules on February 26, 2024. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 61.5% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- The home averages about 46% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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 month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| 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.
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11.8 mi
Osmond General Hospital OsmondEmergency roomMedian ER visit 1h 54m for patients treated and sent home
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12.0 mi
Faith Regional Health Services NorfolkEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 1h 41m for patients treated and sent home
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17.5 mi
Plainview Public Hospital PlainviewEmergency roomMedian 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.
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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.