The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
PIONEER CARE AND REHABILITATION
DILLON, MT · Medicare-certified · 87 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Pioneer Care and Rehabilitation in Dillon, MT has a 1-star overall rating, with 1-star health inspection results and staffing below the federal benchmark (3.69 vs 4.1 hours per resident per day). It also has $87,203 in fines in the last 24 months and a recent federal penalty, with recent inspection concerns involving accident hazards, medication errors, and food/fluids.
Facility ratings
Health inspections
Staffing
3.6918 hrs/resident/day
Quality measures
Last inspection: December 31, 2025Penalties, last 24 months: $87,203recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6918.
Staffing detail
- Registered nurses
- 0.46
- Licensed practical nurses
- 0.65
- Nurse aides
- 2.58
- Weekend nursing
- 3.20
Hours per resident per day.
Total staff turnover: 85%
Registered nurse turnover: 60%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
18.2%15.2%Improving
Residents with a fall causing major injury
6.5%4.8%Improving
Residents with pressure ulcers (bedsores)
2.3%6.5%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4.7%5.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
2.4%1.9%Improving
Residents whose ability to walk got worse
0%3.8%Worsening
Long-stay residents on antianxiety or sleep medication
11.6%1.8%Improving
Short-stay residents newly given an antipsychotic
—6.8%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
16.1%29.1%Worsening
Residents with depressive symptoms
9.3%8.8%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—96.2%—
Long-stay residents given the pneumonia vaccine
97.8%100%Improving
Short-stay residents given the seasonal flu vaccine
—41.2%—
Short-stay residents given the pneumonia vaccine
53.1%97.7%Improving
What the inspectors found
The nursing home failed to ensure residents were free from significant medication errors. Cited December 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The home failed to provide enough food and fluids to keep residents healthy. Cited May 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The home failed to designate a physician to oversee resident care policies and coordinate medical care. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 841 — 42 CFR §483.70(g) — S/S: F
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: F
Recent history
- PENALTY
A federal fine of $7,360 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $48,464 was recorded.
- INSPECTION
Health inspection found 19 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $12,529 was recorded.
- PENALTY
A federal fine of $18,850 was recorded.
- PENALTY
A federal fine of $40,641 was recorded.
Penalties & enforcement
On record with Medicare: 6 fines · $140,630 in total fines.
- $7,360
Federal fine
Feb 19, 2026
- $48,464
Federal fine
May 8, 2025
- $12,529
Federal fine
Dec 5, 2024
- $18,850
Federal fine
Aug 27, 2024
- $40,641
Federal fine
May 21, 2024
- $12,786
Federal fine
Jan 4, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of SWEETWATER CARE · 10 homes · 2.4 stars avg
- Occupancy
- 71.7 residents on an average day (82% of 87 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.