CMS data snapshot: July 2026
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.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
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.
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
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.
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 safe, appropriate pain management for a resident who requires such services.
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.
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
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.
+ 23 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| SWEETWATER CARE OPCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Dec 1, 2017 |
| CHESLEY, AARON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | N/A | Dec 1, 2017 |
| BOESCH, MADISON | W-2 MANAGING EMPLOYEE | Individual | N/A | Jan 1, 2022 |
| CRICKMORE, REID | W-2 MANAGING EMPLOYEE | Individual | N/A | Jan 1, 2020 |
| CHESLEY, AARON | CORPORATE OFFICER | Individual | N/A | Dec 1, 2017 |
Compare CMS ratings and recorded fines for Pioneer Care and Rehabilitation and nearby alternatives.
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.
This chain operates 10 facilities. View all →