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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.
HomeMissouriPioneer Skilled Nursing Center

Pioneer Skilled Nursing Center

1500 South Kansas Avenue, Marceline, MO 646586603762001
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
2/5
Quality
4/5
Beds
96
certified
1 fine(s) totaling $47,467

Key Findings

• CMS rates this facility 3/5 stars (average)

• Has 96 certified beds with an average of 57.3 residents per day (60% occupancy)

• Last health inspection found 7 deficiencies (inspected Mar 20, 2025)

• Has been fined a total of $47,467 across 1 fine(s)

• Total nursing staff: 3.14 hours per resident per day

• Staff turnover rate: 54.9% (high)

• Part of the Americare Senior Living chain (23 facilities)

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. The facility scored at average compared to Missouri facilities.

Beds
96
Avg Residents/Day
57.3
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jun 30, 1982
Sprinklers
Yes
Council
Resident
County
Chariton
Last Inspection
Mar 20, 2025
Deficiencies (Cycle 1)
7
Weighted Score
75.8
Infection Citations
0

Deficiency Citations (20)

F0569Potential for Harm

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Survey: Mar 20, 2025Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: Mar 20, 2025Corrected: NoCycle: 1
F0692Potential for Harm

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

Survey: Mar 20, 2025Corrected: NoCycle: 1
F0698Potential for Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey: Mar 20, 2025Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: Mar 20, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 20, 2025Corrected: NoCycle: 1
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Mar 20, 2025Corrected: NoCycle: 1
F0609Potential for Harm

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

Survey: Dec 17, 2024Corrected: NoCycle: 2
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Dec 17, 2024Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Dec 17, 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: Jun 13, 2023Corrected: NoCycle: 2
F0684Immediate Jeopardy

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Jun 13, 2023Corrected: NoCycle: 2
F0695Potential for Harm

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

Survey: Jun 13, 2023Corrected: 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: Jun 13, 2023Corrected: 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: Oct 3, 2019Corrected: NoCycle: 3
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Oct 3, 2019Corrected: NoCycle: 3
F0689Potential for Harm

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

Survey: Oct 3, 2019Corrected: NoCycle: 3
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Oct 3, 2019Corrected: NoCycle: 3
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: Oct 3, 2019Corrected: NoCycle: 3
F0812Potential for Harm

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

Survey: Oct 3, 2019Corrected: NoCycle: 3
Total Fines
$47,467
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineJun 13, 2023
$47,467

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

Nurse Aide2.06 hrs
National avg: 2.35 hrs
LPN0.80 hrs
National avg: 0.86 hrs
RN0.29 hrs
National avg: 0.68 hrs
Total Nursing3.14 hrs
National avg: 3.89 hrs
Weekend Total2.57 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
54.9%
RN Turnover
50.0%
Administrators Left
0

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

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (12)

NameRoleTypeOwnership %Since
PIONEER NURSING, LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationN/AJan 1, 2003
R H MONTGOMERY PROPERTIES, INC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationN/AJan 1, 2003
MONTGOMERY, ANNA5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual50%Jan 1, 2013
MONTGOMERY, RICHARD5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual50%Jan 6, 2003
AMERICARE SYSTEMS, INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationN/ASep 7, 2011
CROSSON, CLAYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 29, 2001
HATLESTAD, STEVENOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 7, 2011
REIKER, JAMESOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2003
REIKER, JAMESCORPORATE OFFICERIndividualN/AApr 2, 2002
SCHADE, KYLECORPORATE OFFICERIndividualN/AMar 1, 2021
SCHADE, KYLECONTRACTED MANAGING EMPLOYEEIndividualN/AMar 1, 2021
WOODS, MATTHEW JW-2 MANAGING EMPLOYEEIndividualN/ANov 9, 2017

Frequently Asked Questions

What is the CMS rating for Pioneer Skilled Nursing Center?▾
Pioneer Skilled Nursing Center has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 2/5, and quality measures rating of 4/5. This facility is rated average.
Has Pioneer Skilled Nursing Center had any health inspection violations?▾
Pioneer Skilled Nursing Center had 7 deficiency citations in its most recent health inspection (Mar 20, 2025). The facility has been fined a total of $47,467 across 1 fine(s).
What are the staffing levels at Pioneer Skilled Nursing Center?▾
Pioneer Skilled Nursing Center provides 3.14 total nursing staff hours per resident per day, including 0.29 RN hours, 0.80 LPN hours, and 2.06 nurse aide hours. The total staff turnover rate is 54.9%.
How many beds does Pioneer Skilled Nursing Center have?▾
Pioneer Skilled Nursing Center has 96 certified beds with an average of 57.3 residents per day, resulting in approximately 60% occupancy. The facility is For profit - Corporation owned and is part of the Americare Senior Living chain.

Part of Americare Senior Living

This chain operates 23 facilities. View all →