Accura HealthCare of Pierce

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Met the expected recovery: 75.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 20 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.11 therapist hours per resident per day in 2026Q1 — more than 7% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 1% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 75 beds and averages 37.6 residents a day — about 50% occupied, or roughly 37 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 2.82 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.31 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.71 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.53 hrs/resident/day on weekends vs 2.94 on weekdays — 14% thinner on weekends. RN hours go from 0.33 to 0.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 62% is well above the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.

• Potential for harm · D2026-04-21 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09(A) Based on record review and interview, the facility failed to ensure Resident 7's Pre-admission Screening and Resident Review (PASRR-screening used to determine if a person had or was suspected of having Mental Illness (MI), Intellectual Disability (ID), or a Related Condition (RC)) was completed accurately. The sample size was 2 and the facility census was 36. Findings are:Review of Resident 7's Minimum Data Set (MDS-federally mandated comprehensive assessment used in the development of resident care plans) dated 3/17/26 revealed the following;-admitted on [DATE],-was not considered by the state PASRR to have MI, ID, or RC, and-had diagnoses of major depressive disorder and schizophrenia (a range of problems affecting thinking, behavior, and emotions). Review of Resident 7's Diagnosis Report dated 7/26/22 revealed the following diagnoses; Adjustment Disorder with mixed anxiety and depression (the development of emotion and or behavior symptoms related to a stressor…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-21 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number: 175 NAC 12-006.09(H)Based on record review and interview; the facility failed to provide monitoring and treatment related to changes in bowel elimination for Resident 13. The sample size was 4 and the facility census was 36.Findings are: Review of a Minimum Data Set (MDS-a federally mandated comprehensive assessment tool used for care planning) for Resident 13 dated 4/13/26 revealed the resident was cognitively intact with diagnoses of stroke, high blood pressure, peripheral vascular disease, diabetes, hemiplegia (paralysis of one side of the body), anxiety and depression. The resident was always involuntary of bowel and required substantial to maximal assistance with toileting.Review of Resident 13's current Care Plan with revision date of 5/12/2025 revealed the resident was at risk for constipation due to decreased mobility, poor oral intakes, and refusal at times to take medications to promote bowel movements. Interventions included the following:-monitor medications for potential side effects of constipation and keep the resident Primary Care…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-02-10 · tag F0801 — widespread
  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.
  What the surveyor found here — the official record, unedited, may be distressing

