Pioneer Care And Rehabilitation has received an F grade based on CMS data, with a score of 2/100 — placing it among the lowest-rated nursing facilities in Montana. Families considering this Dillon facility should carefully review its inspection history and quality metrics.
With 3.03 total nurse hours per resident per day, Pioneer Care And Rehabilitation falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent inspections identified 53 deficiencies at Pioneer Care And Rehabilitation. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.03 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.52 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.69 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 1.81 | 2.4 | Below Average |
| Weekend Total Nursing | 2.61 | 3.8 | Below Average |
| Weekend RN Hours | 0.25 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0744 Severity DProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Dec 30, 2025 · Quality of Life and Care Deficiencies
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 7, 2025 · Quality of Life and Care Deficiencies
- Tag 0841 Severity FDesignate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the faMay 7, 2025 · Nursing and Physician Services Deficiencies
- Tag 0882 Severity FDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.May 7, 2025 · Infection Control Deficiencies
- Tag 0865 Severity FHave a plan that describes the process for conducting QAPI and QAA activities.May 7, 2025 · Administration 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 | 1.8% | 4.5% | Better |
| Falls with major injury | 5.3% | 3.0% | Worse |
| On antipsychotic medication | 20.9% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 6.5% | 14.0% | Better |
| Excessive weight loss | 3.5% | 7.5% | Better |
| New/worsened incontinence | 14.3% | 45.0% | Better |
⚠️ Penalties & Fines
6 penalties recorded by CMS
Total fines: $158,103
How This Grade Was Calculated
This facility's grade of F is based on a score of 2 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: 2★ → 8 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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