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HomeMontanaPioneer Care and Rehabilitation

Pioneer Care and Rehabilitation

200 N Oregon St, Dillon, MT 597254066835105WebsiteGoogle Maps
3.2on Google(15 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
3/5
Quality
3/5
Beds
87
certified
6 fine(s) totaling $140,630

How Pioneer Care and Rehabilitation Compares in Montana

Facility results compared with averages for CMS-certified nursing homes in Montana. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
MT average
2.9/5
Below state average
Health inspection rating
1/5
MT average
2.8/5
Below state average
Staffing rating
3/5
MT average
3.6/5
Below state average
Nursing hours per resident
3.69 hrs/day
MT average
4.05 hrs/day
Below state average
RN hours per resident
0.46 hrs/day
MT average
0.98 hrs/day
Below state average
Staff turnover
85.3%
MT average
54.8%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Montana average of 2.9/5.
Its 1/5 health inspection rating is below the Montana average of 2.8/5.
Reported nursing time is 3.69 hours per resident per day, below the state average of 4.05.
Reported RN time is 0.46 hours per resident per day, below the state average of 0.98.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
23
deficiency citations
Inspected May 21, 2024
Most recent cycle
20
deficiency citations
Inspected May 8, 2025
The most recent cycle recorded 3 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$8,365/mo
Montana median
Private Room
$9,429/mo
Montana median
Beaverhead County 65+
2,178
23.0% of county
County Population
9,469
Beaverhead County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Pioneer Care and Rehabilitation is a 1-star Medicare and Medicaid certified nursing home in Dillon, Montana with 87 certified beds. It has been operating since 1988. Its overall CMS rating is 1 out of 5.

Beds
87
Avg Residents/Day
71.7
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Aug 25, 1988
Sprinklers
Yes
Council
Resident
County
Beaverhead
Last Inspection
May 8, 2025
Deficiencies (Cycle 1)
20
Weighted Score
146.0
Infection Citations
0

Deficiency Citations (53)

F0744Potential for Harm

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Survey: Dec 31, 2025Corrected: NoCycle: 1
F0689Actual Harm

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

Survey: May 8, 2025Corrected: NoCycle: 1
F0841Potential for Harm

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

Survey: May 8, 2025Corrected: NoCycle: 1
F0865Potential for Harm

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

Survey: May 8, 2025Corrected: NoCycle: 1
F0882Potential for Harm

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Survey: May 8, 2025Corrected: NoCycle: 1
F0578Potential for Harm

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.

Survey: May 8, 2025Corrected: NoCycle: 1
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: May 8, 2025Corrected: NoCycle: 1
F0881Potential for Harm

Implement a program that monitors antibiotic use.

Survey: May 8, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: May 8, 2025Corrected: NoCycle: 1
F0627Potential for Harm

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Survey: May 8, 2025Corrected: NoCycle: 1
F0628Potential for Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey: May 8, 2025Corrected: NoCycle: 1
F0655Potential for Harm

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

Survey: May 8, 2025Corrected: NoCycle: 1
F0676Potential for Harm

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

Survey: May 8, 2025Corrected: NoCycle: 1
F0692Potential for Harm

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

Survey: May 8, 2025Corrected: NoCycle: 1
F0695Potential for Harm

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

Survey: May 8, 2025Corrected: NoCycle: 1
F0697Potential for Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey: May 8, 2025Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: May 8, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: May 8, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 8, 2025Corrected: NoCycle: 1
F0943Potential for Harm

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Survey: May 8, 2025Corrected: NoCycle: 1
F0835Potential for Harm

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Survey: Feb 27, 2025Corrected: NoCycle: 2
F0755Potential for Harm

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

Survey: Feb 27, 2025Corrected: NoCycle: 2
F0760Actual Harm

Ensure that residents are free from significant medication errors.

Survey: Dec 5, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 5, 2024Corrected: NoCycle: 2
F0689Actual Harm

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

Survey: Aug 27, 2024Corrected: NoCycle: 2
F0689Actual Harm

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

Survey: May 21, 2024Corrected: NoCycle: 2
F0803Potential for Harm

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.

