Accura Healthcare of Pierce
515 East Main Street · Pierce, NE · 68767 · 4023296228
75 certified beds For profit - Corporation Chain: Arboreta Healthcare
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Total nurse staffing below 3.0 hours per resident-day
2.91 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
62% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.91 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.33 | 0.55–0.75 |
| Weekend hours / resident-day | 2.77 | ≈ weekday level |
| Nursing turnover / year | 62% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (27 in the current record)
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Potential for harm · D February 10, 2025
Ensure each resident receives an accurate assessment.
Corrected March 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 10, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected March 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 10, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected March 6, 2025 · Quality of Life and Care
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Potential for harm · D February 10, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected March 6, 2025 · Quality of Life and Care
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Potential for harm · D February 10, 2025
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 March 6, 2025 · Pharmacy Service
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Potential for harm · F February 10, 2025
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 March 6, 2025 · Nutrition and Dietary
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Potential for harm · D February 10, 2025 · found via complaint
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 March 6, 2025 · Resident Rights
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Potential for harm · D February 26, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected April 1, 2024 · Resident Rights
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Potential for harm · E February 26, 2024
Ensure each resident receives an accurate assessment.
Corrected April 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected April 1, 2024 · Quality of Life and Care
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Potential for harm · D February 26, 2024
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 April 1, 2024 · Pharmacy Service
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Potential for harm · F February 26, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 1, 2024 · Nutrition and Dietary
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Potential for harm · D February 26, 2024
Provide and implement an infection prevention and control program.
Corrected April 1, 2024 · Infection Control
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No harm found · C February 26, 2024
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected April 1, 2024 · Freedom from Abuse, Neglect, and Exploitation
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No harm found · C February 26, 2024
Post nurse staffing information every day.
Corrected April 1, 2024 · Nursing and Physician Services
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Potential for harm · D January 12, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected February 3, 2023 · Resident Rights
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Potential for harm · E January 12, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 3, 2023 · Resident Rights
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Potential for harm · D January 12, 2023
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected February 3, 2023 · Resident Assessment and Care Planning
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Potential for harm · E January 12, 2023
Ensure each resident receives an accurate assessment.
Corrected February 3, 2023 · Resident Assessment and Care Planning
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Potential for harm · D January 12, 2023
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 February 3, 2023 · Quality of Life and Care
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Potential for harm · D January 12, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected February 3, 2023 · Quality of Life and Care
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Potential for harm · F January 12, 2023
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected February 3, 2023 · Nursing and Physician Services
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Potential for harm · D January 12, 2023
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 February 3, 2023 · Pharmacy Service
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Potential for harm · F January 12, 2023
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 February 3, 2023 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285139 · certified since April 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.