What is Pioneer Nursing Home's Medicare star rating?

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

How many deficiencies did Pioneer Nursing Home get at its last inspection?

1 health deficiency at the standard inspection on April 23, 2026. The Oregon average is 9.2.

Does Pioneer 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 Nursing Home?

CMS lists 29 owners and managers. Legal business name: PIONEER NURSING HOME HEALTH DISTRICT.

Pioneer Nursing Home: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on April 23, 2026, inspectors cited 1 health deficiency (the Oregon average is 9.2, the national average 9.2).

Of 9 health citations since October 2023, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 1 fine totaling $114,520 in the last three years; the largest was $114,520, and the latest is dated October 19, 2023.

Nurses and nurse aides worked 6.96 hours per resident per day, against 5.03 across Oregon and 3.86 nationally. Registered nurses accounted for 1.76 of those hours.

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.

410/23

412/23

001/25

104/26

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 9 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

April 23, 2026Standard inspection · 1 citation

D

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2026

Inspectors wroteBased on interview and record review it was determined the facility failed to ensure PRN psychotropic medication orders had an end date and failed to ensure a clinical rationale was obtained to extend the use of PRN psychotropic medications beyond 14 days for 1 of 5 sampled residents (#4) reviewed for medications. This placed residents at risk for adverse side effects of psychotropic medication.

January 30, 2025Standard inspection · 0 citations

December 10, 2023Complaint inspection · 4 citations

J

Ensure services provided by the nursing facility meet professional standards of quality.

F658 · Resident Assessment and Care Planning · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 28, 2024

Inspectors wroteBased on interview and record review it was determined the facility failed to ensure 2 of 2 staff (RNs) adhered to professional standards of nursing practice related to the provision of care for a resident after a fall with potential neck and back injuries. This was determined to be an immediate jeopardy situation which resulted from a lack of assessment of the resident and provision of appropriate neck and spine precautions for 1 of 1 sampled resident (#1) who was injured in a fall resulting in blunt trauma to the back of the resident's head, complaints of neck pain and inability to move extremities. The fall resulted in a cervical spine (neck) fracture and spinal cord injury requiring emergency surgical intervention. According to hospital records the resident died on [DATE] as a result of this fall.
J

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

F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 28, 2024

Inspectors wroteBased on interview and record review it was determined the facility failed to ensure the resident environment remained free of accident hazards including failure to secure the resident's wheelchair during transport in the facility van for 1 of 3 sampled residents (#1) reviewed for falls. The facility's failure was determined to be an immediate jeopardy situation. The fall resulted in a cervical spine (neck) fracture and spinal cord injury requiring hospitalization and emergency surgical intervention. According to hospital records the resident died on [DATE] as a result of this fall.
D

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

F838 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 28, 2024

Inspectors wroteBased on interview and record review it was determined the facility failed to conduct and complete a comprehensive facility wide assessment for 1 of 1 sampled facility. This placed residents at risk for lack of quality of care and reduced quality of life.
D

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 28, 2024

Inspectors wroteBased on interview and record review it was determined the facility failed to have a system in place to ensure CNA staff received 12 hours of required in-service training annually for 4 of 5 sampled CNAs (#s 12, 13, 14, 15) and failed to ensure 2 of 2 ALF (Assisted Living Facility) CNAs (#s 12 and 13) received training prior to working in the Nursing Facility reviewed for required in-service training for CNAs. This placed residents at risk for lack of competent staff.

October 19, 2023Standard inspection · 4 citations

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 · Corrected (the home has a date of correction) November 6, 2023

Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents received bowel care as ordered for 2 of 5 sampled residents (#s 10 and 14) reviewed for medications. This placed residents at risk for constipation.
D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 6, 2023

Inspectors wroteBased on interview and record review it was determined the facility failed to ensure dialysis services were in place including monitoring and communication with the dialysis provider for 1 of 1 sampled resident (#11) reviewed for dialysis. This placed residents at risk for dialysis complications.
D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 6, 2023

Inspectors wroteBased on interview and record review it was determined the facility failed to follow pharmacy recommendations in a timely manner for 1 of 5 sampled residents (#11) reviewed for medications. This placed residents at risk for unmet diabetic needs.
D

Ensure medication error rates are not 5 percent or greater.

F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 6, 2023

Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure the medication error rate was less than 5%. There were 30 medication administration opportunities with 2 errors resulting in an error rate of 6%. This placed residents at risk for adverse medication side effects.

Fire safety inspections

7 fire safety citations on file: 2 on April 23, 2026, 1 on January 30, 2025, 4 on October 19, 2023.

Every fire safety citation7 citations

F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · April 23, 2026 · Corrected (the home has a date of correction)
D
Provide properly protected cooking facilities.

K 324 · April 23, 2026 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · January 30, 2025 · Corrected (the home has a date of correction)
F
Meet requirements for sections of health care facilities separated by fire resistive construction.

