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 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 75 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

For profit - Individual

Resident Council: TrueA checkmark indicating true.

Family Council: TrueA checkmark indicating true.

Medical Staff Hours Per Patient (2019)

Less:
More:
January
January 1, 2019January 2, 2019January 3, 2019January 4, 2019January 5, 2019January 6, 2019January 7, 2019January 8, 2019January 9, 2019January 10, 2019January 11, 2019January 12, 2019January 13, 2019January 14, 2019January 15, 2019January 16, 2019January 17, 2019January 18, 2019January 19, 2019January 20, 2019January 21, 2019January 22, 2019January 23, 2019January 24, 2019January 25, 2019January 26, 2019January 27, 2019January 28, 2019January 29, 2019January 30, 2019January 31, 2019
February
February 1, 2019February 2, 2019February 3, 2019February 4, 2019February 5, 2019February 6, 2019February 7, 2019February 8, 2019February 9, 2019February 10, 2019February 11, 2019February 12, 2019February 13, 2019February 14, 2019February 15, 2019February 16, 2019February 17, 2019February 18, 2019February 19, 2019February 20, 2019February 21, 2019February 22, 2019February 23, 2019February 24, 2019February 25, 2019February 26, 2019February 27, 2019February 28, 2019
March
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April
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May
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June
June 1, 2019June 2, 2019June 3, 2019June 4, 2019June 5, 2019June 6, 2019June 7, 2019June 8, 2019June 9, 2019June 10, 2019June 11, 2019June 12, 2019June 13, 2019June 14, 2019June 15, 2019June 16, 2019June 17, 2019June 18, 2019June 19, 2019June 20, 2019June 21, 2019June 22, 2019June 23, 2019June 24, 2019June 25, 2019June 26, 2019June 27, 2019June 28, 2019June 29, 2019June 30, 2019
July
July 1, 2019July 2, 2019July 3, 2019July 4, 2019July 5, 2019July 6, 2019July 7, 2019July 8, 2019July 9, 2019July 10, 2019July 11, 2019July 12, 2019July 13, 2019July 14, 2019July 15, 2019July 16, 2019July 17, 2019July 18, 2019July 19, 2019July 20, 2019July 21, 2019July 22, 2019July 23, 2019July 24, 2019July 25, 2019July 26, 2019July 27, 2019July 28, 2019July 29, 2019July 30, 2019July 31, 2019
August
August 1, 2019August 2, 2019August 3, 2019August 4, 2019August 5, 2019August 6, 2019August 7, 2019August 8, 2019August 9, 2019August 10, 2019August 11, 2019August 12, 2019August 13, 2019August 14, 2019August 15, 2019August 16, 2019August 17, 2019August 18, 2019August 19, 2019August 20, 2019August 21, 2019August 22, 2019August 23, 2019August 24, 2019August 25, 2019August 26, 2019August 27, 2019August 28, 2019August 29, 2019August 30, 2019August 31, 2019
September
September 1, 2019September 2, 2019September 3, 2019September 4, 2019September 5, 2019September 6, 2019September 7, 2019September 8, 2019September 9, 2019September 10, 2019September 11, 2019September 12, 2019September 13, 2019September 14, 2019September 15, 2019September 16, 2019September 17, 2019September 18, 2019September 19, 2019September 20, 2019September 21, 2019September 22, 2019September 23, 2019September 24, 2019September 25, 2019September 26, 2019September 27, 2019September 28, 2019September 29, 2019September 30, 2019
October
October 1, 2019October 2, 2019October 3, 2019October 4, 2019October 5, 2019October 6, 2019October 7, 2019October 8, 2019October 9, 2019October 10, 2019October 11, 2019October 12, 2019October 13, 2019October 14, 2019October 15, 2019October 16, 2019October 17, 2019October 18, 2019October 19, 2019October 20, 2019October 21, 2019October 22, 2019October 23, 2019October 24, 2019October 25, 2019October 26, 2019October 27, 2019October 28, 2019October 29, 2019October 30, 2019October 31, 2019
November
November 1, 2019November 2, 2019November 3, 2019November 4, 2019November 5, 2019November 6, 2019November 7, 2019November 8, 2019November 9, 2019November 10, 2019November 11, 2019November 12, 2019November 13, 2019November 14, 2019November 15, 2019November 16, 2019November 17, 2019November 18, 2019November 19, 2019November 20, 2019November 21, 2019November 22, 2019November 23, 2019November 24, 2019November 25, 2019November 26, 2019November 27, 2019November 28, 2019November 29, 2019November 30, 2019
December
December 1, 2019December 2, 2019December 3, 2019December 4, 2019December 5, 2019December 6, 2019December 7, 2019December 8, 2019December 9, 2019December 10, 2019December 11, 2019December 12, 2019December 13, 2019December 14, 2019December 15, 2019December 16, 2019December 17, 2019December 18, 2019December 19, 2019December 20, 2019December 21, 2019December 22, 2019December 23, 2019December 24, 2019December 25, 2019December 26, 2019December 27, 2019December 28, 2019December 29, 2019December 30, 2019December 31, 2019

