Nursing homeActive
Accura HealthCare of Pierce
515 East Main Street, Pierce, NE 68767402329622875 certified beds · 38 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2024
Deficiencies
18
● 2● 16● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-04-21
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 4
Staffing 1
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Nebraska DHHS · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-21 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2025-02-10 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2024-02-26 | Standard | 270 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Nebraska DHHS publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-18Record 285139-20260421-F645
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-18Record 285139-20260421-F684
F585Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-06Record 285139-20250210-F585
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-06Record 285139-20250210-F641
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-06Record 285139-20250210-F644
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-06Record 285139-20250210-F692
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-06Record 285139-20250210-F699
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-06Record 285139-20250210-F758
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-03-06Record 285139-20250210-F801
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-01Record 285139-20240226-F582
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-01Record 285139-20240226-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-01Record 285139-20240226-F656
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-01Record 285139-20240226-F692
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-01Record 285139-20240226-F758
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-01Record 285139-20240226-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-01Record 285139-20240226-F880
F606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.Scope/severity CPaperwork
Abuse & neglect
Widespread; potential for minimal harm.Corrected 2024-04-01Record 285139-20240226-F606
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2024-04-01Record 285139-20240226-F732
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.31
Facility
Nebraska
National
Nebraska 0.67 · National 0.69
Total nurse hours per resident day2.82
Facility
Nebraska
National
Nebraska 3.98 · National 3.86
Weekend total nurse hours2.53
Facility
Nebraska
National
Nebraska 3.49 · National 3.42
Total nursing staff turnover62%
Facility
Nebraska
National
Nebraska 49% · National 46%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Nebraska | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.5% | 4.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.0% | 4.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 40.2% | 20.7% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.2% | 2.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 15.7% | 19.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.6% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 15.5% | 19.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Iane Properties I LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Arboreta Health And Rehabilitation Centers, LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Arboreta Healthcare Consulting, LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Balmoral Castle Investments LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Bench, Gregory Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Bench, Shari Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Bucuti Investments LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Mason, Christine Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Mason, Richard Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Trillium Healthcare Group LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Arboreta Healthcare Consulting, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Albin, Pamela Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Bancroft, Cassidy Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Mccoy, Brian Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Newman, Felicia Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
Part of a chain
Arboreta Healthcare — 2 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Nebraska.
No county cost figures on file for Pierce.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Heritage of Bel Air Norfolk | 11.7 mi | 2025-07-31 | 070 |
| St. Joseph's Rehabilitation and Care Center Norfolk | 12.1 mi | 2026-04-29 | 1290 |
| Community Pride Care Center Battle Creek | 14.9 mi | 2025-12-31 | 090 |
| Colonial Manor of Randolph Randolph | 14.6 mi | 2026-04-14 | 1220 |
| Plainview Manor Plainview | 17.7 mi | 2025-08-12 | 1130 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |