Pioneer Therapy and Living
1506 East Main Street, Melbourne, AR 72556 · Izard County · (870) 368-4377
86 certified beds, about 71 residents a day · For profit - Corporation · Medicare and Medicaid since 1997
CMS Care Compare ratings, data as of September 1, 2026 · CCN 045322 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 21, 2026, inspectors cited 0 health deficiencies (the Arkansas average is 2.7, the national average 9.2).
None of its 10 health citations since October 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 3.33 hours per resident per day, against 4.02 across Arkansas and 3.86 nationally. Registered nurses accounted for 0.20 of those hours.
59.8% of nursing staff left within the year CMS measured (Arkansas average 49.5%).
CMS links it to Anthony & Bryan Adams, an affiliated group of 38 nursing homes.
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 10 health citations on file.
May 21, 2026Standard inspection · 0 citations
October 31, 2024Standard inspection · 2 citations
- 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, interviews, and record review, the facility failed to follow proper hand hygiene while preparing food for the 76 residents who received food from the facility kitchen.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to revise the care plan interventions to include behavioral-emotional health for 1 (Resident #43) sampled resident.
October 26, 2023Standard inspection · 8 citations
- E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the 74 residents living at the facility were provided a safe, clean, and comfortable homelike environment.
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on Observation, Interview and Record Review the facility failed to ensure that 2 residents (#17 and #22), of sampled residents had been shaved and nails cleaned and trimmed to promote good hygiene, cleanliness and sense of wellbeing.
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the medication error rate did not exceed 5%. This failed policy had the potential to effect 74 Residents according to the Resident Matrix provided by the Administrator on 10/23/2023 at 11:30 AM.
- E Have a plan that describes the process for conducting QAPI and QAA activities.
Inspectors wroteBased on record review and interview, the facility failed to ensure the Quality Assurance and Performance Improvement program [QAPI] Committee implemented appropriate plans of action to prevent repeated deficiencies with Treatment/Services to prevent/heal pressure ulcers and Maintaining effective pest control. These failed practices had the potential to affect 8 residents who receive treatment for pressure ulcers as identified on a list provided by the Director of Nurses [DON] on 10/26/23 at 10:00 am and 74 residents who reside in the facility as identified on the Resident Matrix provided by the administrator on 10/23/23 at 11:30 am.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that hands were sanitized or washed between donning and doffing of gloves and to properly replace a piston syringe. This failed practice had the possibility of affecting 1 [Resident #13] Resident of 2 [Resident's #4 & 13] sample mixed residents with pressure ulcers and 1 [Resident #63] Resident of 2 [Resident's #13 & 63] sample mixed residents that receive tube feedings according to lists provided by the Director of Nursing [DON] on 10/26/23 at 9:29 am titled, List of residents with pressure ulcers and List of residents with tube feedings.
- E Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on observation and interview the facility failed to provide effective pest control for the facility on a regular basis. This had the potential to affect all 74 residents listed on the Resident Matrix provided by the administrator on 10/23/23 at 11:30 am.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on record review and interview, the facility failed to ensure a Minimum Data Set [MDS] assessment was coded correctly for 1 (#124) sampled residents who was prescribed antipsychotic medications.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure a resident with a facility acquired deep tissue abscess to coccyx and left buttock had the correct medication per MD order applied to wound to promote healing for 1 (resident #275). This failed practice had the potential to affect 1 of 8 sample mix residents (#4,#13,#28,#33,#41,#47,#65,and #275 ) who had documented wound treatments on a list provided by the Director of Nurses (DON) on 10/26/23 at 10:00AM
Fire safety inspections
6 fire safety citations on file: 2 on May 21, 2026, 4 on October 31, 2024.
Every fire safety citation6 citations
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Conduct testing and exercise requirements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Properly provide smoke detection systems in areas open to corridors.
- F Ensure proper usage of power strips and extension cords.
