PIONEER CARE AND REHABILITATION
PIONEER CARE AND REHABILITATION is a 87-bed nursing home in DILLON, Montana. CMS has certified it for Medicare and Medicaid since 1988-08-25. It averages 71.7 residents a day.
What harm was found in the violations cited at PIONEER CARE AND REHABILITATION?
CMS lists 50 health-inspection deficiencies for PIONEER CARE AND REHABILITATION, all 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 2026-06-04.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-04 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2026-06-04 | F0585, F0689, F0880 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide and implement an infection prevention and control program. | E |
| 2026-06-04 | F0550, F0645, F0711 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D |
| 2025-12-31 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D |
| 2025-05-08 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-05-08 | F0841, F0865, F0882 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. / Have a plan that describes the process for conducting QAPI and QAA activities. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F |
| 2025-05-08 | F0578, F0756, F0881 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Implement a program that monitors antibiotic use. | E |
| 2025-05-08 | F0609, F0627, F0628, F0655, F0676, F0692, F0695, F0697, F0760, F0761, F0880, F0943 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Ensure that residents are free from significant medication errors. / 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. / Provide and implement an infection prevention and control program. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D |
| 2025-02-27 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E |
| 2025-02-27 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2024-12-05 | F0760 | Ensure that residents are free from significant medication errors. | G |
| 2024-12-05 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2024-08-27 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-05-21 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-05-21 | F0803, F0812 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-05-21 | F0584, F0657, F0677, F0740, F0745, F0825, F0883, F0887 | 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Provide or get specialized rehabilitative services as required for a resident. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D |
| 2024-02-27 | F0622, F0623, F0626 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D |
| 2024-01-04 | F0602, F0609 | Protect each resident from the wrongful use of the resident's belongings or money. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2023-10-25 | F0657, F0726 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D |
Why was PIONEER CARE AND REHABILITATION fined 6 times?
| Date | Type | Amount |
|---|---|---|
| 2026-02-19 | Fine | $4,784 |
| 2025-05-08 | Fine | $48,464 |
| 2024-12-05 | Fine | $12,529 |
| 2024-08-27 | Fine | $18,850 |
| 2024-05-21 | Fine | $40,641 |
| 2024-01-04 | Fine | $12,786 |
How is PIONEER CARE AND REHABILITATION staffed relative to the MT average?
| Measure | This facility | MT average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.69178 | 4.04638 |
| Total nursing staff turnover (%) | 85.3 | 54.8 |
| Average number of residents per day | 71.7 | 56.7 |
Who owns PIONEER CARE AND REHABILITATION, and what chain is it in?
PIONEER CARE AND REHABILITATION is registered with CMS as For profit - Limited Liability company, operates under the legal business name SWEETWATER DILLON OPCO, LLC and belongs to the SWEETWATER CARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | SWEETWATER CARE OPCO LLC, CHESLEY, AARON | since 12/01/2017 |
| W-2 MANAGING EMPLOYEE | BOESCH, MADISON, CRICKMORE, REID | since 01/01/2020 |
| CORPORATE OFFICER | CHESLEY, AARON | since 12/01/2017 |
Were you or a family member harmed at PIONEER CARE AND REHABILITATION?