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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Pioneer Nursing Home is a 33-bed skilled nursing facility operated by Pioneer Nursing Home Health District, a public health district, at 1060 D Street West in Vale, Oregon. Medicare, Medicaid, and private pay are welcome. The facility serves rural Eastern Oregon with skilled nursing, rehabilitation, memory care, and respite services.
The facility is graded 5 stars by CMS, with health inspection, staffing, and quality measure sub-ratings all above Oregon’s average. Across seven inspections since 2021, the facility averaged 5.8 deficiencies per year, 13 percent better than Oregon’s 6.7 average. A December 2023 complaint investigation identified an immediate jeopardy finding after a resident fall resulted in serious injury and death; the IJ was removed following staff training and policy updates, and the latest inspection in January 2025 found no deficiencies. No fines or license suspensions appear. Nurse hours run 5h 25m per resident daily, modestly above Oregon’ average of 5h 12m. Occupancy stands at 52 percent, below the state average of 65.7 percent, indicating current availability. As the primary skilled nursing facility serving Malheur County, it provides access to long-term and post-acute care in a region with limited alternatives.
The community suits residents seeking skilled nursing or rehabilitation in rural Eastern Oregon, with specific relevance for Malheur County residents needing a nearby long-term placement.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 29th out of 92 homes in Oregon for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 5h 16m per day | ▲ 20% State avg: 4h 23m per day · National avg: 3h 26m per day |
Lower than the Oregon average: 65.7%Pioneer Nursing Home is administrated by Corey Crismon.
In Oregon, the Department of Human Services, Aging and People with Disabilities performs unannounced surveys and regular inspections to ensure resident safety in all care settings.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Oregon state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | OR Average | vs. OR Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 11 | 31 | This facility has 65% fewer total deficiencies than a typical Oregon nursing home (11 vs. OR avg 31).↓ 65% better |
|
Deficiencies per year
Average deficiencies per year since 2021.
| 2.2 | 6.2 | This facility has 65% fewer deficiencies per year than a typical Oregon nursing home (2.2 vs. OR avg 6.2).↓ 65% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.6 | 4.4 | This facility has 64% fewer deficiencies per inspection than a typical Oregon nursing home (1.6 vs. OR avg 4.4).↓ 64% better |
Inspections
| This Facility | OR Average | vs. OR Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 7 | 7 | This facility has total inspections in line with the Oregon average (7 vs. OR avg 7).— At avg |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Oregon average 5.1
Last Health inspection on Dec 2023
Oregon average 34
Oregon average 6.86
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
4 of 8 citations resulted from standard inspections; and 4 of 8 resulted from complaint investigations.
300% worse than Oregon averageOregon average: 0.5
100% better than Oregon averageOregon average: 1.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
5% more staff per resident than Oregon average
13% worse than Oregon average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 8 RN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursAssists with medical care and medications.
All 6 LPN Staff are full-time employees. No contractors work on this role.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursHelps with daily care and mobility.
All 23 CNA Staff are full-time employees. No contractors work on this role.
23
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
880 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 23 | 0 | 23 | 4,696 | 92 | 100% | 6.7 |
| Registered Nurse | 8 | 0 | 8 | 1,475 | 92 | 100% | 8.1 |
| Licensed Practical Nurse | 6 | 0 | 6 | 1,362 | 92 | 100% | 8.2 |
| Other Dietary Services Staff | 1 | 0 | 1 | 512 | 66 | 72% | 7.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 461 | 61 | 66% | 7.6 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 459 | 62 | 67% | 7.4 |
| Administrator | 1 | 0 | 1 | 420 | 56 | 61% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 413 | 55 | 60% | 7.5 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 378 | 66 | 72% | 5.7 |
| Physical Therapy Assistant | 0 | 1 | 1 | 277 | 63 | 68% | 4.4 |
| Speech Language Pathologist | 0 | 2 | 2 | 130 | 41 | 45% | 3.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 50 | 28 | 30% | 1.8 |
| Medical Director | 0 | 1 | 1 | 23 | 3 | 3% | 7.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 23 | 3 | 3% | 7.5 |
Includes penalties issued in 2023
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)
91% higher than Oregon averageOregon average: $60K
41% fewer fines than Oregon averageOregon average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Oregon averageOregon average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Oct 19, 2023 · $115K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 19, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.7
27% better than Oregon averageOregon average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.9
33% worse than Oregon averageOregon average: 21.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
15.2%
7% better than Oregon averageOregon average: 16.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
40.7%
80% worse than Oregon averageOregon average: 22.6%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Oregon averageOregon average: 2.4%
Percent of long-stay high risk residents with pressure ulcers
15.5%
123% worse than Oregon averageOregon average: 6.9%
Percent of long-stay residents with a urinary tract infection
2.9%
39% worse than Oregon averageOregon average: 2.1%
Percent of long-stay residents who lose too much weight
0.0%
100% better than Oregon averageOregon average: 5.3%
Percent of long-stay residents who have depressive symptoms
10.0%
117% worse than Oregon averageOregon average: 4.6%
Percent of long-stay residents who received an antipsychotic medication
21.1%
59% worse than Oregon averageOregon average: 13.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Oregon averageOregon average: 95.7%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
16% better than Oregon averageOregon average: 86.2%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
33% worse than Oregon averageOregon average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
18% better than Oregon averageOregon average: 81.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.0%
20% worse than Oregon averageOregon average: 21.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
20.5%
36% worse than Oregon averageOregon average: 15.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Oregon averageOregon average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
60.0%
12% better than Oregon averageOregon average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
64.2%
27% better than Oregon averageOregon average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
96% of new residents, usually for short-term rehab.
