Home / South Dakota / Viborg
Pioneer Memorial Nursing Home
315 North Washington St., Viborg, SD 57070 · Turner County · (605) 326-5161
46 certified beds, about 42 residents a day · Non profit - Corporation · Medicare and Medicaid since 2004
CMS Care Compare ratings, data as of September 1, 2026 · CCN 435120 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 11, 2026, inspectors cited 0 health deficiencies (the South Dakota average is 6.7, the national average 9.2).
Of 3 health citations since October 2023, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 1 fine totaling $32,536 in the last three years; the largest was $32,536, and the latest is dated October 31, 2023.
Nurses and nurse aides worked 3.91 hours per resident per day, against 3.79 across South Dakota and 3.86 nationally. Registered nurses accounted for 0.50 of those hours.
52.0% of nursing staff left within the year CMS measured (South Dakota average 48.2%).
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.
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 3 health citations on file.
June 11, 2026Standard inspection · 0 citations
February 21, 2025Standard inspection · 1 citation
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and policy review, the provider failed to ensure outdated food was discarded from inventory.
October 31, 2023Standard inspection · 2 citations
- J Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteA. Based on observation, interview, record review, and policy review, the provider failed to ensure one of one resident (8) had received the necessary care to meet her psycho-social needs after she made an allegation of sexual assault by resident (28).
- J Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure an allegation of sexual assault made by resident (8) toward resident (28) was thoroughly investigated and reported to the South Dakota Department of Health (SD DOH).
Fire safety inspections
1 fire safety citation on file: 1 on June 11, 2026.
Every fire safety citation1 citation
- D Meet requirements for the use of electrical equipment.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| October 31, 2023 | Fine | $32,536 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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 | South Dakota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.91 | 3.79 | 3.86 |
| Registered nurses | 0.50 | 0.80 | 0.69 |
| All nursing staff on weekends | 3.66 | 3.26 | 3.42 |
| Nurse aides | 2.92 | ||
| Licensed practical nurses | 0.50 | ||
| Nursing staff turnover (share who left in a year) | 52.0% | 48.2% | 45.8% |
| Registered nurse turnover | 28.6% | 34.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 2.97 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 4.02 on weekdays and 3.66 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.77 in April to June 2025 to 3.91 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 | 3.91 | 0.50 | 4.02 | 3.66 | 8.7% | 0 of 90 | 42 |
| Oct to Dec 2025 | 3.74 | 0.48 | 3.87 | 3.42 | 16.6% | 1 of 92 | 45 |
| Jul to Sep 2025 | 3.74 | 0.62 | 3.93 | 3.26 | 13.8% | 0 of 92 | 44 |
| Apr to Jun 2025 | 3.77 | 0.66 | 3.99 | 3.21 | 27.4% | 0 of 91 | 44 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| South Dakota, Jan to Mar 2026 | 3.76 | 0.79 | 3.97 | 3.25 | 9.1% | 1.1% 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 | South Dakota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 19.4 | 21.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.0 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.2 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 15.3 | 5.5 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 17.7 | 19.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.0 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 31.3 | 24.6 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.8 | 1.8 |
Owners and operators
Legal business name: PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Pioneer Memorial Hospital & Health Services | 5% or greater direct ownership interest | Organization | 100% | 04/01/2004 |
| Christensen, Paul | Managing control - governing body | Individual | 03/10/2004 | |
| Larsen, Kimberly | Managing control - governing body | Individual | 03/26/2018 | |
| Lee, Troy | Managing control - governing body | Individual | 03/28/2016 | |
| Nyhaug, Connie | Managing control - governing body | Individual | 03/01/2024 | |