Facility Inspections

A
Oct 18: A-Nov 18: A-Dec 18: A-Jan 19: A-Feb 19: A-May 19: AJun 19: AJul 19: AAug 19: ASep 19: AJan 20: AMar 20: AApr 20: AMay 20: AJun 20: AJul 20: AAug 20: A
Historical

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

A-
Oct 18: A-Nov 18: A-Dec 18: A-Jan 19: A-Feb 19: A-May 19: A-Jun 19: A-Jul 19: A-Aug 19: A-Sep 19: A-Jan 20: B+Mar 20: B+Apr 20: A-May 20: A-Jun 20: A-Jul 20: A-Aug 20: A-
Historical

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

C
Oct 18: B-Nov 18: B-Dec 18: B-Jan 19: B-Feb 19: B-May 19: B-Jun 19: B-Jul 19: BAug 19: BSep 19: BJan 20: CMar 20: CApr 20: CMay 20: CJun 20: CJul 20: CAug 20: C
Historical

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

D
Oct 18: FNov 18: FDec 18: FJan 19: FFeb 19: FMay 19: FJun 19: FJul 19: FAug 19: DSep 19: DJan 20: CMar 20: CApr 20: DMay 20: DJun 20: DJul 20: DAug 20: D
Historical

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.

Aug 20
Provider:
B-
State:
B+
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

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.

Provider
A
3.75%
State
B+
5.81%
National
B
7.34%

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.

Provider
A-
2.19%
State
B-
4.73%
National
B
3.36%

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.

Provider
D
4.48%
State
B-
3.93%
National
B
2.66%

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.

Provider
D
23%
State
B-
16.76%
National
B
14.15%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This figure indicates the percent of long-term care residents receiving antianxiety drugs.

Provider
D
34.15%
State
B+
18.39%
National
B
19.69%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This indicates the percent of residents showing symptoms of depression.

Provider
B-
3.91%
State
B
3.86%
National
B+
5.11%

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.

Provider
D
83.54%
State
B
93.69%
National
B
92.01%

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.

Provider
B+
12.2%
State
B
15.01%
National
B
14.47%

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.

Provider
C
12.99%
State
B+
18.83%
National
B
17.10%

Percentage of Residents
Higher is Better

Hospitalizations

This tells you the number of times residents are hospitalized per 1,000 days of care.

Provider
B+
1.42
State
B
1.64
National
B
1.70

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.

Provider
A-
12.99
State
B-
18.83
National
B
17.10

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.

Provider
B-
11.29
State
B+
7.95
National
B
10.26

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.

Provider
A-
79.51%
State
B+
76.14%
National
B
68.02%

Percentage of Resident
Higher is Better

Nearby Hospitals

Faith Regional Health Services 12.06 mi
2700 West Norfolk Ave Norfolk Nebraska 68701
(402) 371-4880
Acute Care Hospitals
Voluntary non-profit - Church

Nearby Dialysis

Northeast Nebraska Dialysis 12.14 mi
Dialysis Stations: 12
1603 Prospect Ave Norfolk Nebraska 68701
(402) 379-2913