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
1 of 5 overall
Pioneer Care and Rehabilitation in Dillon, MT has a 1-star overall rating, with 1-star health inspections and 2-star staffing; reported nurse staffing is 3.64 hours per resident per day, below the 4.1 federal benchmark. It also has $127,844 in fines in the last 24 months and a recent federal penalty, with recent inspection concerns about accident hazards, medication errors, and providing enough food and fluids.
Facility ratings
Health inspections
Staffing
3.6403 hrs/resident/day
Quality measures
Last inspection: December 31, 2025Penalties, last 24 months: $127,844recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6403.
Staffing detail
- Registered nurses
- 0.53
- Licensed practical nurses
- 0.62
- Nurse aides
- 2.49
- Weekend nursing
- 3.13
Hours per resident per day.
Total staff turnover: 88%
Registered nurse turnover: 71%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
17.9%Improving
Residents with a fall causing major injury
5.3%Worsening
Residents with pressure ulcers (bedsores)
3.7%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
3.2%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
6.1%Improving
Residents whose ability to walk got worse
2.3%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
11.9%Improving
Short-stay residents newly given an antipsychotic
8.5%Steady
Residents with a long-term catheter
1%Improving
Residents with new or worsening incontinence
15.1%Steady
Residents with depressive symptoms
9.8%Improving
Long-stay residents given the seasonal flu vaccine
96.2%Steady
Long-stay residents given the pneumonia vaccine
88.8%Improving
Short-stay residents given the seasonal flu vaccine
41.2%Steady
Short-stay residents given the pneumonia vaccine
51.2%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 nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 882 — 42 CFR §483.80 — 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 · 2.5 stars avg
- Occupancy
- 66.2 residents on an average day (76% 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.