The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
PIONEER HEALTH CARE CENTER
ROCKY FORD, CO · Medicare-certified · 101 beds
In good standing
For-profitChain member
4 of 5 overall
PIONEER HEALTH CARE CENTER in Rocky Ford, CO has a 4-star overall rating, with strong quality measures (5 stars) and staffing (4 stars), but a lower health inspection rating of 3 stars. Reported nurse staffing is 3.53 hours per resident per day versus the 4.1-hour federal benchmark, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.5255 hrs/resident/day
Quality measures
Last inspection: March 4, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5255.
Staffing detail
- Registered nurses
- 0.61
- Licensed practical nurses
- 0.65
- Nurse aides
- 2.27
- Weekend nursing
- 3.33
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 50%
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
41.9%36.1%Improving
Residents with a fall causing major injury
4%5.8%Worsening
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%4.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.1%4.5%Improving
Residents whose ability to walk got worse
8.7%5.3%Improving
Long-stay residents on antianxiety or sleep medication
6.9%9%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
22.1%21.5%Improving
Residents with depressive symptoms
5.8%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
100%98.6%Worsening
Short-stay residents given the seasonal flu vaccine
—57.1%—
Short-stay residents given the pneumonia vaccine
74.1%80%Improving
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited September 2021 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to provide the appropriate treatment and services for a resident with dementia. Cited September 2021 — isolated incident, actual harm.
View the original federal record
F-Tag 744 — 42 CFR §483.40(b)(3) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited September 2021 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited August 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — S/S: F
Recent history
- 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
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $10,033 in total fines.
- $10,033
Federal fine
Apr 18, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of MADISON CREEK PARTNERS · 13 homes · 3.5 stars avg
- Occupancy
- 72.7 residents on an average day (72% of 101 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 39 years
The most recent standard health inspection was more than two years ago.
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.