F

Pioneer Valley Living And Rehab

400 Sergeant Square Drive, Sergeant Bluff, IA 51054
Score: 31 / 100
⚠️ SFF Candidate

With a score of 31/100, Pioneer Valley Living And Rehab ranks in the bottom tier of Iowa nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing at Pioneer Valley Living And Rehab is near the national average, with 4.03 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 61 deficiencies at Pioneer Valley Living And Rehab, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: have a plan that describes the process for conducting qapi and qaa activities..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.03 3.8 Average
Registered Nurses (RN) 0.72 0.7 Average
Licensed Practical Nurses (LPN) 0.34 0.7 Below Average
Certified Nursing Assistants (CNA) 2.96 2.4 Above Average
Weekend Total Nursing 3.41 3.8 Below Average
Weekend RN Hours 0.34 0.7 Below Average

🔍 Inspection & Deficiency History

61
Total Deficiencies
Apr 2, 2025
Most Recent Inspection
🟠 59 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0865 Severity F
    Have a plan that describes the process for conducting QAPI and QAA activities.
    Apr 2, 2025 · Administration Deficiencies
  • Tag 0550 Severity D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Apr 2, 2025 · Resident Rights Deficiencies
  • Tag 0637 Severity D
    Assess the resident when there is a significant change in condition
    Apr 2, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0640 Severity D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    Apr 2, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0657 Severity D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Apr 2, 2025 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 4.8% 4.5% Average
Falls with major injury 1.7% 3.0% Better
On antipsychotic medication 32.3% 14.5% Worse
Urinary tract infections 3.7% 2.5% Worse
ADL decline (daily activities) 24.6% 14.0% Worse
Excessive weight loss 5.0% 7.5% Better
New/worsened incontinence 30.5% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $29,572

How This Grade Was Calculated

This facility's grade of F is based on a score of 31 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -2 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
66
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Feb 5, 2025
Deficiencies (Cycle 1)
34

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