Premier Estates of Pierce
P O Box 189, 515 East Main Street, Pierce NE 68767 · (402) 329-6228 · 56.53% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Premier Estates of Pierce is a small facility located in Pierce, Nebraska. This nursing home was awarded an overall grade of B-, which is a good rating. You can certainly do worse than this nursing home. The best part of this nursing home's profile is its remarkable inspection grade. Inspection reports are discussed in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 75 Beds
CCRC :
For profit - Individual
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
The primary reason this facility received a decent overall grade is its impeccable government inspections in recent years. We gave it one of our better grades in that category, with an A. This is a notably better grade than the place's overall score, which was decent but certainly not elite. Arguably the most critical factor we consider in computing our inspection ratings is deficiencies. These deficiencies are found on a facility's recent inspection reports. Places with better scores in this area most likely avoided the most severe deficiencies involving health risks or even death. This nursing home was hit with 6 deficiencies on its inspection report, but fortunately none were considered to be severe. This indicates that the inspectors didn't consider any of the deficiencies to cause an immediate risk to patient health or safety. The fact that none of the deficiencies were severe made us feel better about this inspection report.
Nurse Quality
Turning to the category of nursing, we awarded this nursing home a grade of A- in that area. Nursing ratings are mostly based on the facility's level of nurse staffing. This nursing home provides 2.8 hours of nursing care per resident per day. Finally, our nursing grades also factor in quality-based assessments, such as avoiding major falls. This facility performed well in this area. Avoiding major falls is typically a good indicator that a facility has reliable quality controls in place. Major falls can typically be prevented if more nurses aids and better safety protocols are in place.
Short-term Care Quality
This nursing home's next highest area ended up being its short-term care grade, where it received a C. Our short-term care scores are crucial for people looking for rehabilitation. Rehabilitation generally requires more highly-skilled nursing. Skilled nursing means a wide spectrum of nursing services, spanning from registered nurses to physical and occupational therapists, as well as other forms of therapy. One reason for this facility's strong score in this category is that it provides more care with registered nurses to its residents than the average nursing home. Finally, we considered the percentage of patients that ultimately were able to return home from this nursing home. We found that 37.9 percent of this nursing home's residents were able to return home. This figure was actually below the national average.
Long-term Care Quality
Switching gears to the next area, we gave this facility a D for long-term care. This was the nursing home's weakest category score. Of course, this grade hurt the facility's overall profile a bit. Nursing homes that receive this type of score in this category may not provide the type of consistent around the clock care that some other nursing homes provide. Once we assessed the quantity of care provided by nurses aids and other staff, we then analyzed the nursing home's vaccination records. Candidly, we were a bit alarmed this nursing home vaccinated 83.21168 percent of its residents against pneumonia, which happens to be quite a bit lower than what we expected. Surprisingly, this facility wasn't as bad as we expected at keeping its residents out of the hospital. Although it had 1.78 hospitalizations per 1,000 long-term resident days, its risk adjusted statistic was not bad due to it having some more complicated patients.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Premier Estates of Pierce Quality Metrics
Minimizes Pressure Ulcers
This indicates the percentage of patients that have had a pressure ulcer. Pressure ulcers, which are also referred to as bed sores, are often caused by residents staying in one position for too long. Better nursing care can reduce the number of pressure ulcers sustained by residents in a nursing home.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This tells you the percentage of residents that suffered from a major fall. Falls leading to severe injuries are routinely associated with poor nursing care. Additional nurse staffing can minimize the number of major falls sustained by residents in a nursing home.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This metric is a measure of the percent of long-term care patients who have suffered from urinary tract infections. UTI's may be an indicator of worse hygiene protocols. Nevertheless, this datapoint can also be misleading for certain facilities due to varying reporting standards for these infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This is an indication of the percent of long-term stay patients taking antipsychotic drugs. While antipsychotic medications play an important role in caring for many residents, it is important to confirm these drugs are being used appropriately. In some cases, excessive reliance on these medications may indicate that a facility is using these drugs to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This figure indicates the percent of long-term care residents receiving antianxiety drugs.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This indicates the percent of residents showing symptoms of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This datapoint measures the percent of long-term care residents who were administered the flu and pneumonia vaccines. Respiratory viruses can be very dangerous for nursing home patients, making these vaccines critical to patient well-being.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This tells you the percent of patients who required increased assistance with activities of daily living over time. High levels of needing for assistance with ADL's may indicate deterioration of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This indicates the percent of residents that retained mobility levels over time. Retaining mobility can be a great sign for residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This tells you the number of times residents are hospitalized per 1,000 days of care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This metric measures the number of times residents are rehospitalized per 1,000 days of short-term resident care. Staying out of the hospital during rehabilitation is critical to restoring the health of patients.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This indicates the number of emergency room visits per thousand days of short-term care. There is generally a correlation between having fewer emergency room visits and the overall quality of rehabilitation.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This is the percentage of short-term care residents who experienced functional improvements, such as with activities of daily living.
Percentage of Resident
Higher is Better