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
Data as of July 1, 2026
4 of 5 overall
Pioneer Health Care Center in Rocky Ford, CO has an overall rating of 4 out of 5 stars, with strong quality measures (5/5) and staffing (4/5), but a middling health inspection score (3/5). Reported nurse staffing is 3.36 hours per resident day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.3623 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 3.3623.
Staffing detail
- Registered nurses
- 0.56
- Licensed practical nurses
- 0.62
- Nurse aides
- 2.18
- Weekend nursing
- 3.02
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 47%
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
34.1%41.2%Worsening
Residents with a fall causing major injury
5.3%2.9%Improving
Residents with pressure ulcers (bedsores)
2.6%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
6.8%1.5%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.8%13.6%Worsening
Residents whose ability to walk got worse
7.4%16.4%Worsening
Long-stay residents on antianxiety or sleep medication
8.1%4.5%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
27.2%26.5%Improving
Residents with depressive symptoms
2.9%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
97.4%100%Improving
Short-stay residents given the seasonal flu vaccine
—57.1%—
Short-stay residents given the pneumonia vaccine
89.3%89.2%No change
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
Recent ownership change · Jul 1, 2016
Now operated by 12th Street Operations, LLC, previously Rocky Ford Healthcare LLC.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of MADISON CREEK PARTNERS · 13 homes · 3.2 stars avg
- Occupancy
- 77.5 residents on an average day (77% 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.