PIONEER HEALTH CARE CENTER
PIONEER HEALTH CARE CENTER is a 101-bed nursing home in ROCKY FORD, Colorado. CMS has certified it for Medicare and Medicaid since 1987-02-01. It averages 77.5 residents a day.
What harm was found in the violations cited at PIONEER HEALTH CARE CENTER?
CMS lists 24 health-inspection deficiencies for PIONEER HEALTH CARE CENTER since 2021-09-16, 12 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-03-04.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-03-04 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2024-08-29 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F |
| 2024-08-29 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E |
| 2024-08-29 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2024-04-18 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-04-18 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-04-18 | F0730 | Observe each nurse aide's job performance and give regular training. | E |
| 2024-04-18 | F0580, F0676, F0695, F0761 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D |
| 2023-11-13 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E |
| 2022-12-29 | F0645, F0744, F0886 | PASARR screening for Mental disorders or Intellectual Disabilities / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Perform COVID19 testing on residents and staff. | E |
| 2021-09-16 | F0600, F0684, F0744 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | G |
| 2021-09-16 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F |
| 2021-09-16 | F0604, F0609, F0688, F0689, F0695 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. | D |
Why was PIONEER HEALTH CARE CENTER fined?
| Date | Type | Amount |
|---|---|---|
| 2024-04-18 | Fine | $10,033 |
How is PIONEER HEALTH CARE CENTER staffed relative to the CO average?
| Measure | This facility | CO average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.36233 | 3.72368 |
| Total nursing staff turnover (%) | 44.0 | 47.1 |
| Average number of residents per day | 77.5 | 74.8 |
Who owns PIONEER HEALTH CARE CENTER, and what chain is it in?
PIONEER HEALTH CARE CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name 12TH STREET OPERATIONS, LLC and belongs to the MADISON CREEK PARTNERS chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | CHIEF JOSEPH TRAIL, LLC | since 03/02/2026 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | TIPPET, LLC, WHITE CANYON, LLC, CLEGG, MICHAEL | since 03/02/2026 |
| MANAGING CONTROL - GOVERNING BODY | CLEGG, MICHAEL, IKERD, JOHN | since 03/02/2026 |
| OPERATIONAL/MANAGERIAL CONTROL | MADISON CREEK PARTNERS LLC, CHRISTENSEN, COVEY, CLEGG, MICHAEL, COOK, CAMERON, HOPKINS, AMBER, IKERD, JOHN, SHEPHERD, DAVID | since 02/27/2025 |
| ADP OF THE SNF | MADISON CREEK PARTNERS LLC, CHRISTENSEN, COVEY, CLEGG, MICHAEL, COOK, CAMERON, HOPKINS, AMBER, IKERD, JOHN, SHEPHERD, DAVID | since 02/27/2025 |
Were you or a family member harmed at PIONEER HEALTH CARE CENTER?