D

PIONEER SKILLED NURSING CENTER

1500 SOUTH KANSAS AVENUE, MARCELINE, MO 64658
Score: 50 / 100

Pioneer Skilled Nursing Center faces challenges in its CMS ratings, earning a D grade with a score of 50/100. The facility ranks in the 58th percentile among Missouri nursing homes, suggesting significant room for improvement.

Staffing levels are a potential concern at Pioneer Skilled Nursing Center, with 3.14 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent CMS inspections identified 20 deficiencies at Pioneer Skilled Nursing Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.14 3.8 Below Average
Registered Nurses (RN) 0.29 0.7 Below Average
Licensed Practical Nurses (LPN) 0.80 0.7 Above Average
Certified Nursing Assistants (CNA) 2.06 2.4 Below Average
Weekend Total Nursing 2.57 3.8 Below Average
Weekend RN Hours 0.16 0.7 Below Average

🔍 Inspection & Deficiency History

20
Total Deficiencies
Mar 19, 2025
Most Recent Inspection
🟠 19 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Mar 19, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0880 Severity F
    Provide and implement an infection prevention and control program.
    Mar 19, 2025 · Infection Control Deficiencies
  • Tag 0569 Severity E
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    Mar 19, 2025 · Resident Rights Deficiencies
  • Tag 0883 Severity E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    Mar 19, 2025 · Infection Control Deficiencies
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Mar 19, 2025 · Quality of Life and Care 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 3.4% 4.5% Better
Falls with major injury 6.6% 3.0% Worse
On antipsychotic medication 13.5% 14.5% Average
Urinary tract infections 5.3% 2.5% Worse
ADL decline (daily activities) 20.5% 14.0% Worse
Excessive weight loss 12.2% 7.5% Worse
New/worsened incontinence 23.4% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $47,467

How This Grade Was Calculated

This facility's grade of D is based on a score of 50 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -4 pts

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

Facility Details

Ownership
For profit - Corporation
Certified Beds
96
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 19, 2025
Deficiencies (Cycle 1)
7