• 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.
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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.
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Provide and implement an infection prevention and control program.
Implement a program that monitors antibiotic use.
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Have a plan that describes the process for conducting QAPI and QAA activities.
Ensure that residents are free from significant medication errors.
Provide and implement an infection prevention and control program.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
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 |
|---|---|---|---|---|
| AJC HEALTHCARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Dec 1, 2017 |
| JBG PARTNERS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Dec 1, 2017 |
| 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 |
| GAMETT, JAMES | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | N/A | Dec 1, 2017 |
| CHESLEY, AARON | CORPORATE OFFICER | 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 |
This chain operates 9 facilities. View all →