Pioneer by Americare

Pioneer by Americare is a Nursing Home in Missouri

Pioneer by Americare is a Nursing Home in Missouri

Pioneer by Americare

1500 S Kansas Ave, Marceline, MO 64658 View Map

Pioneer by Americare is a Nursing Home in Missouri

Pioneer by Americare is a Nursing Home in Missouri

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Overview of Pioneer by Americare

Experience warm, devoted and personalized care at Pioneer, a reliable senior care provider in Marceline, MO, offering skilled nursing, rehabilitation, home care, and hospice care. Residents are guaranteed to recover quickly and get back to their routines with access to various therapies, including physical, occupational and speech therapy. The community utilizes a person-centered approach to care, offering residents a team of skilled nurses that provides specialized 24/7 medical services.

Residents can fully relax and enjoy a healing living space with an array of spacious and bright studio floor plans designed to accommodate various care needs. The community ensures residents still have access to a vibrant and active way of living as they recover with a wide array of interesting activities, community events, and health & wellness programs. Residents can look forward to meal time with exquisite menus that are thoughtfully prepared to satisfy residents’ tastes and nutrition needs.

+1 660-376-2001
Home Information PIONEER SKILLED NURSING CENTER
  • Occupancy trails most facilities in the state, suggesting excess open capacity. Bed capacity aligns with the typical community size in the state, allowing steady admissions. Resident stays are comparable to other state facilities, implying stable turnover.

  • Home revenue sits below most peers, indicating modest billing throughput. Payroll outlays align with state averages, keeping staffing resources on par with peers. Total income exceeds the majority of state facilities, highlighting strong profitability.

  • Medicare nights lag behind other facilities, revealing limited Medicare demand. Medicaid nights are roughly in line with the state middle third, maintaining a balanced safety-net share. Private pay nights hover around the statewide average, supporting a diversified mix.

Occupancy
Beds
96
Occupancy
50.2%
Total Bed Days Available
35040
Avg. Length of Stay
130 days
Avg. Residents per Day
51
Finance
Home Revenue
$4,423,460.00
Payroll Costs
$1,919,991.00
Profit
$607,894.00
Total Home Costs
$3,931,209.00
Payroll % of Revenue Info Percentage of home revenue spent on payroll costs.
43.4%
House Specifics:
CCN
265169
Owner Name
PIONEER NURSING, LLC
Rural vs. Urban
Rural
County
Chariton
Type of Control
Voluntary Nonprofit — Church
Operations
Total Admissions
142
Total Discharges
140
% Medicaid Admissions
11%
% Medicare Admissions
27%
% Private Pay Admissions
61%
% Medicaid Discharges
11%
% Medicare Discharges
26%
% Private Pay Discharges
63%
Quality Ratings
Overall Rating Info CMS 5-star rating based on health inspections, staffing, and quality measures.
2 / 5
Health Inspection Rating Info Rating based on deficiencies found during state health inspections.
3 / 5
Staffing Rating Info Rating based on nurse staffing hours per resident per day.
1 / 5
QM Rating Info Quality Measures rating based on clinical outcomes for residents.
4 / 5
Nurse Hours / Resident / Day Info Total nurse staffing hours per resident per day.
4.09 hrs
Number of Fines
2
Medicaid, Medicare & Private
Medicare Nights Info Number of resident nights paid by Medicare for short-term or rehab care.
10204
Medicaid Nights Info Resident nights covered by Medicaid for long-term care or support services.
1838
Free Market Nights Info Nights paid privately by residents or families, without Medicare/Medicaid coverage.
6116

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Room Sizes: 215 / 240 / 300 / 330 sq. ft.

