CareSentinel

Compiled from official CMS federal data

Pioneer Valley Living And Rehab, Sergeant Bluff, IA — Violations & Inspection Reports

CCN 165615 · 400 Sergeant Square Drive, Sergeant Bluff, IA, 51054

Record as of Jun 2026 · Updated monthly from CMS

Does Pioneer Valley Living And Rehab have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Pioneer Valley Living And Rehab (CCN 165615), in Sergeant Bluff, IA, has federal inspection findings.

In its current inspection cycle, CMS cited the facility for 6 deficiencies; the most severe is rated E — which CMS classifies as "potential for harm," a level below actual harm (risk, but no harm confirmed). The latest standard health inspection on file is dated 2026-03-03. Earlier-cycle citations appear in the dated timeline below as historical, not current. CMS has $29,572 in civil money penalties on file against the facility. The record also includes 2 abuse- or neglect-related citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series; most recent Jul 2023). This page restates the federal record and draws no conclusion of its own.

Abuse-, fall-, and care-related findings on the federal record

  • 2 citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series) — most recent Jul 2023.
  • 3 citations for accident hazards or inadequate supervision (F689) — the deficiency family behind fall-related findings; most recent Apr 2025.
  • 3 pressure-ulcer care citations (F686) — the consumer term is "bedsores"; most recent Mar 2026.
  • 1 nutrition and hydration citation (F692) — the consumer terms are "malnutrition" and "dehydration"; most recent Feb 2024.
  • 30 findings on file from complaint-triggered inspections.

Every figure above restates CMS’s own dated record; this page draws no conclusion of its own. Strict state filing deadlines can apply to nursing-home injury claims — a licensed attorney in your state can review this record.

FOR FAMILIES

What brings you to this record?

The Federal Record

CMS has $29,572 in civil money penalties on file against this facility.

Below is this facility's federal inspection record as on file with CMS.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations.

Civil money penalties on file

$29,572

CMS also records 76 days of payment denial.

Have a lawyer review this record →

About this record: Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

Deficiency timeline

How to read these codes ↓

Showing the 60 most recent of 63 federal records.

Citations are listed by scope/severity (most severe first), not chronologically; each entry is labeled current-cycle or historical.

2023-07-13
HISTORICAL
F600S/S J

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2023-07-13
HISTORICAL
F689S/S J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-02-06
HISTORICAL
F689S/S G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2026-03-03
CURRENT CYCLE
F804S/S E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

56 more citations on file — Accidents & supervision 1 · Pressure ulcers 3 · Nutrition & hydration 1 · Medication & pharmacy 6 · Resident rights 3 · Other citations 38 (expand)
2026-03-03
CURRENT CYCLE
F582S/S D

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

2026-03-03
CURRENT CYCLE
F644S/S D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

2026-03-03
CURRENT CYCLE
F686S/S D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2026-03-03
CURRENT CYCLE
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2026-03-03
CURRENT CYCLE
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2025-04-03
HISTORICAL
F865S/S F

Have a plan that describes the process for conducting QAPI and QAA activities.

2025-04-03
HISTORICAL
F550S/S D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2025-04-03
HISTORICAL
F637S/S D

Assess the resident when there is a significant change in condition

2025-04-03
HISTORICAL
F640S/S D

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

2025-04-03
HISTORICAL
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2025-04-03
HISTORICAL
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2025-04-03
HISTORICAL
F676S/S D

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

2025-04-03
HISTORICAL
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2025-04-03
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-04-03
HISTORICAL
F686S/S D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2025-04-03
HISTORICAL
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-04-03
HISTORICAL
F758S/S D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

2025-04-03
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2025-02-06
HISTORICAL
F686S/S G

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2025-02-06
HISTORICAL
F760S/S G

Ensure that residents are free from significant medication errors.

2025-02-06
HISTORICAL
F865S/S F

Have a plan that describes the process for conducting QAPI and QAA activities.

