The home failed to have enough qualified staff to properly provide food and nutrition services. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
Nursing home report
Accura HealthCare of Pierce
Pierce, NE · Medicare-certified · 75 beds
In good standing
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Accura HealthCare of Pierce has an overall rating of 3 out of 5 stars, with strong inspection and quality ratings (4 stars each) but a very low staffing rating of 1 star. Reported nurse staffing is 2.82 hours per resident per day, below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
2.8207 hrs/resident/day
Quality measures
Last inspection: April 21, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8207.
Staffing detail
- Registered nurses
- 0.31
- Licensed practical nurses
- 0.80
- Nurse aides
- 1.71
- Weekend nursing
- 2.53
Hours per resident per day.
Total staff turnover: 62%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
30%47.6%Worsening
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
0%5.6%Worsening
Residents with a urinary tract infection
3.1%2.9%No change
Residents who lost too much weight
6.2%3.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.1%16.1%No change
Residents whose ability to walk got worse
21%19.2%Improving
Long-stay residents on antianxiety or sleep medication
16.1%12.5%Improving
Short-stay residents newly given an antipsychotic
—9.4%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
20.9%35%Worsening
Residents with depressive symptoms
0%9.4%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.1%—
Long-stay residents given the pneumonia vaccine
96.9%97.2%No change
Short-stay residents given the seasonal flu vaccine
—90%—
Short-stay residents given the pneumonia vaccine
90%90%No change
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited February 2024 — limited pattern, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The nursing home failed to properly screen residents for mental health or intellectual disability needs before or during admission. Cited April 2026 — isolated incident, potential for harm.
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F-Tag 645 — 42 CFR §483.20 — S/S: D
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of ARBORETA HEALTHCARE · 3 homes · 2.3 stars avg
- Occupancy
- 37.6 residents on an average day (50% of 75 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.