Pioneer Skilled Nursing Center in Marceline, MO has an overall 3-star rating, with 3 stars for health inspections, 2 stars for staffing, and 4 stars for quality measures. Its reported nurse staffing is 3.15 hours per resident per day versus the 4.1 federal benchmark, with no fines in the last 24 months.
Last inspection: March 20, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1483.
Staffing detail
Registered nurses
0.36
Licensed practical nurses
0.64
Nurse aides
2.15
Weekend nursing
2.59
Hours per resident per day.
Total staff turnover: 59%
Registered nurse turnover: 78%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
11.4%16.2%Worsening
Residents with a fall causing major injury
6%5.7%No change
Residents with pressure ulcers (bedsores)
2.1%6.3%Worsening
Residents with a urinary tract infection
4.1%3.8%No change
Residents who lost too much weight
14.3%31.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
23.3%19.6%Improving
Residents whose ability to walk got worse
28.8%10%Improving
Long-stay residents on antianxiety or sleep medication
25.6%26.1%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%1.7%Worsening
Residents with new or worsening incontinence
19.1%16.1%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—89.1%—
Long-stay residents given the pneumonia vaccine
78%94.3%Improving
Short-stay residents given the seasonal flu vaccine
—30%—
Short-stay residents given the pneumonia vaccine
59.5%88.6%Improving
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to notify residents about certain money balances and to return resident funds when someone was discharged, evicted, or died. Cited March 2025 — limited pattern, potential for harm.
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F-Tag 569 — 42 CFR §483.10 — S/S: E
The nursing home failed to develop and follow policies to make sure residents received flu and pneumonia vaccinations. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 883 — 42 CFR §483.80 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
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 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $47,467 in total fines.
Federal fine
Jun 13, 2023
$47,467
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of AMERICARE SENIOR LIVING · 23 homes · 3.5 stars avg
Occupancy
55.9 residents on an average day (58% of 96 beds)
Resident voice
Resident council
Medicare history
Certified for 43 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.