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 | Arkansas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.33 | 4.02 | 3.86 |
| Registered nurses | 0.20 | 0.41 | 0.69 |
| All nursing staff on weekends | 2.61 | 3.45 | 3.42 |
| Nurse aides | 2.27 | ||
| Licensed practical nurses | 0.86 | ||
| Nursing staff turnover (share who left in a year) | 59.8% | 49.5% | 45.8% |
| Registered nurse turnover | 62.5% | 44.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 2.99 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 3.62 on weekdays and 2.61 on weekends, 28% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.64 in April to June 2025 to 3.33 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 | 3.33 | 0.20 | 3.62 | 2.61 | 0.5% | 0 of 90 | 71 |
| Oct to Dec 2025 | 3.63 | 0.23 | 3.97 | 2.76 | 0.7% | 0 of 92 | 69 |
| Jul to Sep 2025 | 3.44 | 0.28 | 3.78 | 2.57 | 2.1% | 0 of 92 | 71 |
| Apr to Jun 2025 | 3.64 | 0.34 | 3.99 | 2.75 | 0.0% | 0 of 91 | 70 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Arkansas, Jan to Mar 2026 | 4.05 | 0.40 | 4.28 | 3.47 | 2.0% | 0.1% 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 | Arkansas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 4.1 | 9.5 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.6 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.2 | 10.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.0 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.4 | 10.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 7.6 | 24.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.0 | 12.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.2 | 2.1 | 1.8 |
Owners and operators
Legal business name: MLBNC INC. CMS links this home to Anthony & Bryan Adams, a group of 38 nursing homes averaging 3.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Dvorak, Nora | Managing control - governing body | Individual | 01/01/2017 | |
| Kever, Jody | Managing control - governing body | Individual | 04/01/2014 | |
| Adams, Anthony | Corporate officer | Individual | 04/01/2014 | |
| Adams, Bryan | Corporate officer | Individual | 12/03/2013 | |
| Kever, Jody | Operational/managerial control | Individual | 04/01/2014 | |
| Scribner, John | Operational/managerial control | Individual | 08/28/2024 | |
| Health Care Solutions, LLC | Adp of the SNF | Organization | 10/24/2019 | |
| Incite Rehab, LLC | Adp of the SNF | Organization | 11/01/2013 | |
| LTC Systems/Rx, LLC | Adp of the SNF | Organization | 11/01/2013 | |
| Pharmacy Consults, LLC | Adp of the SNF | Organization | 11/01/2013 | |
| Reliance Health Care, Inc. | Adp of the SNF | Organization | 11/01/2013 | |
| Cooper, Benjamin | Adp of the SNF | Individual | 10/24/2019 | |
| Cooper, James | Adp of the SNF | Individual | 10/24/2019 | |
| Cooper, Robert | Adp of the SNF | Individual | 10/24/2019 | |
| Dvorak, Nora | Adp of the SNF | Individual | 04/01/2014 | |
| Ellis, John | Adp of the SNF | Individual | 04/01/2014 | |
| Kever, Jody | Adp of the SNF | Individual | 04/01/2014 | |
| Koehler, Tobey | Adp of the SNF | Individual | 04/01/2014 | |
| Mainord, William | Adp of the SNF | Individual | 04/01/2014 | |
| McGinnis, Larry | Adp of the SNF | Individual | 04/01/2014 | |
| Pedigo, Rita | Adp of the SNF | Individual | 04/01/2014 | |
| Scribner, John | Adp of the SNF | Individual | 08/28/2024 | |
| Speaks, Kathy | Adp of the SNF | Individual | 08/28/2024 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on October 31, 2024: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on October 26, 2023: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- 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 October 31, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on October 26, 2023: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.61 hours per resident per day, below the Arkansas average of 3.45.
Other nursing homes nearby
- White River Healthcare Calico Rock, 9.8 mi · 1 of 5 stars · 13 citations
- The Blossoms at Mountain View Rehab & Nursing Cen Mountain View, 18.1 mi · 4 of 5 stars · 5 citations
- Eaglecrest Nursing and Rehab Ash Flat, 18.9 mi · 5 of 5 stars · 8 citations
- Ash Flat Healthcare and Rehabilitation Center Ash Flat, 19.4 mi · 3 of 5 stars · 17 citations
- Cave City Nursing Home Inc Cave City, 20.1 mi · 5 of 5 stars · 11 citations
- Southfork River Therapy and Living Salem, 21.6 mi · 5 of 5 stars · 5 citations
- The Springs Batesville Batesville, 23.7 mi · 3 of 5 stars · 19 citations
- Wood-Lawn Heights Batesville, 24.7 mi · 4 of 5 stars · 13 citations
Arkansas contacts for a concern about a nursing home
These are the official offices in Arkansas. NursingHomeClear cannot take or act on complaints.
- Resident advocate: Arkansas Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Pioneer Therapy and Living's Medicare star rating?
- CMS rates Pioneer Therapy and Living 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Pioneer Therapy and Living get at its last inspection?
- 0 health deficiencies at the standard inspection on May 21, 2026. The Arkansas average is 2.7.
- Has Pioneer Therapy and Living been fined?
- CMS lists no fines in the last three years.
- Does Pioneer Therapy and Living 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 Therapy and Living?
- CMS lists 23 owners and managers, and links the home to Anthony & Bryan Adams. Legal business name: MLBNC INC.
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.