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Housing Options: Studio

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Building Type: Single-story

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Transportation Services

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Fitness and Recreation

Types of Care at Pioneer by Americare

Skilled Nursing Hospice Care
Contact Pioneer by Americare
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Places of interest near Pioneer by Americare

Address 50.5 miles from city center

Address 1500 S Kansas Ave, Marceline, MO 64658

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Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

108
Total Staff
93
Employees
15
Contractors
23,825
Total Hours (Quarter)
33
Avg Staff/Day
7.9
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse98.8 Yes
Licensed Practical Nurse179.9 Yes
Certified Nursing Assistant338.7 No
Staff by Category
Administration
1 staff
8hs shift avg
Nursing Staff
72 staff
9hs shift avg
Physicians & Practitioners
4 staff
7.7hs shift avg
Therapy Services
27 staff
5.9hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
1 staff
6.5hs shift avg
Dietary Services
1 staff
7.3hs shift avg
Other Services
2 staff
8.3hs shift avg
Contractor Analysis
7.2%
of total hours from contractors
1,716 contractor hours this quarter
Speech Language Pathologist: 3 Physical Therapy Aide: 2 Licensed Practical Nurse: 4 Qualified Social Worker: 1 Registered Nurse: 2 Physical Therapy Assistant: 1 Respiratory Therapy Technician: 2
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant330338,67191100%8.7
Physical Therapist190193,87691100%6.3
Licensed Practical Nurse134172,5639099%9.9
Medication Aide/Technician9091,92691100%10.4
Registered Nurse7291,0506470%8.8
RN Director of Nursing2028756066%8
Nurse Aide in Training2027816571%9.1
Speech Language Pathologist0334926774%6.6
Physical Therapy Aide0224816875%6.3
Administrator1014725965%8
Other Dietary Services Staff1014706470%7.3
Mental Health Service Worker1014605055%9.2
Dental Services Staff1014465965%7.6
Qualified Social Worker0114266673%6.5
Clinical Nurse Specialist3034195358%7.6
Nurse Practitioner1013124044%7.8
Physical Therapy Assistant011813943%2.1
Respiratory Therapy Technician022243336%0.7

Health Inspection History

Source: CMS Health Citations (Oct 2019 – Mar 2025)

5
Inspections
22
Total Citations
1
Critical (J-L)
1
Serious (G-I)
4.4
Citations/Inspection
Mar 2025
Last Inspection
Citation Severity Distribution
Minor (A-C)
0
Moderate (D-F)
20
Serious (G-I)
1
Critical (J-L)
1
What do these levels mean?
Top Deficiency Categories
Quality of Life & Care
7
32% of total
Abuse, Neglect & Exploitation
4
18% of total
Resident Rights
3
14% of total
Infection Control
2
9% of total
Pharmacy Services
2
9% of total
Citation Sources
Standard Inspections 17
Complaint Investigations 5
State Comparison (MO)
Avg Citations (State)
36.5
This Facility: 22
Avg Critical (State)
0.7
This Facility: 1
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
Mar 20, 2025 F Infection ControlF0880 Corrected
Mar 20, 2025 E Infection ControlF0883 Corrected
Mar 20, 2025 F NutritionF0812 Corrected
Mar 20, 2025 D Quality of CareF0689 Corrected
Mar 20, 2025 D Quality of CareF0692 Corrected
Mar 20, 2025 D Quality of CareF0698 Corrected
Mar 20, 2025 E Resident RightsF0569 Corrected
Dec 17, 2024 D Abuse/NeglectF0609 Corrected
Dec 17, 2024 D Abuse/NeglectF0610 Corrected
Dec 17, 2024 E Quality of CareF0677 Corrected
Jun 13, 2023 F NutritionF0812 Corrected
Jun 13, 2023 J Quality of CareF0684 Corrected
Jun 13, 2023 E Quality of CareF0695 Corrected
Jun 13, 2023 E Resident RightsF0584 Corrected
Jan 26, 2023 G Abuse/NeglectF0600 Corrected
Jan 26, 2023 D Abuse/NeglectF0609 Corrected
Oct 03, 2019 F NutritionF0812 Corrected
Oct 03, 2019 D PharmacyF0759 Corrected
Oct 03, 2019 D PharmacyF0761 Corrected
Oct 03, 2019 D Quality of CareF0689 Corrected
Oct 03, 2019 D Care PlanningF0658 Corrected
Oct 03, 2019 D Resident RightsF0584 Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit Corporation
Part of: AMERICARE SENIOR LIVING
Resident Census by Payment Source
47 Total Residents
Medicare 3 (6.4%)
Medicaid 22 (46.8%)
Private Pay/Other 22 (46.8%)
Programs & Services
Residents' Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality Measures

CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.

