318 N 3rd Street, Hay Springs, NE 69347 · Sheridan County · (308) 638-4483
57 certified beds, about 39 residents a day · Government - City · Medicare and Medicaid since 1997
CMS Care Compare ratings, data as of September 1, 2026 · CCN 285212 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on December 31, 2025, inspectors cited 3 health deficiencies (the Nebraska average is 7.4, the national average 9.2).
Of 9 health citations since September 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.99 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.99 of those hours.
44.8% of nursing staff left within the year CMS measured (Nebraska average 48.7%).
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.
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 9 health citations on file.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(B) Based on record review and interview, the facility failed to accurately code the use of antibiotics on the Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and helps nursing home staff identify health problems) for 1 (Resident 11) of 1 sampled resident. The facility census was 39.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(E) Based on record review and interview, the facility failed to ensure the care plan was comprehensive for 2 (Residents 11 and 36) of 12 sampled residents. The facility census was 39. Findings Are: A record review of the facility policy Care Plan Policy dated 7/2/2025 revealed it is the policy of the facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs and all services that are identified in the resident's comprehensive assessment and meet professional standards of quality. [...]
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(F)(iii) Based on record review and interview, the facility failed to review and revise the care plan for 1 (Resident 11) of 1 sampled resident's antidepressant medication use. The facility census was 39. Findings Are: A record review conducted on 12/30/2025 of Resident 11's undated care plan revealed a Problem section dated 4/23/2025, which had been edited on 7/30/2025, that stated I am at risk for disturbed thought process due to confusion from Parkinson's and a diagnosis of depression and anxiety. I receive scheduled Celexa (citalopram, an antidepressant medication). This section had an intervention stating staff would monitor the resident for side effects of the Celexa. There was an additional Problem section dated 7/10/2025, which had been edited on 8/5/2025, that stated I have a diagnosis of depression related to depressive symptoms. [...]
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(B) Based on record reviews and interviews, the facility failed to ensure the accuracy of Minimum Data Sets (MDS - a federally mandated comprehensive assessment tool used for care planning) of Resident 16's Activities of Daily Living (ADLs) and Resident 10 and 27's anticoagulant use. This affected 3 of 12 sampled residents. The facility identified a census of 43.
Inspectors wroteLicensure Reference 175 NAC 12-006.04(F)(i)(5) Based on record reviews and interviews, the facility failed to notify the physician of a significant decline for 1 (Resident 45) of 1 sampled resident. The facility identified a census of 43.
Inspectors wroteLicensure Reference 175 NAC 12- 006.09(F)(iii) Based on record reviews and interviews, the facility failed to ensure the comprehensive care plans (CCP-sets client goals, identifies activities or action steps needed to achieve these goals, expected dates for each action step, and any resources or support needed to complete the Care Plan) were updated regarding hospice care services for 2 (Resident 30 and 33) of 12 sampled residents. The facility identified a census of 43.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.04C3a(6) Based on record review and interviews, the facility staff failed to consult with 1 (Resident 44) of 1 sampled resident's physician when there was a significant change in the resident's condition. The facility census was 43.
Inspectors wroteLicensure Reference Number 175 NAC 12.006.17D Based on observation, record review, and interview; the facility failed to complete hand hygiene when completing wound dressing changes for 1 (Resident 12) of 1 sampled residents. In addition, the facility failed to implement a Legionnaire policy and test the facility's water supply for Legionella which had the potential to affect all residents within the facility. The facility identified a census of 43.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09C1c Based on observations, record review and interview the facility staff failed to review and revise the Comprehensive Care Plan (CCP- written instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care) to reflect the resident's overall care needs for 2 of 2 (Resident 12 and Resident 1) sampled residents. The facility census was 43 at the time of survey.
5 fire safety citations on file: 1 on December 31, 2025, 2 on September 26, 2024, 2 on September 14, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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 | Nebraska | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.99 | 3.98 | 3.86 |
| Registered nurses | 0.99 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.40 | 3.48 | 3.42 |
| Nurse aides | 2.39 | ||
| Licensed practical nurses | 0.61 | ||
| Nursing staff turnover (share who left in a year) | 44.8% | 48.7% | 45.8% |
| Registered nurse turnover | 12.5% | 44.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.68 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 4.23 on weekdays and 3.40 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.71 in April to June 2025 to 3.99 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 | 3.99 | 0.99 | 4.23 | 3.40 | 6.1% | 0 of 90 | 39 |
| Oct to Dec 2025 | 4.12 | 0.84 | 4.33 | 3.59 | 3.2% | 0 of 92 | 41 |
| Jul to Sep 2025 | 3.90 | 0.77 | 4.11 | 3.35 | 1.1% | 0 of 92 | 44 |
| Apr to Jun 2025 | 3.71 | 0.51 | 3.90 | 3.24 | 4.3% | 0 of 91 | 46 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Nebraska, Jan to Mar 2026 | 4.01 | 0.66 | 4.21 | 3.53 | 7.1% | 1.6% 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Nebraska, all employers | |||
| CNAs (nursing assistants) | $19.23 | $18.29 to $22.31 | 16,450 |
| LPNs and LVNs | $30.13 | $28.41 to $34.55 | 4,580 |
| Registered nurses | $40.74 | $38.09 to $47.90 | 24,720 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Nebraska | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 11.8 | 19.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.1 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.5 | 4.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.2 | 18.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.9 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.2 | 20.7 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.9 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Pioneer Manor Nursing Home's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 51.5% · Nebraska: 17 better, 24 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 24 eligible stays.
10.1% this home
No different from the national rate
US median of homes 10.7% · Nebraska: 2 better, 0 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 29 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 7.1% · Nebraska: 2 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 15 eligible stays.
23.8% this home
Median of homes: Nebraska50.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 21 residents counted.
0.0% this home
Median of homes: Nebraska0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 23 residents counted.
4.5% this home
Median of homes: Nebraska2.2% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 23 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Nebraska100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 8 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: CITY OF HAY SPRINGS PIONEER MANOR NURSING HOME.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Turman, Krystyn | Corporate director | Individual | 04/01/2014 | |
| City of Hay Springs Pioneer Manor Nursing Home | Operational/managerial control | Organization | 05/01/1997 | |
| Turman, Krystyn | Operational/managerial control | Individual | 12/06/2024 | |
| Sutera, Catherine | Adp of the SNF | Individual | 07/01/2010 | |
| Turman, Krystyn | Adp of the SNF | Individual | 01/22/2025 |
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.
Chosen from this home's own inspection record.
These are the official offices in Nebraska. NursingHomeClear cannot take or act on complaints.