CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Missouri. 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 Skilled Nursing Center is a 3-star Medicare and Medicaid certified nursing home in Marceline, Missouri with 96 certified beds. It has been operating since 1982. Its overall CMS rating is 3 out of 5.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
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.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
No penalties on record.
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 |
|---|---|---|---|---|
| PIONEER NURSING, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | N/A | Jan 1, 2003 |
| R H MONTGOMERY PROPERTIES, INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | N/A | Jan 1, 2003 |
| MONTGOMERY, ANNA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 50% | Jan 1, 2013 |
| MONTGOMERY, RICHARD | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 50% | Jan 6, 2003 |
| SCHADE, KYLE | CONTRACTED MANAGING EMPLOYEE | Individual | N/A | Mar 1, 2021 |
| WOODS, MATTHEW J | W-2 MANAGING EMPLOYEE | Individual | N/A | Nov 9, 2017 |
| REIKER, JAMES | CORPORATE OFFICER | Individual | N/A | Apr 2, 2002 |
| SCHADE, KYLE | CORPORATE OFFICER | Individual | N/A | Mar 1, 2021 |
| AMERICARE SYSTEMS, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Sep 7, 2011 |
| CROSSON, CLAY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 29, 2001 |
| HATLESTAD, STEVEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Sep 7, 2011 |
| REIKER, JAMES | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2003 |
Compare CMS ratings and recorded fines for Pioneer Skilled Nursing Center 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 23 facilities. View all →