Accura Healthcare of Pierce

Name: Accura Healthcare of Pierce
Address: 515 East Main Street, Pierce, NE, 68767, US
Telephone: 4023296228

515 East Main Street, Pierce, NE 68767 · Pierce County · 75 certified beds · avg 38 residents/day · certified since Apr 1, 1994

Part of chain: ARBORETA HEALTHCARE (2 facilities, chain avg rating 3.0★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.60

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (18)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 21, 2026	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Apr 21, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Feb 10, 2025	F · Potential for harm, facility-wide	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Feb 10, 2025	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint
Feb 10, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 10, 2025	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Feb 10, 2025	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Feb 10, 2025	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Feb 10, 2025	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Feb 26, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 26, 2024	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 26, 2024	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Feb 26, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 26, 2024	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Feb 26, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Feb 26, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 26, 2024	C · Minimal risk, facility-wide	The facility hired someone with an official finding of abuse, neglect, exploitation, or theft against them. Facilities are not allowed to employ people with such findings.
Feb 26, 2024	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (7 → 2).

Year	Citations	Worst severity that year
2024	9	F
2025	7	F
2026	2	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Nebraska avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.60	4.33	3.95	bottom 21% in Nebraska; bottom 42% in the U.S.
Registered Nurse hours	0.40	0.72	0.69	bottom 14% in Nebraska; bottom 22% in the U.S.
Weekend total nurse staffing	3.23	3.79	3.50	bottom 24% in Nebraska; bottom 44% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.28	0.47	0.48	bottom 21% in Nebraska; bottom 27% in the U.S.
Total nursing staff turnover (%)	61.8	48.7	45.8	bottom 26% in Nebraska; bottom 14% in the U.S.
RN turnover (%)	0.0	44.1	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.82, RN 0.31, weekend 2.53. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Arboreta Health and Rehabilitation Centers, LLC	Organization	5% or Greater Indirect Ownership Interest	—	02/09/2012
Arboreta Healthcare Consulting, LLC	Organization	5% or Greater Indirect Ownership Interest	—	02/09/2012
Balmoral Castle Investments LLC	Organization	5% or Greater Indirect Ownership Interest	—	01/26/2012
Bench, Gregory	Individual	5% or Greater Indirect Ownership Interest	—	01/26/2012
Bench, Shari	Individual	5% or Greater Indirect Ownership Interest	—	01/26/2012
Bucuti Investments LLC	Organization	5% or Greater Indirect Ownership Interest	—	01/26/2012
Iane Properties I LLC	Organization	5% or Greater Direct Ownership Interest	100%	01/26/2012
Mason, Christine	Individual	5% or Greater Indirect Ownership Interest	—	01/26/2012
Mason, Richard	Individual	5% or Greater Indirect Ownership Interest	—	01/26/2012
Trillium Healthcare Group LLC	Organization	5% or Greater Indirect Ownership Interest	—	01/26/2012
Albin, Pamela	Individual	W-2 Managing Employee	NOT APPLICABLE	07/01/2015
Arboreta Healthcare Consulting, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	03/01/2014
Bancroft, Cassidy	Individual	W-2 Managing Employee	NOT APPLICABLE	01/01/2018
McCoy, Brian	Individual	W-2 Managing Employee	NOT APPLICABLE	08/01/2017
Newman, Felicia	Individual	W-2 Managing Employee	NOT APPLICABLE	08/01/2017

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"How do you learn about each resident's background and history, and how does that shape their care?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Heritage of Bel Air	11.7 mi	Norfolk, NE	★★★★★	4/5
St. Joseph's Rehabilitation and Care Center	12.1 mi	Norfolk, NE	★☆☆☆☆	1/5
Colonial Manor of Randolph	14.6 mi	Randolph, NE	★☆☆☆☆	1/5
Community Pride Care Center	14.9 mi	Battle Creek, NE	★★★★☆	4/5
Plainview Manor	17.7 mi	Plainview, NE	★☆☆☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Pierce →

Facility data as of CMS processing date 2026-08-01. CCN 285139.

The Care File

Visit checklist — Accura Healthcare of Pierce

515 East Main Street, Pierce, NE 68767 · 4023296228

Health inspection rating 4/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "How do you learn about each resident's background and history, and how does that shape their care?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 285139 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)