nursing home in Marceline, MO
Pioneer Skilled Nursing Center
1500 South Kansas Avenue, Marceline, MO 64658 · (660) 376-2001
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★2
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Pioneer Skilled Nursing Center at a glance
Pioneer Skilled Nursing Center is a 96-bed for-profit nursing home in Marceline, Missouri (Chariton County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Missouri average of 2.5.
Residents receive about 3.6 hours of nursing care per day (0.5 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (March 20, 2025) found 7 health citations. The Missouri average is 11.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 62.7% per year (state average 56%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 96
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Americare Senior Living
- Medicare-certified since
- June 30, 1982
- Resident/family council
- Resident
- County
- Chariton County
- CMS Certification Number
- 265169
Ratings
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.5 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 3 / 5 | 2.8 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 2.7 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.57 hrs | 3.43 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.48 hrs | 0.46 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.40 hrs | 2.29 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 2.92 hrs | 3.01 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 62.7% | 56% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 85.7% | 47.8% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 11 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 75.8 | 111.8 | 80.6 | Better |
Penalties
| Measure | This facility | Missouri 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 | $37,425 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 96 | 103 | 107 | |
| Average residents per day | 54 | 73 | 86 | |
| Occupancy | 56.6% | 72.4% | 80.9% |
Long-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5.6% | 4.1% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.7% | 4.5% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 16.8% | 23.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 4.3% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1% | 1.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 18.2% | 18.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 12.3% | 17.4% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 20.6% | 5.3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 18.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 26% | 25.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 20.1% | 17.8% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 89.1% | 90.9% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 96.9% | 84.1% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 30% | 63.5% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 81.1% | 65.7% | 82% | Average |
Inspection citations
State inspectors cited this home for 20 health deficiencies and 30 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 20, 2025 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | F Potential harm, widespread | Corrected May 1, 2025 |
| March 20, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected May 1, 2025 |
| March 20, 2025 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected May 1, 2025 |
| March 20, 2025 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected May 1, 2025 |
| March 20, 2025 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 | F Potential harm, widespread | Corrected May 1, 2025 |
| March 20, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected May 1, 2025 |
| March 20, 2025 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | E Potential harm, pattern | Corrected May 1, 2025 |
| March 20, 2025 Standard | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Tag F0569 | E Potential harm, pattern | Corrected May 1, 2025 |
| March 20, 2025 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected May 1, 2025 |
| March 20, 2025 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected May 1, 2025 |
| March 20, 2025 Standard | 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 1, 2025 |
| December 17, 2024 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 | E Potential harm, pattern | Corrected January 17, 2025 |
| December 17, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected January 17, 2025 |
| December 17, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected January 17, 2025 |
| June 13, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected July 14, 2023 |
| June 13, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected July 14, 2023 |
| June 13, 2023 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected July 14, 2023 |
| June 13, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected July 14, 2023 |
| June 13, 2023 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | F Potential harm, widespread | Corrected December 8, 2023 |
| June 13, 2023 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected December 8, 2023 |
| June 13, 2023 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected July 14, 2023 |
| June 13, 2023 Fire safety | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Tag K0311 | F Potential harm, widespread | Corrected July 14, 2023 |
| June 13, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected December 8, 2023 |
| June 13, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected July 14, 2023 |
| June 13, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected July 14, 2023 |
| June 13, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected July 14, 2023 |
