Total health inspections
10
Montana average 5.1
Last Health inspection on May 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Pioneer Care and Rehabilitation
Nursing Home
Pioneer Care and Rehabilitation
Nursing Home
Pioneer Care and Rehabilitation is a Medicare-certified skilled nursing and rehabilitation facility located in Dillon, MT. It offers skilled nursing services, resident-centered activities, and social services to support residents during their stay. The facility is staffed around the clock to provide comfort and specialized care.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
87
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
62.3%
Residents per day (avg)
56
Occupancy rate
62.3%
Residents per day (avg)
56
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
61% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
19% of new residents, often for short stays.
Typical stay
8 - 9 months
Medicaid
20% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Proprietary home
Other
Home revenue
$6.9M
Profit
$2.6M
Proprietary home
Other
Home revenue
$6,917,305.00
Profit
$2,612,998.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$549.4K
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.3M
87-bed community
A larger shared setting that may offer more common spaces and organized community services.
2 years in operation
A newer community that may feature more recent facilities and programs.
About this community
License Status
Current
Facility Type
Long Term Care
License Date
December 2, 2023
Additional licensing details
License number:
13567
CMS Certification Number:
275124
Ownership & operating entity
Pioneer Care and Rehabilitation is administrated by Degn, Zachary.
Care Services
Accepts Medicare
Nursing Services
Rehabilitation Services
Skilled Nursing
24-Hour Staffing
Amenities & Lifestyle
Programs & Activities
Specific Programs
Nursing Services, Activities, Social Services, Rehabilitation
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicare Accepted
This facility is certified for eligible Medicare services.
Compare Nursing Homes around Montana
The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.
Eureka of Cascadia, LLC dba Mountain View of Cascadia
+30%
-21%
+12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MT 59917
49
No
-
-
CARVEY, DIANNA
69.3%
$3,688,314.00
$1,503,855.00
40.8%
46.50
3.5633
-
13
-
+30%-21%+12%
Avantara Billings
+23%
-21%
+6%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MT 59102
160
No
A+
72
CALDWELL, SARAH
65.6%
$7,573,930.00
$3,542,199.00
46.8%
104.80
3.5685
3
49
5
+23%-21%+6%
Pioneer Care and Rehabilitation
-29%
-28%
+1%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MT 59725
87
No
-
-
BOESCH, MADISON
62.3%
$6,901,108.00
$3,754,942.00
54.4%
55.60
3.2496
7
58
9
-29%-28%+1%
Northern Pines Rehabilitation and Nursing
-9%
+16%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MT 59427
41
No
-
-
-
71.6%
$1,696,139.00
$841,351.00
49.6%
38.80
-
6
43
3
-9%
-
+16%
Central Montana Nursing and Rehabilitation Center
-42%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
RC
Respite Care
Lewistown
62
No
-
39
CENTRAL MONTANA SNF OPERATIONS HOLDINGS LLC
35.5%
$1,022,755.00
$288,519.00
28.2%
-
-
-
-
-
-
-42%
Eureka of Cascadia, LLC dba Mountain View of Cascadia
Type of care:
SNF
AL
Community:
MT 59917
Bed Count:
49
Pets Allowed:
No
Operator:
CARVEY, DIANNA
CCN:
275084
Occupancy:
69.3%
Home Revenue:
$3,688,314.00
Payroll Costs:
$1,503,855.00
Payroll %:
40.8%
Avg Residents/Day:
46.50
Overall Rating:
Adj Nurse Hours:
3.5633
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
13
RN share vs State Avg:
+30%
+30%
Staffing vs State Avg:
-21%
-21%
Occupancy vs State Avg:
+12%
+12%
Avantara Billings
Type of care:
SNF
AL
Community:
MT 59102
Bed Count:
160
Pets Allowed:
No
Operator:
CALDWELL, SARAH
CCN:
275029
Occupancy:
65.6%
Home Revenue:
$7,573,930.00
Payroll Costs:
$3,542,199.00
Payroll %:
46.8%
Avg Residents/Day:
104.80
Overall Rating:
Adj Nurse Hours:
3.5685
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
3
Citations:
49
Severe Citations:
5
RN share vs State Avg:
+23%
+23%
Staffing vs State Avg:
-21%
-21%
Occupancy vs State Avg:
+6%
+6%