| Parsons, Melanie | Managing control - governing body | Individual | 03/01/2002 | |
| Penning, Ryan | Managing control - governing body | Individual | 03/01/2019 | |
| Poncelet, Chris | Managing control - governing body | Individual | 03/01/2018 | |
| Stanage, Lisa | Managing control - governing body | Individual | 03/01/2023 | |
| Surprenant, Luke | Managing control - governing body | Individual | 03/01/2024 | |
| Christiansen, Anne | W-2 managing employee | Individual | 08/10/1992 | |
| Gerdes, Issac | W-2 managing employee | Individual | 06/30/2024 | |
| Rudd, Tonya | W-2 managing employee | Individual | 04/30/2018 | |
| Gerdes, Issac | Corporate director | Individual | 06/30/2024 | |
| Rudd, Tonya | Corporate director | Individual | 04/30/2018 | |
| Christiansen, Anne | Corporate officer | Individual | 08/10/1992 | |
| Pioneer Memorial Hospital & Health Services | Operational/managerial control | Organization | 12/10/2024 | |
| Christensen, Paul | Operational/managerial control | Individual | 12/05/2024 | |
| Christiansen, Anne | Operational/managerial control | Individual | 12/05/2024 | |
| Gerdes, Issac | Operational/managerial control | Individual | 12/05/2024 | |
| Johnson, Gabriel | Operational/managerial control | Individual | 12/17/2024 | |
| Larsen, Kimberly | Operational/managerial control | Individual | 12/05/2024 | |
| Lee, Troy | Operational/managerial control | Individual | 12/05/2024 | |
| Nyhaug, Connie | Operational/managerial control | Individual | 12/05/2024 | |
| Parsons, Melanie | Operational/managerial control | Individual | 12/05/2024 | |
| Penning, Ryan | Operational/managerial control | Individual | 12/05/2024 | |
| Poncelet, Chris | Operational/managerial control | Individual | 12/05/2024 | |
| Rudd, Tonya | Operational/managerial control | Individual | 12/05/2024 | |
| Stanage, Lisa | Operational/managerial control | Individual | 12/05/2024 | |
| Surprenant, Luke | Operational/managerial control | Individual | 12/05/2024 | |
| Pioneer Memorial Hospital & Health Services | Adp of the SNF | Organization | 12/17/2024 | |
| Christiansen, Anne | Adp of the SNF | Individual | 12/17/2024 | |
| Gerdes, Issac | Adp of the SNF | Individual | 12/17/2024 | |
| Johnson, Gabriel | Adp of the SNF | Individual | 12/17/2024 | |
| Rudd, Tonya | Adp of the SNF | Individual | 12/17/2024 |
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 are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on October 31, 2023: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on February 21, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Sunset Manor Avera Health Irene, 7.3 mi · 2 of 5 stars · 17 citations
- Centerville Care and Rehab Center Inc Centerville, 7.5 mi · 1 of 5 stars · 20 citations
- Wakonda Heritage Manor Wakonda, 11.7 mi · 5 of 5 stars · 8 citations
- Bethesda of Beresford Beresford, 16.4 mi · 2 of 5 stars · 27 citations
- Tieszen Memorial Home Marion, 19.5 mi · 4 of 5 stars · 12 citations
- Oakview Terrace Freeman, 21.2 mi · 5 of 5 stars · 11 citations
- Sd Human Services Center - Geriatric Program Yankton, 24 mi · 5 of 5 stars · 5 citations
- Menno-Olivet Care Center Menno, 25 mi · 5 of 5 stars · 6 citations
South Dakota contacts for a concern about a nursing home
These are the official offices in South Dakota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: South Dakota Department of Health, Office of Health Facilities Licensure and Certification, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: South Dakota Long-Term Care Ombudsman Program, Department of Human Services. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: South Dakota Department of Health Nursing Facility Reports, where South Dakota publishes its own records on licensed homes.
Common questions
- What is Pioneer Memorial Nursing Home's Medicare star rating?
- CMS rates Pioneer Memorial Nursing Home 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Pioneer Memorial Nursing Home get at its last inspection?
- 0 health deficiencies at the standard inspection on June 11, 2026. The South Dakota average is 6.7.
- Has Pioneer Memorial Nursing Home been fined?
- Yes. CMS lists 1 fine totaling $32,536 in the last three years.
- Does Pioneer Memorial Nursing Home 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 Memorial Nursing Home?
- CMS lists 35 owners and managers. Legal business name: PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES.
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.