| June 13, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected December 8, 2023 |
| June 13, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected December 8, 2023 |
| June 13, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected July 14, 2023 |
| June 13, 2023 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected July 14, 2023 |
| June 13, 2023 Fire safety | Have proper power supply for life support equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0915 | F Potential harm, widespread | Corrected July 14, 2023 |
| June 13, 2023 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | E Potential harm, pattern | Corrected July 14, 2023 |
| June 13, 2023 Fire safety | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Tag K0362 | E Potential harm, pattern | Corrected July 14, 2023 |
| June 13, 2023 Fire safety | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912 | E Potential harm, pattern | Corrected July 14, 2023 |
| June 13, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | J Immediate jeopardy, isolated | Corrected July 14, 2023 |
| June 13, 2023 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 | F Potential harm, widespread | Corrected July 14, 2023 |
| June 13, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected July 14, 2023 |
| June 13, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected July 14, 2023 |
| October 3, 2019 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected November 11, 2019 |
| October 3, 2019 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected November 11, 2019 |
| October 3, 2019 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | E Potential harm, pattern | Corrected November 11, 2019 |
| October 3, 2019 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | D Potential harm, isolated | Corrected November 11, 2019 |
| October 3, 2019 Fire safety | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Tag K0362 | D Potential harm, isolated | Corrected November 11, 2019 |
| October 3, 2019 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected November 11, 2019 |
| October 3, 2019 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 | F Potential harm, widespread | Corrected December 16, 2019 |
| October 3, 2019 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected November 11, 2019 |
| October 3, 2019 Standard | 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 November 11, 2019 |
| October 3, 2019 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected November 11, 2019 |
| October 3, 2019 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected November 11, 2019 |
| October 3, 2019 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 November 11, 2019 |
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 no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| PIONEER NURSING, LLC Organization | 5% or greater direct ownership interest | — | 01/01/2003 |
| R H MONTGOMERY PROPERTIES, INC Organization | 5% or greater direct ownership interest | — | 01/01/2003 |
| MONTGOMERY, ANNA Individual | 5% or greater indirect ownership interest | 50% | 01/01/2013 |
| MONTGOMERY, RICHARD Individual | 5% or greater indirect ownership interest | 50% | 01/06/2003 |
| SCHADE, KYLE Individual | contracted managing employee | NOT APPLICABLE | 03/01/2021 |
| REIKER, JAMES Individual | corporate officer | NOT APPLICABLE | 04/02/2002 |
| SCHADE, KYLE Individual | corporate officer | NOT APPLICABLE | 03/01/2021 |
| AMERICARE SYSTEMS, INC. Organization | operational/managerial control | NOT APPLICABLE | 09/07/2011 |
| CROSSON, CLAY Individual | operational/managerial control | NOT APPLICABLE | 10/29/2001 |
| HATLESTAD, STEVEN Individual | operational/managerial control | NOT APPLICABLE | 09/07/2011 |
| REIKER, JAMES Individual | operational/managerial control | NOT APPLICABLE | 01/01/2003 |
| WOODS, MATTHEW J Individual | w-2 managing employee | NOT APPLICABLE | 11/09/2017 |
Other nursing homes near Pioneer Skilled Nursing Center
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★★★★★2Below averageBrookfield Health Care Center
215 East Pratt, Brookfield, MO 64628 · 8.8 mi
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★★★★★1Much below averageBrunswick Health Care Center
721 West Harrison St, Brunswick, MO 65236 · 21.3 mi
For-profit · 60 beds · Part of Reliant Care Management
★★★★★1Much below averageChariton Park Health Care Center
902 Manor Drive, Salisbury, MO 65281 · 21.4 mi
For-profit · 120 beds · Part of Reliant Care Management
- Special Focus candidate
- Abuse citation
★★★★★1Much below average- ★★★★★2Below average
Macon Health Care Center
29612 Kellogg Avenue,, Macon, MO 63552 · 27.3 mi
For-profit · 84 beds · Part of National Healthcare Corporation
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★★★★★5Much above average
Frequently asked questions
What is Pioneer Skilled Nursing Center's rating?
Pioneer Skilled Nursing Center has 3 out of 5 stars on the CMS overall star rating. The average for Missouri nursing homes is 2.5 stars.
How many inspection citations did Pioneer Skilled Nursing Center receive?
Its most recent standard health inspection found 7 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.
Does Pioneer Skilled Nursing Center 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 Skilled Nursing Center?
It is for profit - corporation and part of Americare Senior Living. The ownership section on this page lists the owners and managers reported to CMS.
Where is Pioneer Skilled Nursing Center and how do I contact it?
Pioneer Skilled Nursing Center is at 1500 South Kansas Avenue, Marceline, MO 64658. Phone: (660) 376-2001.
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.