What is Pioneer Care Center's Medicare star rating?

CMS rates Pioneer Care Center 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Pioneer Care Center get at its last inspection?

0 health deficiencies at the standard inspection on June 3, 2026. The Minnesota average is 7.1.

Has Pioneer Care Center been fined?

CMS lists no fines in the last three years.

Does Pioneer Care Center accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Pioneer Care Center?

CMS lists 41 owners and managers. Legal business name: PIONEER HOME INCORPORATED.

Pioneer Care Center: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on June 3, 2026, inspectors cited 0 health deficiencies (the Minnesota average is 7.1, the national average 9.2).

None of its 16 health citations since September 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.55 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 1.04 of those hours.

32.7% of nursing staff left within the year CMS measured (Minnesota average 42.2%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

109/23

101/24

307/24

105/25

305/25

708/25

006/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 16 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

13D

Potential for minimal harm

June 3, 2026Standard inspection · 0 citations

August 6, 2025Standard inspection · 7 citations

E

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 3, 2025

Inspectors wroteBased on observation, interview and document review, the facility failed to ensure medications were labeled appropriately to include administration directions, insulin pens were dated and not expired and failed to dispose of expired eye drops per manufacturer recommendation's for 9 of 9 residents (R47, R69, R92, R36, R40, R73, R19, R10, R13) reviewed during medication storage and administration.
E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 3, 2025

Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure food stored in the refrigerators and freezers were labeled, dated and discarded properly. This deficient practice had the potential to affect all 89 residents who received food from the refrigerators, freezers and the kitchen.
D

Allow residents to self-administer drugs if determined clinically appropriate.

F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 3, 2025

Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure proper implementation of the self-administration of medication (SAM) assessments for 2 of 2 residents (R36, R1), reviewed for medication administration.
D

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 3, 2025

Inspectors wroteBased on observation, interview and document review, the facility failed to comprehensively assess the use of a low bed as a potential restraint for 1 of 1 resident (R32) reviewed for restraints.
D

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 8, 2025

Inspectors wroteBased on interview, observation, and record review, the facility failed to ensure the Minimum Data Set (MDS) assessment was accurately coded to include the use of safety alarms for 1 of 1 residents (R17) reviewed for MDS.
D

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 3, 2025

Inspectors wroteBased on observation, interview and document review, the facility failed to ensure recommended splint or alternative devices were utilized to help prevent further contractures and stiffness for 1 of 1 residents (R11) reviewed for range of motion (ROM).
C

Post nurse staffing information every day.

F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) September 3, 2025

Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure required nurse staffing information was consistently posted on a daily basis. This had the potential to affect all 90 residents, staff, and visitors who may wish to view the information.

May 27, 2025Complaint inspection · 3 citations

D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 20, 2025

Inspectors wroteBased on interview and document review, the facility failed to notify a physician timely of a change in condition for 1 of 3 residents (R1) who had an injury of unknown origin related to bruising on her inner thigh.
D

Respond appropriately to all alleged violations.

F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 20, 2025

Inspectors wroteBased on observations, interviews and document review the facility failed to ensure an injury of unknown source was thoroughly investigated for 1 of 3 residents (R1) reviewed for abuse.
D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 20, 2025

Inspectors wroteBased on interview and document review the facility failed to assess and monitor bruises for 1 of 3 resident (R1) reviewed for injury of unknown origin.

May 16, 2025Complaint inspection · 1 citation

D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 7, 2025

Inspectors wroteBased on observation, interview, and document review, the facility failed to provide adequate supervision when a resident was brought outside onto the patio area and left there without supervision, and later became unresponsive for 1 of 1 resident (R1) reviewed for safety.

July 24, 2024Standard inspection · 3 citations

D

Allow residents to self-administer drugs if determined clinically appropriate.

