Montana › Beaverhead County › Dillon
Pioneer Care and Rehabilitation
200 N Oregon St, Dillon, MT 59725
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Pioneer Care and Rehabilitation is a For-profit, limited liability company nursing home in Dillon, Montana, certified for 87 beds and caring for about 72 residents a day.
CMS gives it 2 of 5 stars overall, below the Montana median of 3; the health inspection rating is 2, staffing 3 and quality measures 3.
Inspectors recorded 50 health deficiencies across the three most recent survey cycles (8, 24, 18 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 57.5 per 100 beds, more than the state median of 40.0.
CMS lists 6 penalties in the period covered: fines totalling $138K.
Reported nurse staffing is 3.7 hours per resident per day (0.5 RN), close to the Montana median of 3.9; nursing staff turnover is 85.3%.
Compared with county, state and nation
| Measure | This facility | Beaverhead Co. median | Montana median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 50 | 50 | 27 | 28.7 |
| Citations per 100 beds | 57.5 | 57.5 | 40.0 | 26.8 |
| Total nurse hours per resident day | 3.7 | 3.7 | 3.9 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.9 | 0.7 |
| Nursing staff turnover | 85.3% | 85.3% | 53.4% | 45.8% |
| Fines listed | $138,054 | $138,054 | $27,013 | — |
County and state figures are medians across facilities (1 in the county, 61 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Montana average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Jun 2026, 8 May 2025.
Severity mix: G ×4 D ×33 E ×9 F ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 4 Jun 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 16 Jun 2026 |
| 4 Jun 2026 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard survey | 22 Jun 2026 |
| 4 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 18 Jun 2026 |
| 4 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 18 Jun 2026 |
| 4 Jun 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 29 Jun 2026 |
| 4 Jun 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 16 Jun 2026 |
| 4 Jun 2026 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Standard survey | 30 Jun 2026 |
| 31 Dec 2025 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint investigation | 23 Jan 2026 |
| 8 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 30 May 2025 |
| 8 May 2025 | F0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | F | Standard survey | 30 May 2025 |
| 8 May 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Complaint investigation | 30 May 2025 |
| 8 May 2025 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 30 May 2025 |
| 8 May 2025 | F0578 | 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. | E | Standard survey | 30 May 2025 |
| 8 May 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 30 May 2025 |
| 8 May 2025 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 30 May 2025 |
| 8 May 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 30 May 2025 |
| 8 May 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Standard survey | 30 May 2025 |
| 8 May 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 30 May 2025 |
| 8 May 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 30 May 2025 |
| 8 May 2025 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 30 May 2025 |
| 8 May 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 30 May 2025 |
| 8 May 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 30 May 2025 |
| 8 May 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 30 May 2025 |
| 8 May 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 30 May 2025 |
| 8 May 2025 | F0761 | 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. | D | Standard survey | 30 May 2025 |
| 8 May 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 30 May 2025 |
| 8 May 2025 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Standard survey | 30 May 2025 |
| 27 Feb 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Complaint investigation | 4 Apr 2025 |
| 27 Feb 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 4 Apr 2025 |
| 5 Dec 2024 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 3 Jan 2025 |
| 5 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 3 Jan 2025 |
| 27 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 5 Sep 2024 |
| 21 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 28 Jun 2024 |
| 21 May 2024 | F0803 | 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. | E | Standard survey | 28 Jun 2024 |
| 21 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 28 Jun 2024 |
| 21 May 2024 | F0584 | 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. | D | Standard survey | 28 Jun 2024 |
| 21 May 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 28 Jun 2024 |
| 21 May 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 28 Jun 2024 |
| 21 May 2024 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 28 Jun 2024 |
| 21 May 2024 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard survey | 28 Jun 2024 |
| 21 May 2024 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard survey | 28 Jun 2024 |
| 21 May 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 28 Jun 2024 |
| 21 May 2024 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 28 Jun 2024 |
| 27 Feb 2024 | F0622 | 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. | D | Complaint investigation | 11 Mar 2024 |
| 27 Feb 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 11 Mar 2024 |
| 27 Feb 2024 | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint investigation | 11 Mar 2024 |
| 4 Jan 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 27 Feb 2024 |
| 4 Jan 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 27 Feb 2024 |
| 25 Oct 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 27 Nov 2023 |
| 25 Oct 2023 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 27 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 19 Feb 2026 | Fine | $4,784 | |
| 8 May 2025 | Fine | $48,464 | |
| 5 Dec 2024 | Fine | $12,529 | |
| 27 Aug 2024 | Fine | $18,850 | |
| 21 May 2024 | Fine | $40,641 | |
| 4 Jan 2024 | Fine | $12,786 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Montana average. Turnover: nursing staff 85.3%, RNs 60.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Montana median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 4.3% | 18.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.1% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.9% | 3.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 6.8% | 0.6% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 3.2% | 16.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.8% | 5.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.9% | 19.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Sweetwater Dillon Opco, Llc. Chain: Sweetwater Care (8 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Sweetwater Care Opco LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 12/01/2017 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Pioneer Care and Rehabilitation been cited for?
50 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Montana median is 27 per facility.
Has Pioneer Care and Rehabilitation been fined?
Yes. CMS lists fines totalling $138K in the period covered.
How does staffing at Pioneer Care and Rehabilitation compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Montana median of 3.9 and a national average of 3.9.
Who operates Pioneer Care and Rehabilitation?
It is part of the Sweetwater Care chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Sweetwater Care Opco LLC. Individual owners and managers are not listed on this site.
When was Pioneer Care and Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 4 Jun 2026; the most recent standard health survey was 4 Jun 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.