Source: CMS Nursing Home Compare (Data as of Jan 2026)

High-Risk Clinical Events
10.5 Score
Near average State avg: 10.9

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
18.1 Score
7% better than avg State avg: 19.5

Composite score based on ADL decline, walking ability decline, and incontinence

Long-Stay Resident Measures

Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.

Need for Help with Daily Activities Increased
17.8%
Lost Too Much Weight
7.0%
Urinary Tract Infection
3.3%
Depressive Symptoms
0.0%
Falls with Major Injury
8.5%
Pneumococcal Vaccine
87.8%
Antipsychotic Use
17.4%
Walking Ability Worsened
17.2%
Influenza Vaccine
89.1%
High Risk Residents with Pressure Ulcers
1.8%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
19.3%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
58.4% 12% worse than avg State: 66.6%
Short-Stay Residents Who Received a New Antipsychotic Medication
1.5% 35% better than avg State: 2.2%
Influenza Vaccine
30.0% 53% worse than avg State: 63.5%

Penalties & 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 $77K State avg: $73K 5% worse than avg
Number of Fines 2 State avg: 2.4
Compared to State Average Facility: $77K | State Avg: $73K
Penalty History

Showing all 2 penalties (Jan 2023 - Jun 2023)

Jun 13, 2023 Civil Money Penalty
$47K
Jan 26, 2023 Civil Money Penalty
$29K
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Guides for Better Senior Living

From costs to care, explore the most important topics to make informed decisions about your future.

Claim What’s Yours: Financial Aid for Missouri Seniors

Program
State Program Name
Eligibility
Benefits
Aged and Disabled Waiver
Missouri Medicaid A&D Waiver
Official government program page
  • General: Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.
  • Income Limits (2025): ~$2,829/month (300% FBR, individual).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • MO Specifics: Rural access prioritized.
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$65/day), home health services.
Missouri Supplemental Nursing Care (SNC)
  • General: Age 65+, Missouri resident, in approved facility.
  • Income Limits: ~$1,215/month (individual).
  • Asset Limits: $2,000 (individual).
  • MO Specifics: Supplements SSI; facility-based only.
  • Services: Monthly cash payment (~$156-$292/month) for care costs.
Structured Family Caregiving Waiver (SFCW)
Missouri Structured Family Caregiving Waiver
Official government program page
  • General: Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.
  • Income Limits (2025): ~$2,901/month (300% FBR, individual); QIT required.
  • Asset Limits: $5,909.25 (individual), $11,818.45 (couple).
  • MO Specifics: Caregiver must be family; small program size.
  • Services: Cash stipend ($1,000-$1,500/month) to family caregiver, respite, training, supplies ($500/year).
MO HealthNet Aged, Blind, and Disabled (ABD)
Missouri MO HealthNet ABD
Official government program page
  • General: Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.
  • Income Limits (2025): ~$1,690/month (individual, projected); spenddown allowed.
  • Asset Limits: $5,909.25 (individual), $11,818.45 (couple).
  • MO Specifics: Less intensive than waivers; statewide access.
  • Services: Personal care (2-4 hours/day), homemaker services, limited respite, medical equipment.
Medicare Savings Program (MSP)
Missouri Medicare Savings Program
Official government program page
  • General: Age 65+ or disabled, Missouri resident, Medicare Part A/B.
  • Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits: $9,430 (individual), $14,130 (couple).
  • MO Specifics: Three tiers; no waitlist; includes Extra Help for Part D.
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Missouri Caregiver Program (Customized Caregiver Training & Relief)
Missouri Caregiver Program
Official government program page
  • General: Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).
  • Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year individual).
  • Asset Limits: Not assessed; need-based.
  • MO Specifics: Administered via AAAs and Alzheimer’s Association; rural focus.
  • Services: Respite (4-6 hours/week), training, assistive tech ($500/year), supplies.
Senior Community Service Employment Program (SCSEP)
  • General: Age 55+, unemployed, low-income, Missouri resident.
  • Income Limits (2025): ~$1,983/month (125% FPL).
  • Asset Limits: Not specified; income-focused.
  • MO Specifics: Priority for veterans, rural residents; AARP partnership.
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
Missouri VA Aid and Attendance/Housebound
  • General: Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.
  • Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits: ~$155,356 (net worth limit).
  • MO Specifics: High veteran demand in rural/urban areas.
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).

