nursing home in Sergeant Bluff, IA
Pioneer Valley Living and Rehab
400 Sergeant Square Drive, Sergeant Bluff, IA 51054 · (712) 943-2350
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★4
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Pioneer Valley Living and Rehab at a glance
Pioneer Valley Living and Rehab is a 66-bed for-profit nursing home in Sergeant Bluff, Iowa (Woodbury County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Iowa average of 3.1.
Residents receive about 3.7 hours of nursing care per day (0.6 of them from registered nurses), close to the state average of 3.8 hours.
Its most recent standard health inspection (March 3, 2026) found 6 health citations. The Iowa average is 6.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 46.6% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 66
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- June 21, 2016
- Resident/family council
- Resident
- County
- Woodbury County
- CMS Certification Number
- 165615
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.3 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.72 hrs | 3.82 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.56 hrs | 0.74 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.75 hrs | 2.52 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.21 hrs | 3.37 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 46.6% | 44% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 60% | 42.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 112.5 | 54.5 | 80.6 | Worse |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $19,286 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 66 | 65 | 107 | |
| Average residents per day | 49 | 52 | 86 | |
| Occupancy | 74.1% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0% | 3.8% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4.1% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 24.1% | 19.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 6.3% | 2.4% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 3.8% | 1.5% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 17.6% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 26.5% | 16.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 4% | 4.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 31.5% | 20.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 33.2% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 95.7% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.4% | 94% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 5.7% | 2.1% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 88.6% | 73.3% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 81% | 84% | 82% | Average |
Inspection citations
State inspectors cited this home for 55 health deficiencies and 4 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 3, 2026 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected March 26, 2026 |
| March 3, 2026 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected March 20, 2026 |
| March 3, 2026 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected March 20, 2026 |
| March 3, 2026 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected March 20, 2026 |
| March 3, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected March 20, 2026 |
| March 3, 2026 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected March 20, 2026 |
| March 3, 2026 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected March 20, 2026 |
| April 3, 2025 Complaint | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | F Potential harm, widespread | Corrected May 22, 2025 |
| April 3, 2025 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected May 22, 2025 |
| April 3, 2025 Complaint | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | D Potential harm, isolated | Corrected May 22, 2025 |
| April 3, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected May 22, 2025 |
| April 3, 2025 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected May 22, 2025 |
| April 3, 2025 Complaint | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | D Potential harm, isolated | Corrected May 22, 2025 |
| April 3, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 22, 2025 |
| April 3, 2025 Complaint | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected May 22, 2025 |
| April 3, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected May 22, 2025 |
| April 3, 2025 Complaint | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected May 22, 2025 |
| April 3, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected May 22, 2025 |
| April 3, 2025 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected May 22, 2025 |
| April 3, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected May 22, 2025 |
| February 6, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected February 12, 2025 |
| February 6, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected May 22, 2025 |
| February 6, 2025 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | G Actual harm, isolated | Corrected February 20, 2025 |
| February 6, 2025 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected May 22, 2025 |
| February 6, 2025 Standard | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | F Potential harm, widespread | Corrected May 22, 2025 |
| February 6, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected March 6, 2025 |
| February 6, 2025 Standard | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | E Potential harm, pattern | Corrected May 22, 2025 |
| February 6, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0625 | E Potential harm, pattern | Corrected March 6, 2025 |
| February 6, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected March 6, 2025 |
| February 6, 2025 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected May 22, 2025 |
| February 6, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected May 22, 2025 |
| February 6, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected May 22, 2025 |
| February 6, 2025 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected May 22, 2025 |