Pioneer Care and Rehabilitation
Type of care:
SNF
AL
Community:
MT 59725
Bed Count:
87
Pets Allowed:
No
Operator:
BOESCH, MADISON
CCN:
275124
Occupancy:
62.3%
Home Revenue:
$6,901,108.00
Payroll Costs:
$3,754,942.00
Payroll %:
54.4%
Avg Residents/Day:
55.60
Overall Rating:
Adj Nurse Hours:
3.2496
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
7
Citations:
58
Severe Citations:
9
RN share vs State Avg:
-29%
-29%
Staffing vs State Avg:
-28%
-28%
Occupancy vs State Avg:
+1%
+1%
Northern Pines Rehabilitation and Nursing
Type of care:
SNF
AL
Community:
MT 59427
Bed Count:
41
Pets Allowed:
No
CCN:
275104
Occupancy:
71.6%
Home Revenue:
$1,696,139.00
Payroll Costs:
$841,351.00
Payroll %:
49.6%
Avg Residents/Day:
38.80
Overall Rating:
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
6
Citations:
43
Severe Citations:
3
RN share vs State Avg:
-9%
-9%
Occupancy vs State Avg:
+16%
+16%
Central Montana Nursing and Rehabilitation Center
Type of care:
AL
MC
SNF
RC
Community:
Lewistown
Bed Count:
62
Pets Allowed:
No
Operator:
CENTRAL MONTANA SNF OPERATIONS HOLDINGS LLC
CCN:
275064
Occupancy:
35.5%
Home Revenue:
$1,022,755.00
Payroll Costs:
$288,519.00
Payroll %:
28.2%
Occupancy vs State Avg:
-42%
-42%Places of interest near Pioneer Care and Rehabilitation
0.0 miles from city center
Dillon, MT 59725
Calculate Travel Distance to Pioneer Care and Rehabilitation
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
91
Total Staff
41
Employees
50
Contractors
19,408
Total Hours (Quarter)
27
Avg Staff/Day
7.9
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 10 | 8.3 | No |
| Licensed Practical Nurse | 17 | 9.7 | Yes |
| Certified Nursing Assistant | 39 | 8.2 | Yes |
Staff by Category
Administration ⓘ
2 staff
5hs shift avg
Nursing Staff ⓘ
70 staff
8.5hs shift avg
Physicians & Practitioners ⓘ
1 staff
7.1hs shift avg
Therapy Services ⓘ
9 staff
7.3hs shift avg
Activities & Recreation ⓘ
3 staff
8.1hs shift avg
Social Services ⓘ
1 staff
7.9hs shift avg
Dietary Services ⓘ
3 staff
6.6hs shift avg
Other Services ⓘ
2 staff
8hs shift avg
Contractor Analysis
42.4%
of total hours from contractors
8,238 contractor hours this quarter
Certified Nursing Assistant: 28
Licensed Practical Nurse: 13
Qualified Activities Professional: 1
Medical Director: 1
Respiratory Therapy Technician: 3
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Qualified Social Worker: 1
Speech Language Pathologist: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 11 | 28 | 39 | 8,069 | 91 | 100% | 8.2 |
| Licensed Practical Nurse | 4 | 13 | 17 | 3,142 | 91 | 100% | 9.7 |
| Registered Nurse | 10 | 0 | 10 | 2,286 | 91 | 100% | 8.3 |
| Respiratory Therapy Technician | 1 | 3 | 4 | 1,170 | 70 | 77% | 7.7 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Dietitian | 1 | 0 | 1 | 506 | 70 | 77% | 7.2 |
| Nurse Practitioner | 1 | 0 | 1 | 485 | 68 | 75% | 7.1 |
| Physical Therapy Assistant | 2 | 0 | 2 | 455 | 60 | 66% | 7.4 |
| Medication Aide/Technician | 1 | 0 | 1 | 429 | 49 | 54% | 8.8 |
| Dental Services Staff | 2 | 0 | 2 | 415 | 52 | 57% | 8 |
| Qualified Activities Professional | 2 | 1 | 3 | 390 | 45 | 49% | 8.1 |
| RN Director of Nursing | 1 | 0 | 1 | 383 | 49 | 54% | 7.8 |
| Nurse Aide in Training | 2 | 0 | 2 | 351 | 34 | 37% | 7.3 |
| Other Dietary Services Staff | 2 | 0 | 2 | 300 | 50 | 55% | 5.7 |
| Speech Language Pathologist | 0 | 1 | 1 | 175 | 22 | 24% | 7.9 |
| Qualified Social Worker | 0 | 1 | 1 | 165 | 21 | 23% | 7.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 74 | 13 | 14% | 5.7 |
| Medical Director | 0 | 1 | 1 | 50 | 49 | 54% | 1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 43 | 16 | 18% | 2.7 |
Health Inspection History
Inspections
Total health citations
58
Citations per inspection
5.8
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
36 of 58 citations resulted from standard inspections; 18 of 58 resulted from complaint investigations; and 4 of 58 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
233% worse than Montana averageMontana average: 0.3
Serious Health citations
8
8
264% worse than Montana averageMontana average: 2.2
1 critical citation
8 serious citations
48 moderate citations
1 minor citation
Citations history (last 3 years)
