Pioneer Valley Living and RehabCMS ratings, inspections and fines
- Address
- 400 Sergeant Square Drive, Sergeant Bluff, IA 51054
- CCN
- 165615
- Ownership type
- For-profit, limited liability company
- Certified beds
- 66
- Chain
- None in the CMS record
- Residents per day
- 49
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Pioneer Valley Living and Rehab an overall rating of 1 of 5 stars. The last standard survey was on 3 Mar 2026. The latest survey cycle has 6 health citations. The median for nursing homes in Iowa is 5. CMS lists no fines for this home in its penalties file. CMS also lists 1 payment denial.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Woodbury County median | Iowa median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 3 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 9 homes in the county, 387 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Iowa median |
|---|---|---|---|
| Cycle 1 (latest) | 3 Mar 2026 | 6 | 5 |
| Cycle 2 | 6 Feb 2025 | 34 | 5 |
| Cycle 3 | No date | 15 | 5 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 6 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 3 Mar 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 20 Mar 2026 |
| 3 Mar 2026 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 20 Mar 2026 |
| 3 Mar 2026 | 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 | 20 Mar 2026 |
| 3 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 20 Mar 2026 |
| 3 Mar 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 20 Mar 2026 |
| 3 Mar 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 20 Mar 2026 |
Survey cycle 2: 34 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 3 Apr 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 22 May 2025 |
| 3 Apr 2025 | F0637 | Assess the resident when there is a significant change in condition | D | Complaint investigation | 22 May 2025 |
| 3 Apr 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Complaint investigation | 22 May 2025 |
| 3 Apr 2025 | 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 | 22 May 2025 |
| 3 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 22 May 2025 |
| 3 Apr 2025 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Complaint investigation | 22 May 2025 |
| 3 Apr 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 22 May 2025 |
| 3 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 22 May 2025 |
| 3 Apr 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 22 May 2025 |
| 3 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 22 May 2025 |
| 3 Apr 2025 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Complaint investigation | 22 May 2025 |
| 3 Apr 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Complaint investigation | 22 May 2025 |
| 3 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 22 May 2025 |
| 6 Feb 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 22 May 2025 |
| 6 Feb 2025 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | Standard survey | 6 Mar 2025 |
| 6 Feb 2025 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 22 May 2025 |
| 6 Feb 2025 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 22 May 2025 |
| 6 Feb 2025 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 22 May 2025 |
| 6 Feb 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Standard survey | 22 May 2025 |
| 6 Feb 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 6 Mar 2025 |
| 6 Feb 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 | 6 Mar 2025 |
| 6 Feb 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 6 Mar 2025 |
| 6 Feb 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 22 May 2025 |
| 6 Feb 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 22 May 2025 |
| 6 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 22 May 2025 |
| 6 Feb 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 22 May 2025 |
| 6 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 22 May 2025 |
| 6 Feb 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 6 Mar 2025 |
| 6 Feb 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 6 Mar 2025 |
| 6 Feb 2025 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 22 May 2025 |
| 6 Feb 2025 | F0760 | Ensure that residents are free from significant medication errors. | G | Standard survey | 20 Feb 2025 |
| 6 Feb 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 6 Mar 2025 |
| 6 Feb 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 22 May 2025 |
| 6 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 22 May 2025 |
Survey cycle 3: 15 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 15 Feb 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard survey | 15 Mar 2024 |
| 15 Feb 2024 | F0637 | Assess the resident when there is a significant change in condition | E | Standard survey | 15 Mar 2024 |
| 15 Feb 2024 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 15 Mar 2024 |
| 15 Feb 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Standard survey | 15 Mar 2024 |
| 15 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 15 Mar 2024 |
| 15 Feb 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 15 Mar 2024 |
| 15 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 15 Mar 2024 |
| 15 Feb 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Complaint investigation | 15 Mar 2024 |
| 15 Feb 2024 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard survey | 15 Mar 2024 |
| 15 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 15 Mar 2024 |
| 15 Feb 2024 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard survey | 15 Mar 2024 |
| 15 Feb 2024 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 15 Mar 2024 |
| 15 Feb 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 15 Mar 2024 |
| 15 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 15 Mar 2024 |
| 15 Feb 2024 | F0895 | Have a Compliance and Ethics Program. | F | Standard survey | 15 Mar 2024 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 6 Feb 2025 | Payment denial | 76 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Iowa median | Iowa average (CMS) |
|---|---|---|---|
| All nurse staff | 3.72 | 3.70 | 3.82 |
| Registered nurses (RN) | 0.56 | 0.70 | 0.74 |
| Licensed practical nurses (LPN) | 0.41 | 0.56 | |
| Nurse aides | 2.75 | 2.51 | |
| All nurse staff, weekends | 3.21 | 3.30 | 3.37 |
- Nurse staff turnover in a year
- 46.6%
- Nurse staff turnover, Iowa median
- 41.9%
- RN turnover in a year
- 60.0%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.6% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 3.8% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 6.3% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.7% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 26.5% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.1% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 24.1% | 18.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- JP Senior Healthcare LLC
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| JP Senior Management LLC | Operational/managerial control | 1 Mar 2016 | |
| JP Senior Management LLC | Adp of the snf | 27 May 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Woodbury County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Embassy Rehab and Care Center | Sergeant Bluff | 1 of 5 | 6 | $0 | 21 May 2026 | |
| Sunrise Retirement Community | Sioux City | 5 of 5 | 2 | $0 | 11 Sep 2025 | |
| St Luke's Regional Medical Center SNF | Sioux City | 5 of 5 | 0 | $0 | 17 Jul 2025 | |
| Casa De Paz Health Care Center | Sioux City | 2 of 5 | 11 | $0 | 9 Apr 2026 | |
| Holy Spirit Retirement Home | Sioux City | 3 of 5 | 8 | $0 | 30 Apr 2026 | |
| Westwood Specialty Care | Sioux City | 1 of 5 | 16 | $181,086 | 29 Apr 2026 | |
| Accura Healthcare of Sioux City, LLC | Sioux City | 4 of 5 | 6 | $0 | 4 Dec 2025 | |
| Correctionville Specialty Care | Correctionville | 1 of 5 | 11 | $60,316 | 31 Dec 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Pioneer Valley Living and Rehab (CCN 165615). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/pioneer-valley-living-and-rehab-sergeant-bluff-ia-165615/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Pioneer Valley Living and Rehab last inspected?
- The latest inspection with a citation in the CMS record was on 3 Mar 2026. It was a standard survey and a complaint investigation. It gave 6 citations. The standard survey before the last one was on 6 Feb 2025.
- Who operates Pioneer Valley Living and Rehab?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists no chain for the home. The CMS ownership file names JP Senior Management LLC for operational or managerial control. This site does not show the names of persons.
- Is Pioneer Valley Living and Rehab a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Iowa as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.