Nursing home
Accura HealthCare of Pierce
515 East Main Street, Pierce, NE 68767 · Map
For profit - Corporation · Part of Arboreta Healthcare (8 facilities) · 75 certified beds
Accura HealthCare of Pierce is a Medicare-certified nursing home in Pierce, Nebraska. CMS rates it 3 out of 5 stars overall (1/5 for staffing, 3/5 for health inspections). Nurse staffing is 2.87 hours per resident per day, below the Nebraska average of 4.17. Its most recent inspection on Feb 10, 2025 cited 7 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Accura HealthCare of Pierce compares
This facility vs. the Nebraska and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Nebraska avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.87 | 4.17 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.34 | 0.71 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.87 | 2.76 | 2.34 | below avg |
| Nursing staff turnover | 68.8% | 49.3% | 46.4% | above avg |
| Deficiencies cited, last inspection | 7.0 | 6.7 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Accura HealthCare of Pierce
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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.
Nutrition and Dietary Deficiencies · Feb 10, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Feb 10, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Feb 10, 2025 · Full report (PDF) - Potential for harm
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Feb 10, 2025 · Full report (PDF) - Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Feb 10, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Feb 10, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Feb 10, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 26, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Feb 26, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 26, 2024 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Feb 26, 2024 · Full report (PDF) - Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Feb 26, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 515 East Main Street
Pierce, NE 68767 - CMS certification #
- 285139
- Ownership
- For profit - Corporation
- Certified beds
- 75
- Avg residents/day
- 39.8
- Provider type
- Medicare and Medicaid
- First certified
- 1994-04-01
- Chain
- Arboreta Healthcare (8 facilities)
- Setting
- Rural
Part of Arboreta Healthcare
Arboreta Healthcare operates 8 nursing facilities across the United States. View all Arboreta Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Accura HealthCare of Pierce using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, works with hospice
Full public records, with dates and sources
Care and services
From the community’s website
What Accura HealthCare of Pierce says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite Care
(page, checked Oct 12, 2026) - Nurse on site: 24 hours a day.
24-hour skilled nursing care
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
Hospice & Palliative Care
(page, checked Oct 15, 2026) - Apartment types named: private room, semi-private room.
Private and semi-private rooms
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Osmond General Hospital, Osmond. 11.0 miles away, straight line. Location approximate.
- Nearest Medicare nursing home
- Heritage of Bel Air, Norfolk. 11.7 miles away, straight line.
- Nearest home health agency office
- Faith Health Home Health, Norfolk. 12.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 12.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 68767 as micropolitan (micropolitan high commuting).
- Dialysis within 15 miles
- Davita N.E. Nebraska Dialysis, Norfolk, 12.9 miles away, straight line (CMS rating 5 of 5 stars)
- Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 68767.
Aseracare Hospice, office in Norfolk, 12.0 miles away, straight line (CMS family survey rating 3 of 5 stars)
Faith Health Hospice, office in Norfolk, 12.1 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Unmc Physicians, Omaha. 95.4 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective September 4, 1985), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- Wildfire risk to homes
- In Pierce, NE, risk to homes is greater than 58% of communities in Nebraska and 65% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively high, wildfire relatively moderate, tornado very high, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Accura HealthCare of Pierce a good nursing home?
CMS gives Accura HealthCare of Pierce an overall rating of 3 out of 5 stars, including 1/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Accura HealthCare of Pierce staffed?
Accura HealthCare of Pierce reports 2.87 total nurse hours per resident per day, compared with the Nebraska average of 4.17.
Has Accura HealthCare of Pierce had inspection problems?
Its most recent CMS inspection cited 7 deficiencies.
How many beds does Accura HealthCare of Pierce have?
Accura HealthCare of Pierce is certified for 75 beds.