Survey: May 21, 2024Corrected: NoCycle: 2
F0812Potential for Harm

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

Survey: May 21, 2024Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: May 21, 2024Corrected: NoCycle: 2
F0657Potential for Harm

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

Survey: May 21, 2024Corrected: NoCycle: 2

+ 23 more deficiencies

Total Fines
$140,630
Number of Fines
6
Payment Denials
0
Total Penalties
6

Penalty History

FineFeb 19, 2026
$7,360
FineDec 5, 2024
$12,529
FineJan 4, 2024
$12,786
FineAug 27, 2024
$18,850
FineMay 21, 2024
$40,641
FineMay 8, 2025
$48,464

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.58 hrs
National avg: 2.32 hrs
LPN0.65 hrs
National avg: 0.86 hrs
RN0.46 hrs
National avg: 0.69 hrs
Total Nursing3.69 hrs
National avg: 3.86 hrs
Weekend Total3.20 hrs
National avg: 0.00 hrs
Physical Therapist0.09 hrs
National avg: 0.07 hrs
Total Turnover
85.3%
RN Turnover
60.0%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (5)

NameRoleTypeOwnership %Since
SWEETWATER CARE OPCO LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/ADec 1, 2017
CHESLEY, AARON5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/ADec 1, 2017
BOESCH, MADISONW-2 MANAGING EMPLOYEEIndividualN/AJan 1, 2022
CRICKMORE, REIDW-2 MANAGING EMPLOYEEIndividualN/AJan 1, 2020
CHESLEY, AARONCORPORATE OFFICERIndividualN/ADec 1, 2017

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Pioneer Care and Rehabilitation and nearby alternatives.

All Montana facilities
Pioneer Care and Rehabilitation
Dillon, MTCurrent facility
CMS
1/5
Health
1/5
Staffing
3/5
Recorded fines: $140,630
Tobacco Root Mountains Care Center
Sheridan, MT26.7 miAbuse flag
CMS
1/5
Health
2/5
Staffing
4/5
Recorded fines: $22,205
Madison Valley Manor
Ennis, MT44.3 mi
CMS
5/5
Health
5/5
Staffing
5/5
Recorded fines: None
Southwest Montana Veterans Home
Butte, MT51.0 mi
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: None
Crest Nursing Home
Butte, MT53.9 mi
CMS
5/5
Health
5/5
Staffing
3/5
Recorded fines: None
Continental Care and Rehabilitation
Butte, MT54.1 mi
CMS
2/5
Health
2/5
Staffing
4/5
Recorded fines: $59,180
Copper Ridge Health and Rehabilitation Center
Butte, MT54.1 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: $9,311
FacilityDistanceCMSHealthStaffingRecorded fines
Pioneer Care and Rehabilitation
Dillon, MT · Current facility
—1/51/53/5$140,630
Tobacco Root Mountains Care Center
Sheridan, MT
26.7 mi1/52/54/5$22,205
Madison Valley Manor
Ennis, MT
44.3 mi5/55/55/5None recorded
Southwest Montana Veterans Home
Butte, MT
51.0 mi5/54/55/5None recorded
Crest Nursing Home
Butte, MT
53.9 mi5/55/53/5None recorded
Continental Care and Rehabilitation
Butte, MT
54.1 mi2/52/54/5$59,180
Copper Ridge Health and Rehabilitation Center
Butte, MT
54.1 mi4/54/53/5$9,311

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Pioneer Care and Rehabilitation?▾
Pioneer Care and Rehabilitation has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 3/5, and quality measures rating of 3/5. This facility is rated below average.
How much does Pioneer Care and Rehabilitation cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Montana is $8,365/month for a semi-private room and $9,429/month for a private room (Genworth/CareScout 2024). Pioneer Care and Rehabilitation participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Pioneer Care and Rehabilitation had any health inspection violations?▾
Pioneer Care and Rehabilitation had 20 deficiency citations in its most recent health inspection (May 8, 2025). The current CMS dataset records 6 fine(s) totaling $140,630.
What are the staffing levels at Pioneer Care and Rehabilitation?▾
Pioneer Care and Rehabilitation provides 3.69 total nursing staff hours per resident per day, including 0.46 RN hours, 0.65 LPN hours, and 2.58 nurse aide hours. The total staff turnover rate is 85.3%.
How many beds does Pioneer Care and Rehabilitation have?▾
Pioneer Care and Rehabilitation has 87 certified beds with an average of 71.7 residents per day, resulting in approximately 82% occupancy. The facility is For profit - Limited Liability company owned and is part of the Sweetwater Care chain.
Are there other nursing homes near Pioneer Care and Rehabilitation?▾
Yes. This page lists 6 nearby nursing homes in Montana. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Pioneer Care and Rehabilitation?▾
On Google Maps, Pioneer Care and Rehabilitation has a rating of 3.2 out of 5 based on 15 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Sweetwater Care

This chain operates 10 facilities. View all →