The home failed to properly label and securely store medications and biologicals. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Nursing home report
Pioneer Care Center
FERGUS FALLS, MN · Medicare-certified · 105 beds
In good standing
Non-profit
4 of 5 overall
Pioneer Care Center in Fergus Falls, MN has an overall rating of 4 out of 5 stars, with strong staffing at 5 stars and nurse staffing above the federal benchmark (4.46 vs. 4.1 hours per resident per day). It has 3-star health inspections, 4-star quality measures, no fines in the last 24 months, and recent inspection citations related to drug storage/labeling, food handling, and resident self-administration of medications.
Facility ratings
Health inspections
Staffing
4.4587 hrs/resident/day
Quality measures
Last inspection: August 6, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4587.
Staffing detail
- Registered nurses
- 0.99
- Licensed practical nurses
- 0.41
- Nurse aides
- 3.06
- Weekend nursing
- 4.08
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 30%
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
12.7%21.2%Worsening
Residents with a fall causing major injury
2.3%1.4%Improving
Residents with pressure ulcers (bedsores)
2%1.1%Improving
Residents with a urinary tract infection
3.4%2.7%Improving
Residents who lost too much weight
2.8%1.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
22.9%7%Improving
Residents whose ability to walk got worse
20.2%24.4%Worsening
Long-stay residents on antianxiety or sleep medication
12.3%19.4%Worsening
Short-stay residents newly given an antipsychotic
0%3%Worsening
Residents with a long-term catheter
0%1.3%Worsening
Residents with new or worsening incontinence
28%25.8%Improving
Residents with depressive symptoms
4.1%0%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
—100%—
Long-stay residents given the pneumonia vaccine
98.9%100%Improving
Short-stay residents given the seasonal flu vaccine
—95.7%—
Short-stay residents given the pneumonia vaccine
95.7%98.1%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to ensure residents who could safely take their own medicines were allowed to self-administer them. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 554 — 42 CFR §483.10 — S/S: D
The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 604 — 42 CFR §483.12 — S/S: D
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Church related
- Occupancy
- 91.1 residents on an average day (87% of 105 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 39 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.