F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 16, 2024

Inspectors wroteBased on observation, interview and document review, the facility failed to ensure nebulizer medication was administered safely for 1 of 1 resident (R28) who was observed to self administer a nebulizer and had not been assessed as safe to self administer medications. Findings Include: R28's admission Minimum Data Set (MDS) dated [DATE], identified R28 was cognitively intact and had diagnoses which included: chronic obstructive pulmonary disease (COPD) (chronic inflammatory lung disease that causes obstructed airflow from the lungs), heart failure and anxiety disorder. Indicated R28 required partial/moderate assistance with upper body dressing, transfers, and hygiene. R28's care plan revised 6/27/24, identified R28 had activities of daily living (ADL) self-care performance deficit and required assistance for dressing, personal hygiene and transfers. [...]
D

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 16, 2024

Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure facial hair was removed for 1 of 2 residents (R75) who required assistance with hygiene, and was reviewed for activities of daily living (ADL). Findings Include: R75's quarterly Minimum Data Set (MDS) dated [DATE], identified R75 was severely cognitively impaired, with diagnoses which included dementia, coronary artery disease (CAD), and hypertension. Indicated R75 required substantial/maximal assistance with shower/bathing, and partial/moderate assistance with upper and lower body dressing. Identified R75 was independent with personal hygiene. R75's care plan revised 6/28/24, identified R75 had an ADL self-care performance deficit related to confusion, fatigue and impaired balance. R75 required assistance of one staff for dressing, bathing, and personal hygiene. [...]
D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 16, 2024

Inspectors wroteBased on observation, interview and document review, the facility failed to comprehensively assess, monitor, develop and implement interventions to promote healing for 1 of 3 residents (R38) reviewed for a current, facility acquired, stage two pressure ulcer. Stage two pressure ulcer; partial-thickness skin loss with exposed dermis, presenting as a shallow open ulcer. The wound bed is viable, pink or red, moist, and may also present as an intact or open/ruptured blister.

January 9, 2024Complaint inspection · 1 citation

D

Ensure that residents are free from significant medication errors.

F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 30, 2024

Inspectors wroteBased on interview and document review, the facility failed to ensure residents were free of significant medication errors for 3 of 3 residents (R1, R2, R3) who had diagnosis of Diabetes and received long, and short acting insulin used for the treatment of elevated blood sugars.

September 13, 2023Complaint inspection · 1 citation

D

Provide care and assistance to perform activities of daily living for any resident who is unable.

F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 5, 2023

Inspectors wroteBased on observation, interview and document review, the facility failed to provide assistance with personal hygiene for 2 of 5 residents (R23 and R 63) reviewed for activities of daily living (ADL)'s.

Fire safety inspections

9 fire safety citations on file: 7 on June 3, 2026, 1 on August 6, 2025, 1 on July 24, 2024.

Every fire safety citation9 citations

F
Properly select, install, inspect, or maintain portable fire extinguishes.

K 355 · June 3, 2026 · Corrected (the home has a date of correction)
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · June 3, 2026 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · June 3, 2026 · Corrected (the home has a date of correction)
F
Ensure proper usage of power strips and extension cords.

K 920 · June 3, 2026 · Corrected (the home has a date of correction)
E
Inspect, test, and maintain automatic sprinkler systems.

K 353 · June 3, 2026 · Corrected (the home has a date of correction)
D
Provide properly protected cooking facilities.

K 324 · June 3, 2026 · Corrected (the home has a date of correction)
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · June 3, 2026 · Corrected (the home has a date of correction)
D
Install an approved automatic sprinkler system.

K 351 · August 6, 2025 · Corrected (the home has a date of correction)
F
Provide properly protected cooking facilities.

K 324 · July 24, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Minnesota	United States
All nursing staff (RN, LPN and aides)	4.55	4.19	3.86
Registered nurses	1.04	1.06	0.69
All nursing staff on weekends	4.13	3.71	3.42
Nurse aides	3.10
Licensed practical nurses	0.40
Nursing staff turnover (share who left in a year)	32.7%	42.2%	45.8%
Registered nurse turnover	21.1%	38.6%	42.9%
Administrators who left	0

CMS expects 3.78 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.72 on weekdays and 4.13 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.52 in April to June 2025 to 4.55 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	4.55	1.04	4.72	4.13	0.0%	0 of 90	91
Oct to Dec 2025	4.46	0.99	4.61	4.08	0.0%	0 of 92	91
Jul to Sep 2025	4.52	0.97	4.70	4.05	0.0%	0 of 92	89
Apr to Jun 2025	4.52	0.93	4.72	4.04	0.0%	0 of 91	89
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Minnesota, Jan to Mar 2026	4.19	1.05	4.38	3.73	5.2%	0.8% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Minnesota	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	13.5	18.2	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	1.0	1.9	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	3.3	2.6	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	1.6	4.0	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	2.0	1.9	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	23.4	20.5	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	1.2	5.2	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	21.1	17.1	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	16.9	23.5	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	12.5	14.8	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.0	1.6	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.2	1.9	1.8

Owners and operators

Legal business name: PIONEER HOME INCORPORATED.

