nursing home in Dillon, MT
Pioneer Care and Rehabilitation
200 N Oregon St, Dillon, MT 59725 · (406) 683-5105
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Pioneer Care and Rehabilitation at a glance
Pioneer Care and Rehabilitation is a 87-bed for-profit nursing home in Dillon, Montana (Beaverhead County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Montana average of 2.9.
Residents receive about 3.7 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 4 hours.
Its most recent standard health inspection (June 4, 2026) found 8 health citations. The Montana average is 11.1.
Federal regulators fined it 6 times in the past three years, totaling $138,054.
Nursing staff turnover is 85.3% per year (state average 54.8%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 87
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Sweetwater Care
- Medicare-certified since
- August 25, 1988
- Resident/family council
- Resident
- County
- Beaverhead County
- CMS Certification Number
- 275124
Ratings
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.6 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 2.8 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.3 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.69 hrs | 4.05 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.46 hrs | 0.98 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.58 hrs | 2.57 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.20 hrs | 3.59 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 85.3% | 54.8% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 60% | 48.3% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 8 | 11 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 98 | 104.7 | 80.6 | Worse |
Penalties
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 6 | 2 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $138,054 | $55,610 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 6 | 2 | 1 | Worse |
Size
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 87 | 85 | 107 | |
| Average residents per day | 72 | 57 | 86 | |
| Occupancy | 82.4% | 69.3% | 80.9% |
Long-stay residents
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5.9% | 4.4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.8% | 6.3% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 15.9% | 20.4% | 15.4% | Average |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 2.9% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 2.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 4.3% | 18.7% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 3.2% | 17.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 4% | 6.2% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 8.9% | 5.6% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.6% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 7.9% | 15.8% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 19.3% | 24.1% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 96.2% | 93.6% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97.3% | 96.5% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 6.8% | 1.2% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 41.2% | 73.8% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 67.4% | 81.2% | 82% | Worse |
Inspection citations
State inspectors cited this home for 50 health deficiencies and 10 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 4, 2026 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 June 22, 2026 |
| June 4, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected June 22, 2026 |
| June 4, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected September 30, 2026 |
| June 4, 2026 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 June 16, 2026 |
| June 4, 2026 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 | E Potential harm, pattern | Corrected June 18, 2026 |
| June 4, 2026 Standard | 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. Resident Rights Deficiencies · Tag F0585 | E Potential harm, pattern | Corrected June 22, 2026 |
| June 4, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 18, 2026 |
| June 4, 2026 Standard | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Tag F0711 | D Potential harm, isolated | Corrected June 30, 2026 |
| June 4, 2026 Standard | 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 June 29, 2026 |
| June 4, 2026 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected June 16, 2026 |
| December 31, 2025 Complaint | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected January 23, 2026 |
| May 8, 2025 Fire safety | Establish policies and procedures for sheltering. Emergency Preparedness Deficiencies · Tag E0022 | F Potential harm, widespread | Corrected June 6, 2025 |
| May 8, 2025 Fire safety | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Tag E0024 | F Potential harm, widespread | Corrected June 6, 2025 |
| May 8, 2025 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | F Potential harm, widespread | Corrected June 6, 2025 |
| May 8, 2025 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected June 6, 2025 |
| May 8, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected June 6, 2025 |
| May 8, 2025 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | D Potential harm, isolated | Corrected June 6, 2025 |
| May 8, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected June 6, 2025 |
| May 8, 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 | G Actual harm, isolated | Corrected May 30, 2025 |
| May 8, 2025 Standard | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. Nursing and Physician Services Deficiencies · Tag F0841 | F Potential harm, widespread | Corrected May 30, 2025 |
| May 8, 2025 Standard | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Tag F0882 | F Potential harm, widespread | Corrected May 30, 2025 |
| May 8, 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 30, 2025 |
| May 8, 2025 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | E Potential harm, pattern | Corrected May 30, 2025 |
