Pioneer by Americare
Pioneer by Americare is a Nursing Home in Missouri
Pioneer by Americare is a Nursing Home in Missouri
Pioneer by Americare
Pioneer by Americare is a Nursing Home in Missouri
Pioneer by Americare is a Nursing Home in Missouri
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.
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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.
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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.
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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.
What does this home offer?
Pets Allowed: Yes, Pets Allowed
Room Sizes: 215 / 240 / 300 / 330 sq. ft.
Housing Options: Studio
Building Type: Single-story
Transportation Services
Fitness and Recreation
Types of Care at Pioneer by Americare
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Places of interest near Pioneer by Americare
50.5 miles from city center
1500 S Kansas Ave, Marceline, MO 64658
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 9 | 8.8 | Yes |
| Licensed Practical Nurse | 17 | 9.9 | Yes |
| Certified Nursing Assistant | 33 | 8.7 | No |
Staff by Category
Contractor Analysis
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 33 | 0 | 33 | 8,671 | 91 | 100% | 8.7 |
| Physical Therapist | 19 | 0 | 19 | 3,876 | 91 | 100% | 6.3 |
| Licensed Practical Nurse | 13 | 4 | 17 | 2,563 | 90 | 99% | 9.9 |
| Medication Aide/Technician | 9 | 0 | 9 | 1,926 | 91 | 100% | 10.4 |
| Registered Nurse | 7 | 2 | 9 | 1,050 | 64 | 70% | 8.8 |
| RN Director of Nursing | 2 | 0 | 2 | 875 | 60 | 66% | 8 |
| Nurse Aide in Training | 2 | 0 | 2 | 781 | 65 | 71% | 9.1 |
| Speech Language Pathologist | 0 | 3 | 3 | 492 | 67 | 74% | 6.6 |
| Physical Therapy Aide | 0 | 2 | 2 | 481 | 68 | 75% | 6.3 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 470 | 64 | 70% | 7.3 |
| Mental Health Service Worker | 1 | 0 | 1 | 460 | 50 | 55% | 9.2 |
| Dental Services Staff | 1 | 0 | 1 | 446 | 59 | 65% | 7.6 |
| Qualified Social Worker | 0 | 1 | 1 | 426 | 66 | 73% | 6.5 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 419 | 53 | 58% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 312 | 40 | 44% | 7.8 |
| Physical Therapy Assistant | 0 | 1 | 1 | 81 | 39 | 43% | 2.1 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 24 | 33 | 36% | 0.7 |
Health Inspection History
Source: CMS Health Citations (Oct 2019 – Mar 2025)
Citation Severity Distribution
Top Deficiency Categories
Citation Sources
State Comparison (MO)
Recent Citations (Last 3 Years)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Mar 20, 2025 | F | Infection Control | F0880 | Corrected |
| Mar 20, 2025 | E | Infection Control | F0883 | Corrected |
| Mar 20, 2025 | F | Nutrition | F0812 | Corrected |
| Mar 20, 2025 | D | Quality of Care | F0689 | Corrected |
| Mar 20, 2025 | D | Quality of Care | F0692 | Corrected |
| Mar 20, 2025 | D | Quality of Care | F0698 | Corrected |
| Mar 20, 2025 | E | Resident Rights | F0569 | Corrected |
| Dec 17, 2024 | D | Abuse/Neglect | F0609 | Corrected |
| Dec 17, 2024 | D | Abuse/Neglect | F0610 | Corrected |
| Dec 17, 2024 | E | Quality of Care | F0677 | Corrected |
| Jun 13, 2023 | F | Nutrition | F0812 | Corrected |
| Jun 13, 2023 | J | Quality of Care | F0684 | Corrected |
| Jun 13, 2023 | E | Quality of Care | F0695 | Corrected |
| Jun 13, 2023 | E | Resident Rights | F0584 | Corrected |
| Jan 26, 2023 | G | Abuse/Neglect | F0600 | Corrected |
| Jan 26, 2023 | D | Abuse/Neglect | F0609 | Corrected |
| Oct 03, 2019 | F | Nutrition | F0812 | Corrected |
| Oct 03, 2019 | D | Pharmacy | F0759 | Corrected |
| Oct 03, 2019 | D | Pharmacy | F0761 | Corrected |
| Oct 03, 2019 | D | Quality of Care | F0689 | Corrected |
| Oct 03, 2019 | D | Care Planning | F0658 | Corrected |
| Oct 03, 2019 | D | Resident Rights | F0584 | Corrected |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Resident Census by Payment Source
Programs & Services
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)
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
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.
Short-Stay Resident Measures
Measures for residents who stay 100 days or less (typically rehabilitation patients).
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)
Penalty History
Showing all 2 penalties (Jan 2023 - Jun 2023)
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
- 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.
- 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.
- 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).
- 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.
- 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%).
- 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.
- 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.
- 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).
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