Claim What’s Yours Financial Aid for Missouri Seniors

Missouri Medicaid A&D Waiver

Aged and Disabled Waiver

Requirements:
  • General:
    Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.
  • Income Limits (2025):
    ~$2,829/month (300% FBR, individual).
  • Asset Limits:
    $2,000 (individual), $3,000 (couple).
  • MO Specifics:
    Rural access prioritized.
Benefits without Contact:
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$65/day), home health services.
MO SNC

Missouri Supplemental Nursing Care (SNC)

Requirements:
  • General:
    Age 65+, Missouri resident, in approved facility.
  • Income Limits:
    ~$1,215/month (individual).
  • Asset Limits:
    $2,000 (individual).
  • MO Specifics:
    Supplements SSI; facility-based only.
Benefits without Contact:
  • Services: Monthly cash payment (~$156-$292/month) for care costs.
Missouri Structured Family Caregiving Waiver

Structured Family Caregiving Waiver (SFCW)

Requirements:
  • General:
    Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.
  • Income Limits (2025):
    ~$2,901/month (300% FBR, individual); QIT required.
  • Asset Limits:
    $5,909.25 (individual), $11,818.45 (couple).
  • MO Specifics:
    Caregiver must be family; small program size.
Benefits without Contact:
  • Services: Cash stipend ($1,000-$1,500/month) to family caregiver, respite, training, supplies ($500/year).
Missouri MO HealthNet ABD

MO HealthNet Aged, Blind, and Disabled (ABD)

Requirements:
  • General:
    Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.
  • Income Limits (2025):
    ~$1,690/month (individual, projected); spenddown allowed.
  • Asset Limits:
    $5,909.25 (individual), $11,818.45 (couple).
  • MO Specifics:
    Less intensive than waivers; statewide access.
Benefits without Contact:
  • Services: Personal care (2-4 hours/day), homemaker services, limited respite, medical equipment.
Missouri Medicare Savings Program

Medicare Savings Program (MSP)

Requirements:
  • General:
    Age 65+ or disabled, Missouri resident, Medicare Part A/B.
  • Income Limits (2025):
    ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits:
    $9,430 (individual), $14,130 (couple).
  • MO Specifics:
    Three tiers; no waitlist; includes Extra Help for Part D.
Benefits without Contact:
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Missouri Caregiver Program

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Requirements:
  • General:
    Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).
  • Income Limits (2025):
    No strict cap; prioritizes low-income (~$24,980/year individual).
  • Asset Limits:
    Not assessed; need-based.
  • MO Specifics:
    Administered via AAAs and Alzheimer’s Association; rural focus.
Benefits without Contact:
  • Services: Respite (4-6 hours/week), training, assistive tech ($500/year), supplies.
Missouri SCSEP

Senior Community Service Employment Program (SCSEP)

Requirements:
  • General:
    Age 55+, unemployed, low-income, Missouri resident.
  • Income Limits (2025):
    ~$1,983/month (125% FPL).
  • Asset Limits:
    Not specified; income-focused.
  • MO Specifics:
    Priority for veterans, rural residents; AARP partnership.
Benefits without Contact:
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
Missouri VA Aid and Attendance/Housebound

VA Aid and Attendance (A&A) and Housebound Benefits

Requirements:
  • General:
    Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.
  • Income Limits (2025):
    Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits:
    ~$155,356 (net worth limit).
  • MO Specifics:
    High veteran demand in rural/urban areas.
Benefits without Contact:
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
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