| February 6, 2025 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected May 22, 2025 |
| February 6, 2025 Standard | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Tag F0638 | D Potential harm, isolated | Corrected May 22, 2025 |
| February 6, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected March 6, 2025 |
| February 6, 2025 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected March 6, 2025 |
| February 6, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected May 22, 2025 |
| February 6, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected March 6, 2025 |
| February 6, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected May 22, 2025 |
| February 6, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected March 6, 2025 |
| February 6, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 22, 2025 |
| February 15, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected March 21, 2024 |
| February 15, 2024 Fire safety | Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0922 | D Potential harm, isolated | Corrected March 8, 2024 |
| February 15, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected March 15, 2024 |
| February 15, 2024 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | F Potential harm, widespread | Corrected March 15, 2024 |
| February 15, 2024 Standard | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | F Potential harm, widespread | Corrected March 15, 2024 |
| February 15, 2024 Standard | 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. Administration Deficiencies · Tag F0838 | F Potential harm, widespread | Corrected March 15, 2024 |
| February 15, 2024 Standard | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Tag F0802 | F Potential harm, widespread | Corrected March 15, 2024 |
| February 15, 2024 Standard | Have a Compliance and Ethics Program. Administration Deficiencies · Tag F0895 | F Potential harm, widespread | Corrected March 15, 2024 |
| February 15, 2024 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | E Potential harm, pattern | Corrected March 15, 2024 |
| February 15, 2024 Standard | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | E Potential harm, pattern | Corrected March 15, 2024 |
| February 15, 2024 Standard | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Tag F0638 | E Potential harm, pattern | Corrected March 15, 2024 |
| February 15, 2024 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | E Potential harm, pattern | Corrected March 15, 2024 |
| February 15, 2024 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | E Potential harm, pattern | Corrected March 15, 2024 |
| February 15, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected March 15, 2024 |
| February 15, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected March 15, 2024 |
| February 15, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected March 15, 2024 |
| February 15, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected March 15, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $0 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| February 6, 2025 | Payment Denial | 76 days from March 7, 2025 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| AMICK, STEPHANIE Individual | adp of the snf | NOT APPLICABLE | 06/01/2016 |
| DEWITT, JOSEPH Individual | adp of the snf | NOT APPLICABLE | 01/01/2016 |
| JP SENIOR MANAGEMENT LLC Organization | adp of the snf | NOT APPLICABLE | 05/27/2025 |
| LOSEE, JASON Individual | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| AMICK, STEPHANIE Individual | direct ownership interest | NOT APPLICABLE | 01/01/2018 |
| DEWITT, JOSEPH Individual | direct ownership interest | NOT APPLICABLE | 01/01/2018 |
| HENGGELER, PATRICK Individual | direct ownership interest | NOT APPLICABLE | 01/01/2018 |
| AMICK, STEPHANIE Individual | limited partnership interest | NOT APPLICABLE | 01/01/2018 |
| DEWITT, JOSEPH Individual | limited partnership interest | NOT APPLICABLE | 03/01/2011 |
| HENGGELER, PATRICK Individual | limited partnership interest | NOT APPLICABLE | 09/25/2009 |
| AMICK, STEPHANIE Individual | operational/managerial control | NOT APPLICABLE | 05/22/2024 |
| DEWITT, JOSEPH Individual | operational/managerial control | NOT APPLICABLE | 01/01/2022 |
| HENGGELER, PATRICK Individual | operational/managerial control | NOT APPLICABLE | 01/01/2016 |
| JP SENIOR MANAGEMENT LLC Organization | operational/managerial control | NOT APPLICABLE | 03/01/2016 |
| NIELSEN, TIM Individual | operational/managerial control | NOT APPLICABLE | 04/05/2021 |
Other nursing homes near Pioneer Valley Living and Rehab
Embassy Rehab and Care Center
206 Port Neal Road, Sergeant Bluff, IA 51054 · under 1 mi
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- Abuse citation
★★★★★1Much below average- ★★★★★2Below average
Adept Nursing & Rehab of South Sioux City
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★★★★★1Much below averageSunrise Retirement Community
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★★★★★5Much above averageSt Luke's Regional Medical Center SNF
801 Fifth Street, Sioux City, IA 51102 · 7.3 mi
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- New owner (last 12 months)
★★★★★5Much above averageCasa de Paz Health Care Center
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Frequently asked questions
What is Pioneer Valley Living and Rehab's rating?
Pioneer Valley Living and Rehab has 1 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did Pioneer Valley Living and Rehab receive?
Its most recent standard health inspection found 6 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Pioneer Valley Living and Rehab accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Pioneer Valley Living and Rehab?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Pioneer Valley Living and Rehab and how do I contact it?
Pioneer Valley Living and Rehab is at 400 Sergeant Square Drive, Sergeant Bluff, IA 51054. Phone: (712) 943-2350.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.