Missouri › Chariton County › Marceline
Pioneer Skilled Nursing Center
1500 South Kansas Avenue, Marceline, MO 64658
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.
Certified for 96 beds, Pioneer Skilled Nursing Center serves Marceline in Chariton County, Missouri and has taken Medicare and Medicaid residents since 1982.
CMS gives it 3 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 3, staffing 2 and quality measures 4.
Inspectors recorded 20 health deficiencies across the three most recent survey cycles (7, 7, 6 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 20.8 per 100 beds, fewer than the state median of 32.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.6 hours per resident per day (0.5 RN), close to the Missouri median of 3.4; nursing staff turnover is 62.7%.
Compared with county, state and nation
| Measure | This facility | Chariton Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 1 | 2 | 3.0 |
| Health citations, 3 cycles | 20 | 55 | 31 | 28.7 |
| Citations per 100 beds | 20.8 | 70.0 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.6 | 3.4 | 3.9 |
| RN hours per resident day | 0.5 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 62.7% | 62.7% | 56.1% | 45.8% |
| Fines listed | $0 | $15,143 | $0 | — |
County and state figures are medians across facilities (3 in the county, 487 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: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 Mar 2025, 13 Jun 2023.
Severity mix: J ×1 D ×10 E ×5 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 |
|---|---|---|---|---|---|
| 20 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 1 May 2025 |
| 20 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 1 May 2025 |
| 20 Mar 2025 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | Standard survey | 1 May 2025 |
| 20 Mar 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 1 May 2025 |
| 20 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 1 May 2025 |
| 20 Mar 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 1 May 2025 |
| 20 Mar 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 1 May 2025 |
| 17 Dec 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 17 Jan 2025 |
| 17 Dec 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 17 Jan 2025 |
| 17 Dec 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 17 Jan 2025 |
| 13 Jun 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Standard survey | 14 Jul 2023 |
| 13 Jun 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 14 Jul 2023 |
| 13 Jun 2023 | 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. | E | Standard survey | 14 Jul 2023 |
| 13 Jun 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 14 Jul 2023 |
| 3 Oct 2019 | 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 Dec 2019 |
| 3 Oct 2019 | 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 | 11 Nov 2019 |
| 3 Oct 2019 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 11 Nov 2019 |
| 3 Oct 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 11 Nov 2019 |
| 3 Oct 2019 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 11 Nov 2019 |
| 3 Oct 2019 | 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 | 11 Nov 2019 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 62.7%, RNs 85.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.2% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.3% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.6% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.3% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.7% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.8% | 21.0% | 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, corporation. Legal business name: Pioneer Nursing, Llc. Chain: Americare Senior Living (23 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Pioneer Nursing, LLC | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 01/01/2003 |
| R H Montgomery Properties, Inc | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 01/01/2003 |
| Americare Systems, Inc. | Operational/managerial control | NOT APPLICABLE | 09/07/2011 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Chariton County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Brunswick Health Care Center | Brunswick | 60 | 1 | 2 | 1 | 55 | 91.7 | $15K | 6 May 2026 |
| Chariton Park Health Care Centerabuse iconSFF Candidate | Salisbury | 120 | 1 | 1 | 1 | 84 | 70.0 | $198K | 12 Jun 2026 |
All 3 facilities in Chariton County
Questions and answers
How many deficiencies has Pioneer Skilled Nursing Center been cited for?
20 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Pioneer Skilled Nursing Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Pioneer Skilled Nursing Center compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Pioneer Skilled Nursing Center?
It is part of the Americare Senior Living chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Pioneer Nursing, LLC, R H Montgomery Properties, Inc and Americare Systems, Inc.. Individual owners and managers are not listed on this site.
When was Pioneer Skilled Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 20 Mar 2025; the most recent standard health survey was 20 Mar 2025.
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.