1% of new residents, often for short stays.
3% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
16Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Pioneer Nursing Home based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #69 / 88Payroll — State benchmarkedThis home is ranked 69th out of 88 homes in Oregon for payroll. Shows total annual staff payroll benchmarked to the Oregon average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Vale's city center to Pioneer Nursing Home's address, calculated via Google Maps.
Add your location
Pioneer Nursing Home is located in Vale, Oregon.
Here are the financial assistance programs available to residents in Oregon.
The information below is reported by the Oregon Department of Human Services, Aging and People with Disabilities.
| Pioneer Nursing Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Vale | 33
Facility
33
OR AVG
67
Rank
#292 / 351 | 51.7% | -21% | 5.42 | +77% | +3% | $114.5k | 8 | 4.0 | 2 | 17 |
53
Facility
53
OR AVG
55
Rank
#267 / 476 | Pioneer Nursing Home Health District | $6.7M | $4.1M | 60.5% | 385273 | ||||
| Avamere Rehabilitation of Beaverton |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Beaverton (Vose) | 104
Facility
104
OR AVG
67
Rank
#44 / 351 | 73.0% | +11% | 5.21 | -9% | -1% | $55.6k | 18 | 4.5 | 1 | 72 |
68
Facility
68
OR AVG
55
Rank
#173 / 476 | Nair Facility Holdings LLC | $17.9M | $7.5M | 41.8% | 385195 | ||||
| Maryville Nursing Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Beaverton (Central Beaverton) | 181
Facility
181
OR AVG
67
Rank
#4 / 351 | - | - | 5.64 | -3% | +8% | $214.1k | 36 | 4.5 | 7 | 135 |
55
Facility
55
OR AVG
55
Rank
#256 / 476 | St Mary Of Oregon Ministries Oregon | $29.2M | $16.7M | 57.1% | 385166 | ||||
| Prestige Care and Rehabilitation of Menlo Park |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Portland (Hazelwood) | 83
Facility
83
OR AVG
67
Rank
#99 / 351 | - | - | 5.58 | -50% | +6% | $0 | 33 | 4.7 | - | 72 |
82
Facility
82
OR AVG
55
Rank
#73 / 476 | Nai Trask | $16.6M | $6.4M | 38.5% | 385044 | ||||
| Avamere Health Services of Rogue Valley |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Medford (Stevens Street) | 91
Facility
91
OR AVG
67
Rank
#74 / 351 | - | - | 4.36 | -34% | -17% | $38.4k | 51 | 12.8 | - | 65 |
84
Facility
84
OR AVG
55
Rank
#57 / 476 | Ariso LLC | $12.7M | $5.3M | 41.6% | 385024 |
The legal owner and operator of Pioneer Nursing Home is Pioneer Nursing Home Health District.
Pioneer Nursing Home has a walk score of 53. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to OR state health department records, Pioneer Nursing Home's license number is 385273.
Pioneer Nursing Home's occupancy is 52%.
The team at Pioneer Nursing Home can be reached at [email protected].
Corey Crismon is the administrator of Pioneer Nursing Home.
Pioneer Nursing Home has 33 beds.
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