K 131 · October 19, 2023 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · October 19, 2023 · Corrected (the home has a date of correction)
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · October 19, 2023 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · October 19, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

Date	Penalty	Amount or length
October 19, 2023	Fine	$114,520

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	Oregon	United States
All nursing staff (RN, LPN and aides)	6.96	5.03	3.86
Registered nurses	1.76	0.72	0.69
All nursing staff on weekends	6.13	4.51	3.42
Nurse aides	4.11
Licensed practical nurses	1.09
Nursing staff turnover (share who left in a year)	not reported	47.4%	45.8%
Registered nurse turnover	not reported	51.6%	42.9%
Administrators who left	not reported

CMS expects 4.42 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 7.28 on weekdays and 6.13 on weekends, 16% 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 6.18 in April to June 2025 to 6.96 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	6.96	1.76	7.28	6.13	0.0%	0 of 90	14
Oct to Dec 2025	6.84	1.91	7.22	5.85	0.0%	0 of 92	13
Apr to Jun 2025	6.18	1.44	6.54	5.26	0.6%	0 of 91	17
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Oregon, Jan to Mar 2026	4.91	0.64	5.12	4.40	6.2%	0.4% 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	Oregon	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	8.3	14.9	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	23.3	1.4	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.0	2.0	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	0.0	2.4	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	1.3	1.4	1.6
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	13.7	5.8	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	21.9	13.9	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	22.1	21.4	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	11.5	16.1	12.0

Owners and operators

Legal business name: PIONEER NURSING HOME HEALTH DISTRICT.

Name	Role	Type	Since
Buttice, Dennis	Corporate director	Individual	07/01/2014
Keller, Karlene	Corporate director	Individual	07/01/2019
Nalivka, John	Corporate director	Individual	08/23/2016
Stewart - Kelso, Krystal	Corporate director	Individual	07/01/2023
Crismon, Corey	Corporate officer	Individual	05/04/2022
Browning, Alexis	Operational/managerial control	Individual	05/01/2009
Buttice, Dennis	Operational/managerial control	Individual	07/01/2014
Crismon, Corey	Operational/managerial control	Individual	05/04/2022
Estes, Monica	Operational/managerial control	Individual	08/05/2024
Gillespie, Christy	Operational/managerial control	Individual	08/07/2013
Hines, Debra	Operational/managerial control	Individual	04/07/2006
Keller, Karlene	Operational/managerial control	Individual	07/01/2019
Monihan, Kerrisue	Operational/managerial control	Individual	07/03/2017
Nalivka, John	Operational/managerial control	Individual	08/23/2016
Phillips, John	Operational/managerial control	Individual	01/01/2016
Rollf, Jessica	Operational/managerial control	Individual	06/21/2021
Skerjanec, Lukas	Operational/managerial control	Individual	09/04/2018
Smith, Brandon	Operational/managerial control	Individual	08/05/2024
Stewart - Kelso, Krystal	Operational/managerial control	Individual	07/01/2023
Browning, Alexis	Adp of the SNF	Individual	05/01/2009
Crismon, Corey	Adp of the SNF	Individual	05/04/2022
Estes, Monica	Adp of the SNF	Individual	08/05/2024
Gillespie, Christy	Adp of the SNF	Individual	08/07/2013
Hines, Debra	Adp of the SNF	Individual	04/07/2006
Monihan, Kerrisue	Adp of the SNF	Individual	07/03/2017
Phillips, John	Adp of the SNF	Individual	01/01/2016
Rollf, Jessica	Adp of the SNF	Individual	06/21/2021
Skerjanec, Lukas	Adp of the SNF	Individual	09/04/2018
Smith, Brandon	Adp of the SNF	Individual	08/05/2024

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 do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on December 10, 2023: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on October 19, 2023: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on April 23, 2026: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on December 10, 2023: "Ensure services provided by the nursing facility meet professional standards of quality."

Other nursing homes nearby

Payette Healthcare of Cascadia
Payette, 17.1 mi · 5 of 5 stars · 25 citations
Weiser Care of Cascadia
Weiser, 23.2 mi · 3 of 5 stars · 26 citations

Oregon contacts for a concern about a nursing home

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

Inspections and complaints: Oregon Department of Human Services, Nursing Facility Licensing, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Oregon Office of the Long-Term Care Ombudsman, (800) 522-2602. 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: Oregon Licensed Long-Term Care Settings Search, where Oregon publishes its own records on licensed homes.

Common questions

What is Pioneer Nursing Home's Medicare star rating?: CMS rates Pioneer Nursing Home 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Pioneer Nursing Home get at its last inspection?: 1 health deficiency at the standard inspection on April 23, 2026. The Oregon average is 9.2.
Has Pioneer Nursing Home been fined?: Yes. CMS lists 1 fine totaling $114,520 in the last three years.
Does Pioneer 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 Nursing Home?: CMS lists 29 owners and managers. Legal business name: PIONEER NURSING HOME HEALTH DISTRICT.

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.