2025-02-06
HISTORICAL
F640S/S E

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

2025-02-06
HISTORICAL
F656S/S E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2025-02-06
HISTORICAL
F625S/S E

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

2025-02-06
HISTORICAL
F755S/S E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2025-02-06
HISTORICAL
F657S/S E

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2025-02-06
HISTORICAL
F655S/S D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

2025-02-06
HISTORICAL
F636S/S D

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

2025-02-06
HISTORICAL
F550S/S D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2025-02-06
HISTORICAL
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2025-02-06
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-02-06
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2025-02-06
HISTORICAL
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2025-02-06
HISTORICAL
F758S/S D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

2025-02-06
HISTORICAL
F637S/S D

Assess the resident when there is a significant change in condition

2025-02-06
HISTORICAL
F638S/S D

Assure that each resident’s assessment is updated at least once every 3 months.

2025-02-06
HISTORICAL
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2025-02-06
HISTORICAL
F641S/S D

Ensure each resident receives an accurate assessment.

2024-02-15
HISTORICAL
F880S/S F

Provide and implement an infection prevention and control program.

2024-02-15
HISTORICAL
F895S/S F

Have a Compliance and Ethics Program.

2024-02-15
HISTORICAL
F838S/S F

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

2024-02-15
HISTORICAL
F802S/S F

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

2024-02-15
HISTORICAL
F867S/S F

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

2024-02-15
HISTORICAL
F865S/S F

Have a plan that describes the process for conducting QAPI and QAA activities.

2024-02-15
HISTORICAL
F640S/S E

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

2024-02-15
HISTORICAL
F637S/S E

Assess the resident when there is a significant change in condition

2024-02-15
HISTORICAL
F638S/S E

Assure that each resident’s assessment is updated at least once every 3 months.

2024-02-15
HISTORICAL
F636S/S E

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

2024-02-15
HISTORICAL
F692S/S E

Provide enough food/fluids to maintain a resident's health.

2024-02-15
HISTORICAL
F812S/S D

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2024-02-15
HISTORICAL
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2024-02-15
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2024-02-15
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2023-07-13
HISTORICAL
F755S/S E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2023-07-13
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2023-07-13
HISTORICAL
F761S/S D

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.

Overall CMS star rating

This facility: 1  ·  CMS state average: 3.1

Both figures as published by CMS.

You may be reading this record for the first time.

If something happened to someone you love at this facility, this federal record may be new to you today. The company that operates a nursing home, by contrast, is rarely seeing records like this for the first time — operators like these typically retain standing legal, risk, and insurance teams whose routine work includes records exactly like the one on this page. That is not a judgment of this facility; it is how the business is structured. Because strict time limits can apply, families often find it helps to have a qualified person review the record with them sooner rather than later.

Your federal record — tap to preview

Federal record

Pioneer Valley Living And Rehab — Federal Record

CMS overall 1/5 · 6 current-cycle deficiencies


Section 7 — Case Context

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SECTION 7 — CASE CONTEXT

Add what you saw at Pioneer Valley Living And Rehab to this record

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Strict time limits can apply to taking legal action — consider consulting a qualified attorney promptly.

What happened

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If you believe a resident is in immediate danger, call 911. Care concerns can also be reported at no cost to your state survey agency or the Long-Term Care Ombudsman program (ltcombudsman.org) — independent of any legal inquiry.

How to read this record

Making sense of a CMS inspection record

CMS scores every citation on a grid from A to L, combining how widespread a finding was with how serious it was. A–C is a deficiency CMS classifies as no harm; D–F as the potential for harm; G–I as actual harm that reached a resident; and J–L as immediate jeopardy, CMS’s most serious level. Later letters mark more serious findings.

Three questions to ask on a tour

  • How is the home staffed on nights, weekends, and holidays?
  • What happens when a resident’s condition changes suddenly?
  • How, and how quickly, are families told about an incident?

Compare this facility on CMS’s own Care Compare →

Download the full federal record (PDF) →