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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMontanaPioneer Care and Rehabilitation

Pioneer Care and Rehabilitation

200 N Oregon St, Dillon, MT 597254066835105
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
2/5
Quality
2/5
Beds
87
certified
6 fine(s) totaling $158,103

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 87 certified beds with an average of 57.3 residents per day (66% occupancy)

• Last health inspection found 22 deficiencies (inspected May 8, 2025)

• Has been fined a total of $158,103 across 6 fine(s)

• Total nursing staff: 3.03 hours per resident per day

• Staff turnover rate: 87.8% (high)

• Part of the Sweetwater Care chain (9 facilities)

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. The facility scored below average compared to Montana facilities.

Beds
87
Avg Residents/Day
57.3
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)
22
Weighted Score
158.0
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
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: 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: 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
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
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
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
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
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
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
F0880Potential for Harm

Provide and implement an infection prevention and control program.

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

Implement a program that monitors antibiotic use.

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
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
F0865Potential for Harm

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

Survey: May 8, 2025Corrected: NoCycle: 1
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
F0622Potential for Harm

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.

Survey: Feb 27, 2024Corrected: NoCycle: 2
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Feb 27, 2024Corrected: NoCycle: 2
F0626Potential for Harm

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Survey: Feb 27, 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
$158,103
Number of Fines
6
Payment Denials
0
Total Penalties
6

Penalty History

FineDec 5, 2024
$12,529
FineJan 4, 2024
$12,786
FineAug 27, 2024
$18,850
FineMay 11, 2023
$24,833
FineMay 21, 2024
$40,641
FineMay 8, 2025
$48,464

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

Nurse Aide1.81 hrs
National avg: 2.35 hrs
LPN0.69 hrs
National avg: 0.86 hrs
RN0.52 hrs
National avg: 0.68 hrs
Total Nursing3.03 hrs
National avg: 3.89 hrs
Weekend Total2.61 hrs
National avg: 0.00 hrs
Physical Therapist0.07 hrs
National avg: 0.07 hrs
Total Turnover
87.8%
RN Turnover
50.0%
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 (8)

NameRoleTypeOwnership %Since
AJC HEALTHCARE LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/ADec 1, 2017
JBG PARTNERS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/ADec 1, 2017
SWEETWATER CARE OPCO LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/ADec 1, 2017
CHESLEY, AARON5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/ADec 1, 2017
GAMETT, JAMES5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/ADec 1, 2017
CHESLEY, AARONCORPORATE OFFICERIndividualN/ADec 1, 2017
BOESCH, MADISONW-2 MANAGING EMPLOYEEIndividualN/AJan 1, 2022
CRICKMORE, REIDW-2 MANAGING EMPLOYEEIndividualN/AJan 1, 2020

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 2/5, and quality measures rating of 2/5. This facility is rated below average.
Has Pioneer Care and Rehabilitation had any health inspection violations?▾
Pioneer Care and Rehabilitation had 22 deficiency citations in its most recent health inspection (May 8, 2025). The facility has been fined a total of $158,103 across 6 fine(s).
What are the staffing levels at Pioneer Care and Rehabilitation?▾
Pioneer Care and Rehabilitation provides 3.03 total nursing staff hours per resident per day, including 0.52 RN hours, 0.69 LPN hours, and 1.81 nurse aide hours. The total staff turnover rate is 87.8%.
How many beds does Pioneer Care and Rehabilitation have?▾
Pioneer Care and Rehabilitation has 87 certified beds with an average of 57.3 residents per day, resulting in approximately 66% occupancy. The facility is For profit - Limited Liability company owned and is part of the Sweetwater Care chain.

Part of Sweetwater Care

This chain operates 9 facilities. View all →