Abuse/Neglect moderate citation
May 08, 2025
Corrected
Abuse/Neglect moderate citation
May 08, 2025
Corrected
Administration moderate citation
May 08, 2025
Corrected
Infection Control moderate citation
May 08, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Part of: SWEETWATER
Resident Census by Payment Source
54
Total Residents
Medicare
8
(14.8%)
ⓘ
Medicaid
44
(81.5%)
ⓘ
Private Pay/Other
2
(3.7%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.6
59% better than Montana averageMontana average: 11.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.5
56% better than Montana averageMontana average: 21.8
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
5.9%
Percent of long-stay residents whose need for help with daily activities has increased
5.9%
69% better than Montana averageMontana average: 19.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
5.2%
Percent of long-stay residents whose ability to move independently worsened
5.2%
75% better than Montana averageMontana average: 20.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.4%
31% better than Montana averageMontana average: 25.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.3%
Percent of long-stay residents experiencing one or more falls with major injury
4.3%
In line with Montana averageMontana average: 4.3%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.8%
Percent of long-stay high risk residents with pressure ulcers
1.8%
72% better than Montana averageMontana average: 6.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.6%
Percent of long-stay residents with a urinary tract infection
0.6%
80% better than Montana averageMontana average: 2.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.9%
Percent of long-stay residents who lose too much weight
5.9%
In line with Montana averageMontana average: 6.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
12.1%
Percent of long-stay residents who have depressive symptoms
12.1%
156% worse than Montana averageMontana average: 4.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
22.0%
Percent of long-stay residents who received an antipsychotic medication
22.0%
15% worse than Montana averageMontana average: 19.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
83.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
83.2%
11% worse than Montana averageMontana average: 93.8%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.2%
In line with Montana averageMontana average: 93.7%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
41.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
41.6%
46% worse than Montana averageMontana average: 76.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.5%
Percent of short-stay residents who newly received an antipsychotic medication
3.5%
98% worse than Montana averageMontana average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
41.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
41.2%
44% worse than Montana averageMontana average: 73.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$201K
131% higher than Montana averageMontana average: $87K
Number of fines
6
158% more fines than Montana averageMontana average: 2.3
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Montana averageMontana average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$201K
Montana average
$87K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 8, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 8, 2025
$75K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 5, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 5, 2024
$19K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 27, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 27, 2024
$29K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 21, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 21, 2024
$41K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Pioneer Care and Rehabilitation based on CMS SNF Cost Reports.
Occupancy Rate
62.3%
↑ 6.4pp vs 2022
Net Income
$2,612,998
↑ ~$1.9M vs 2022
Total Payroll
$4,973,153
↑ ~$2.2M vs 2022
Profit Margin
37.9%
↑ 26.5pp vs 2022
Loading trend charts...
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