  Licensure Reference Number 175 NAC 12-006.04(H)(ii)(1) Based on record review and interview; the facility failed to employ a qualified Dietary Manager (DM). This had the potential to affect food service provided to all residents who were served food from the kitchen. The facility census was 33. Findings are: A. Review of the facility Job Description: Director of Dining Services with a revised date of 07/18/2024 revealed the necessary qualification of a Director of Dining Services was to meet State requirements for Dietary Manager. B. A review of an undated staff list revealed DM-N was listed as the Dining Services Manager. During an interview on 2/6/25 at 1:30 PM, the facility Administrator (ADM) verified that the current DM did not have the required training to meet the qualifications for the DM position. ADM also confirmed that the Registered Dietician was not full time at the facility.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-10 · tag F0585 — failed to handle grievances — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.06(A) Based on record review and interviews; the facility failed to notify residents of the resolution for grievances for 2 (Resident 11 and 16) of 21 sampled residents. The facility census was 33. Findings are: A. Review of the facility Grievance Process with a revision date of January 2023 revealed the procedure of the grievance process was that the Grievance Official would: -be responsible for overseeing the grievance process, -receive and track grievances, -lead investigations, and -issue written grievance decisions to the resident. The written grievance would include: -the date the grievance was received, -a summary statement of the resident's grievance, -the steps taken to investigate the grievance, -a summary of the findings regarding the concern, -any corrective action taken by the facility and -the date that the grievance was resolved. Review of a Grievance Form dated 12/10/24 revealed Resident 11 was missing a pink turtleneck shirt. Further review of the form revealed that no pertinent findings were documented. On 12/11/24 Activity…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-02-10 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09(B) Based on record review and interview; the facility failed to accurately code 2 (Resident 22 and 29) of 12 sampled residents' Minimum Data Set (MDS-federally mandated comprehensive assessment used to develop resident care plans) to accurately reflect their Preadmission Screening and Resident Review (PASRR-federally mandated preadmission screening designed to determine appropriate placement and services for residents with mental illness (MI), intellectual disability (ID), or developmental disability (DD) status.). The facility census was 33. Findings are: A. Review of the Resident Assessment Instrument (RAI)-instruction for accurate completion of Resident MDS revealed the following instructions for completing: - All individuals who are admitted to a Medicaid certified nursing facility, regardless of the individual's payment source, must have a Level I PASRR completed to screen for possible mental illness, intellectual disability, developmental disability, or related…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-10 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview; the facility failed to complete a new Preadmission Screening and Resident Review (PASRR- federally mandated preadmission screening to determine appropriate placement and services for those residents with Mental Illness/Intellectual Disability or Related Disorders (MI/ID/RD)) for 1 (Resident 29) of 2 sampled residents when the initial PASRR approval time expired. The facility census was 33. Findings are: Review of the facility policy for Pre-admission Screening for MR/MI dated 2/2015 revealed the following: -The facility verified that all residents were screened prior to admission to determine whether they had a Mental Illness (MI) or Mental Retardation/Developmental Disability (MR/DD) diagnosis and if the facility was able to meet the specialized needs of the resident. A Level II screen was done to assist the facility in determining the types of services required to care for the resident. -The Social Services staff worked with the interdisciplinary team to arrange for and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-02-10 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09(J)(i)(1) Based on record review and interview; the facility failed to implement nutritional interventions for the prevention of weight loss for 1 (Resident 21) of 3 sampled residents. The facility census was 33. Findings are: A. Review of the Nutritional Status-Unintended Weight Loss Policy dated 4/2013 revealed the staff were to strive to improve the resident's weight by identifying risk factors associated with weight loss and determining appropriate individualized interventions. Staff were to monitor weight and/or food intake and report to the Registered Dietician (RD) as applicable. Staff then to develop and implement individualized interventions to address unintended weight loss. B. Review of Resident 21's Minimum Data Set (MDS-a federally mandated comprehensive assessment tool used for care planning) dated 11/25/24 revealed the resident was admitted [DATE] with diagnosis of seizure disorder and depression. The resident's cognition was moderately impaired the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-10 · tag F0699 — isolated
  Provide care or services that was trauma informed and/or culturally competent.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview; the facility failed to develop and implement individualized interventions to prevent or to minimize the effects of potential trauma triggers for 1 (Resident 23) of 21 residents sampled. The facility census was 33. Findings are: Review of Resident 23's Minimum Data Set (MDS, a federally mandated assessment tools used for care planning) dated [DATE] revealed the resident was admitted [DATE] with diagnoses of: anxiety, depression and post-traumatic stress disorder (PTSD- mental health condition that is caused by an extremely stressful or terrifying event) and the resident was assessed as being cognitively intact. Review of a Trauma Informed Care assessment dated [DATE] at 11:58 AM revealed the resident identified a personal preference for the staff not to approach the resident from behind without warning. In addition, the resident did not like loud slamming noises or doors slamming. When the resident was asked about potential events in the resident's life that might have caused…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-02-10 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview; the facility failed to identify and monitor specific target behaviors, to have documented non-pharmacological interventions to address potential behaviors and to attempt a Gradual Dose Reduction (GDR) and/or have a documented contraindication for the GDR related to use of a psychotropic (a drug or substance that affects how the brain works) medication for 1 (Resident 26) of 5 sampled residents. The facility census was 33. Findings are: A. Review of the facility policy Behavior Management: Psychotropic Medication Management dated 5/2014 revealed residents receiving psychotropic medications to treat behavioral symptoms are to be evaluated, monitored and managed by an Interdisciplinary Team (IDT). The following was identified: -residents were not given psychotropic drugs unless the medication was necessary to treat a specific condition, as diagnosed and documented in the clinical record, and the medication was beneficial to the resident, as demonstrated by monitoring and documentation of the resident's response to the medication. -psychotropic…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-02-26 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.11E Based on observations, record review and interview, the facility failed to ensure measures were implemented to prevent the potential of food borne illnesses related to food storage and unserviceable cookware items. This had the potential to affect all residents who consumed food from the kitchen. The facility census was 35. Findings are: A. Review of the facility policy Sanitation dated 6/2015 revealed the following related to dry storage goods: 1) products would be labeled with delivery date indicating month, day and year the product was receive and 2) follow the expiration date for all packaged goods and discard three months after opening. B. Review of the facility policy Cleaning and Sanitizing dated 06/2015 revealed pots and pans should be free of pitting, carbon build up, grease and food particles. C. Observations during the follow-up kitchen sanitation tour conducted on 2/21/24 from 11:00 AM to 11:35 AM revealed the following: -The dry goods storage room had a clear plastic container with a lid that was labeled Breadcrumbs and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to ARBORETA HEALTHCARE — 2 facilities. Here is how its ratings compare with the chain’s average across all its homes:

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 15 rows in the source record cover these 14 parties — each is shown once here with every role it holds. Nothing is omitted.

6 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 82% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $150K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NE