Nursing home report
Sergeant Bluff, IA · Medicare-certified · 66 beds
Pioneer Valley Living And Rehab has a 1-star overall rating, with a 1-star health inspection score and special focus facility/SFF Candidate status. Staffing is rated 4 stars, but reported nurse staffing is 3.99 hours per resident per day versus the 4.1 federal benchmark, and there were $0 fines in the last 24 months.
Health inspections
Staffing
3.9916 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9916.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2023 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited July 2023 — isolated incident, immediate jeopardy to residents.
F-Tag 600 — 42 CFR §483.12 — S/S: J
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2025 — isolated incident, actual harm.
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to ensure residents were free from significant medication errors. Cited February 2025 — isolated incident, actual harm.
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited April 2025 — widespread issue, potential for harm.
F-Tag 865 — 42 CFR §483.75 — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Health inspection found 13 health deficiencies.
A federal payment denial was recorded.
Health inspection found 21 health deficiencies.
On record with Medicare: 1 fine · $29,572 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Feb 6, 2025
Federal fine
Jul 13, 2023
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.