| May 8, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0578 | E Potential harm, pattern | Corrected May 30, 2025 |
| May 8, 2025 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | E Potential harm, pattern | Corrected May 30, 2025 |
| May 8, 2025 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected May 30, 2025 |
| May 8, 2025 Standard | 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 May 30, 2025 |
| May 8, 2025 Standard | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Tag F0627 | D Potential harm, isolated | Corrected May 30, 2025 |
| May 8, 2025 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected May 30, 2025 |
| May 8, 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 May 30, 2025 |
| May 8, 2025 Standard | 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 30, 2025 |
| May 8, 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 30, 2025 |
| May 8, 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 May 30, 2025 |
| May 8, 2025 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected May 30, 2025 |
| May 8, 2025 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 May 30, 2025 |
| May 8, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 30, 2025 |
| May 8, 2025 Standard | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0943 | D Potential harm, isolated | Corrected May 30, 2025 |
| February 27, 2025 Complaint | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | E Potential harm, pattern | Corrected April 4, 2025 |
| February 27, 2025 Complaint | 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 | D Potential harm, isolated | Corrected April 4, 2025 |
| December 5, 2024 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | G Actual harm, isolated | Corrected January 3, 2025 |
| December 5, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected January 3, 2025 |
| August 27, 2024 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 September 5, 2024 |
| May 21, 2024 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 | G Actual harm, isolated | Corrected June 28, 2024 |
| May 21, 2024 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected June 28, 2024 |
| May 21, 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 | E Potential harm, pattern | Corrected June 28, 2024 |
| May 21, 2024 Standard | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Tag F0825 | D Potential harm, isolated | Corrected June 28, 2024 |
| May 21, 2024 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 June 28, 2024 |
| May 21, 2024 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected June 28, 2024 |
| May 21, 2024 Standard | 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. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected June 28, 2024 |
| May 21, 2024 Standard | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Tag F0740 | D Potential harm, isolated | Corrected June 28, 2024 |
| May 21, 2024 Standard | 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 June 28, 2024 |
| May 21, 2024 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 June 28, 2024 |
| May 21, 2024 Standard | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Tag F0745 | D Potential harm, isolated | Corrected June 28, 2024 |
| February 27, 2024 Complaint | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Tag F0626 | D Potential harm, isolated | Corrected March 11, 2024 |
| February 27, 2024 Complaint | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected March 11, 2024 |
| February 27, 2024 Complaint | 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. Resident Rights Deficiencies · Tag F0622 | D Potential harm, isolated | Corrected March 11, 2024 |
| January 4, 2024 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected February 27, 2024 |
| January 4, 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 February 27, 2024 |
| October 25, 2023 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected November 27, 2023 |
| October 25, 2023 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 November 27, 2023 |
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 6 federal penalties in the past three years, including $138,054 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| February 19, 2026 | Fine | $4,784 |
| May 8, 2025 | Fine | $48,464 |
| December 5, 2024 | Fine | $12,529 |
| August 27, 2024 | Fine | $18,850 |
| May 21, 2024 | Fine | $40,641 |
| January 4, 2024 | Fine | $12,786 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CHESLEY, AARON Individual | 5% or greater indirect ownership interest | — | 12/01/2017 |
| SWEETWATER CARE OPCO LLC Organization | 5% or greater indirect ownership interest | — | 12/01/2017 |
| CHESLEY, AARON Individual | corporate officer | NOT APPLICABLE | 12/01/2017 |
| BOESCH, MADISON Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2022 |
| CRICKMORE, REID Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2020 |
Other nursing homes near Pioneer Care and Rehabilitation
Tobacco Root Mountains Care Center
326 Madison St, Sheridan, MT 59749 · 26.7 mi
Government · 39 beds
- Abuse citation
★★★★★1Much below average
Frequently asked questions
What is Pioneer Care and Rehabilitation's rating?
Pioneer Care and Rehabilitation has 2 out of 5 stars on the CMS overall star rating. The average for Montana nursing homes is 2.9 stars.
How many inspection citations did Pioneer Care and Rehabilitation receive?
Its most recent standard health inspection found 8 citations, compared with a Montana average of 11.1. Every citation is listed on this page with its severity.
Does Pioneer Care and Rehabilitation 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 Care and Rehabilitation?
It is for profit - limited liability company and part of Sweetwater Care. The ownership section on this page lists the owners and managers reported to CMS.
Where is Pioneer Care and Rehabilitation and how do I contact it?
Pioneer Care and Rehabilitation is at 200 N Oregon St, Dillon, MT 59725. Phone: (406) 683-5105.
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.