Name	Role	Type	Since
Ackerson, Jeff	Managing control - governing body	Individual	04/01/2018
Brenna, Lowell	Managing control - governing body	Individual	04/01/2021
Demuth, Suzanne	Managing control - governing body	Individual	04/01/2020
Ellig, Joe	Managing control - governing body	Individual	04/01/2020
Freeman, Janet	Managing control - governing body	Individual	04/01/2019
Johnson, Kari	Managing control - governing body	Individual	04/01/2025
Johnson, Nathan	Managing control - governing body	Individual	11/03/2009
Mellum, Karen	Managing control - governing body	Individual	04/01/2025
Monke, Dean	Managing control - governing body	Individual	04/01/2020
Sethre, John	Managing control - governing body	Individual	04/02/2020
Sillerud, Brandi	Managing control - governing body	Individual	04/01/2018
Ackerson, Jeff	Corporate director	Individual	04/01/2018
Johnson, Nathan	Corporate director	Individual	11/03/2009
Brenna, Lowell	Corporate officer	Individual	04/01/2021
Demuth, Suzanne	Corporate officer	Individual	04/01/2020
Ellig, Joe	Corporate officer	Individual	04/01/2020
Freeman, Janet	Corporate officer	Individual	04/01/2019
Johnson, Kari	Corporate officer	Individual	04/01/2025
Mellum, Karen	Corporate officer	Individual	04/01/2025
Monke, Dean	Corporate officer	Individual	04/01/2020
Nelson, Lori	Corporate officer	Individual	02/07/2023
Sethre, John	Corporate officer	Individual	04/02/2020
Sillerud, Brandi	Corporate officer	Individual	04/01/2018
Bushinger, Brad	Operational/managerial control	Individual	01/02/1996
Hocum, April	Operational/managerial control	Individual	12/01/2025
Hunter, Katie	Operational/managerial control	Individual	10/24/2012
Johnson, Nathan	Operational/managerial control	Individual	11/03/2009
Lacey, Tyler	Operational/managerial control	Individual	11/01/2024
Lee, Linda	Operational/managerial control	Individual	11/22/1982
Nowacki, Julia	Operational/managerial control	Individual	04/08/2024
Pederson, Elizabeth	Operational/managerial control	Individual	09/17/2021
Schmidt, Holly	Operational/managerial control	Individual	07/02/2018
Walz, Catherine	Operational/managerial control	Individual	02/06/2023
Watkins, Sara	Operational/managerial control	Individual	11/02/2009
Aegis Therapies, Inc.	Adp of the SNF	Organization	06/01/2021
Johnson, Nathan	Adp of the SNF	Individual	11/03/2009
Lacey, Tyler	Adp of the SNF	Individual	11/01/2024
Lee, Linda	Adp of the SNF	Individual	11/22/1982
Nelson, Lori	Adp of the SNF	Individual	02/07/2023
Nowacki, Julia	Adp of the SNF	Individual	04/08/2024
Watkins, Sara	Adp of the SNF	Individual	11/02/2009

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on August 6, 2025: "Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on August 6, 2025: "Allow residents to self-administer drugs if determined clinically appropriate."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on August 6, 2025: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on August 6, 2025: "Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment."

Other nursing homes nearby

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Minnesota contacts for a concern about a nursing home

These are the official offices in Minnesota. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Minnesota Department of Health, Health Regulation Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
State inspection reports: MDH Nursing and Boarding Care Home Survey and Complaint Inspection Findings, where Minnesota publishes its own records on licensed homes.

Common questions

What is Pioneer Care Center's Medicare star rating?: CMS rates Pioneer Care Center 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Pioneer Care Center get at its last inspection?: 0 health deficiencies at the standard inspection on June 3, 2026. The Minnesota average is 7.1.
Has Pioneer Care Center been fined?: CMS lists no fines in the last three years.
Does Pioneer Care Center accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Pioneer Care Center?: CMS lists 41 owners and managers. Legal business name: PIONEER HOME INCORPORATED.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.