The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited February 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
PIONEERS MEMORIAL SKILLED NURSING CENTER
BRAWLEY, CA · Medicare-certified · 99 beds
In good standing
Government-runChain member
2 of 5 overall
PIONEERS MEMORIAL SKILLED NURSING CENTER in Brawley, CA has a 2 out of 5 overall rating, with 2-star health inspection and staffing ratings and a 3-star quality rating. It reports 4.31 nurse staffing hours per resident per day, slightly above the federal benchmark of 4.1, and had $0 in fines in the last 24 months; recent inspection concerns included treatment and care, pressure ulcer prevention, and maintaining residents’ daily living abilities.
Facility ratings
Health inspections
Staffing
4.312 hrs/resident/day
Quality measures
Last inspection: April 28, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.312.
Staffing detail
- Registered nurses
- 0.20
- Licensed practical nurses
- 1.53
- Nurse aides
- 2.59
- Weekend nursing
- 4.03
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 80%
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
5.7%5.6%No change
Residents with a fall causing major injury
3.1%1.6%Improving
Residents with pressure ulcers (bedsores)
11.5%2.2%Improving
Residents with a urinary tract infection
1.6%0%Improving
Residents who lost too much weight
5.2%5.7%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7.4%2.1%Improving
Residents whose ability to walk got worse
9.1%31.3%Worsening
Long-stay residents on antianxiety or sleep medication
32.8%35.8%Worsening
Short-stay residents newly given an antipsychotic
0%3.6%Worsening
Residents with a long-term catheter
2%1.4%Improving
Residents with new or worsening incontinence
1.7%17.1%Worsening
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).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
93.9%92.2%Worsening
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to ensure residents kept their ability to do everyday activities unless there was a medical reason. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 676 — 42 CFR §483.24 — S/S: F
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: F
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $52,435 in total fines · 1 payment denial.
- 51 days
Medicare/Medicaid payment denial
Feb 20, 2024
- $52,435
Federal fine
Feb 20, 2024
Operator & ownership
- Ownership
- Government - Hospital district
- Chain
- Part of CORPORATE INTERFACE SERVICES · 41 homes · 2 stars avg
- Occupancy
- 70.4 residents on an average day (71% of 99 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 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.