Home›Nebraska›Pierce County›Accura HealthCare of Pierce
D
Poor

Accura HealthCare of Pierce

515 East Main Street · Pierce, NE 68767

4023296228 · For profit - Corporation

75 beds39.8 residents94 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Accura HealthCare of Pierce receives an overall staffing grade of D (Poor). With 2.8674 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.342 HPRD, below the recommended 0.75. It is 1.03 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.83% compared to weekdays. The facility relies heavily on temporary agency staff (20.48% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.8674 HPRD — needs 0.61 more hours per resident per day.
⚠️RN staffing (0.342 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️20.48% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
2.8674hrs/resident/day▼ 1.03
CMS benchmark: 3.48
RN HPRD
0.342hrs/resident/day▼ 0.34
Recommended: 0.75
Weekend Drop-off
16.83%
3.0106 weekday → 2.5038 weekend
Agency Staff
20.48%
0.98% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.6871hrs/resident/day
Direct care aides
LPN HPRD
0.6507hrs/resident/day
Licensed practical nurses
Consistency
0.3442std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Pierce County Average-0.38 HPRD
3.25
02.87 HPRD
vs. Nebraska State Average-1.27 HPRD
4.14
02.87 HPRD
vs. National Average-1.03 HPRD
3.90
02.87 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Accura HealthCare of Pierce ★
Pierce · This facility
—
D
2.86740.342★★★☆☆
Heritage of Bel Air
Norfolk
11.7 mi
B
4.12220.6343★★★★☆
St. Joseph's Rehabilitation and Care Center
Norfolk
12.5 mi
B
3.93570.6608★★☆☆☆
Colonial Manor of Randolph
Randolph
14.6 mi
C
3.3960.7321★☆☆☆☆
Community Pride Care Center
Battle Creek
14.9 mi
C
3.20720.7414★★★★☆
Plainview Manor
Plainview
17.7 mi
B
3.63710.9626★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
29
Total Deficiencies
$0
Fines Assessed
Feb 10, 2025Health
7 deficiencies cited
▼
Feb 26, 2024Health
9 deficiencies cited
▼
Apr 19, 2023Health
2 deficiencies cited
▼
Jan 12, 2023Health
11 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.