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Pioneer by Americare
Nursing Home, Home Care, Hospice Care & Skilled Nursing · Marceline, MO
CMS overall rating Info 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.
Signage for Pioneer skilled nursing facility with landscaping Bright common area with tables and chairs Cozy interior of a living unit with dining table Brightly lit resident room with a bed and couch

Pioneer by Americare

Nursing Home, Home Care, Hospice Care & Skilled Nursing · Marceline, MO
CMS overall rating Info 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.
1500 S Kansas Ave, Marceline, MO 64658 View map Calculator: See prices in your area
Pioneer by Americare accepts Medicare, Medicaid, and private pay.
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Pioneer by Americare accepts Medicare, Medicaid, and private pay.

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.

Facility Direct Line (660) 376-2001
Facility Direct Line (660) 376-2001

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 20.8% Above MO avg. ▲ 20.8% Above MO avg.MO average: 2.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 8.1% Above MO avg. ▲ 8.1% Above MO avg.MO average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 8.6% Below MO avg. ▼ 8.6% Below MO avg.MO average: 2.2Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 50.5% Above MO avg. ▲ 50.5% Above MO avg.MO average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Missouri averages

Rank #77 / 268Nurse hours — State benchmarkedThis home is ranked 77th out of 268 homes we track in Missouri for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 268 Missouri facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 77th out of 268 homes we track in Missouri 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.

4h 8m

11% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
34m
+20% State avg: 28m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
48m
+16% State avg: 41m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
2h 47m
+19% State avg: 2h 20m per day · National avg: 2h 21m per day
Weekend Total Nursing Info 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.
3h 23m
+11% State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
0m
−92% State avg: 2m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
20m
Avg State avg: 20m per day · National avg: 29m per day

1 of 6 metrics below state avg

Standout metric: Registered Nurse (RN) is +20% above Missouri average

By The Numbers

Community insights.

Bed count Info A larger shared setting that may offer more common spaces and organized community services. 96 Rank #199 / 450Bed count — State benchmarkedThis home is ranked 199th out of 450 homes we track in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Smaller home · May offer a more intimate, personalized care environment.

Walk Score Info Car-dependent. Most errands require a car, with limited nearby walkable options. Rank #527 / 545Walk Score — State benchmarkedThis home is ranked 527th out of 545 homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
4 / 100
Occupancy rate Info Occupancy lower than 85% suggests more openings may be available. Rank #296 / 407Occupancy rate — State benchmarkedThis home is ranked 296th out of 407 homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 407. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
57% This home usually has availability
Lower occupancy than the Missouri average: 66.5%
Residents per day (avg) Info The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
54
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
116 days

Contact Pioneer by Americare

CMS Health Inspection History

Inspections Since 2019 · 7 years of data
Total health inspections 5

State average 6.6

Last Health inspection on Mar 2025

Total health citations
22 Rank #85 / 274Health citations — State benchmarkedThis home is ranked 85th out of 274 homes we track in Missouri for health citations. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 274 MO facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 36.5

Citations per inspection
4.4 Rank #92 / 274Citations per inspection — State benchmarkedThis home is ranked 92nd out of 274 homes we track in Missouri for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 274 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 5.67

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

17 of 22 citations resulted from standard inspections; and 5 of 22 resulted from complaint investigations.

Breakdown of citation severity (last 7 years)
Critical health citations
1
43% worse than State average

State average: 0.7

Serious health citations
1
In line with State average

State average: 1

1 critical citation State average: 0.7
1 serious citation State average: 1
20 moderate citations State average: 33.6
0 minor citations State average: 1.2
Citations history (last 7 years)
Infection Control moderate citation Mar 20, 2025
Corrected
Infection Control moderate citation Mar 20, 2025
Corrected
Nutrition moderate citation Mar 20, 2025
Corrected
Quality of Care moderate citation Mar 20, 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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 109
Employees 97
Contractors 12
Staff to resident ratio 2.32 : 1
37% more staff per resident than Missouri average
Missouri average ratio: 1.69 : 1 Missouri average ratio: 1.69 : 1See full Missouri ranking
Avg staff/day 32
Average shift 7.9 hours
0% compared with Missouri average
Missouri average: 8.1 hours Missouri average shift: 8.1 hoursSee full Missouri ranking
Total staff hours (quarter) 23,269

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 8 RN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 8 LPN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 37 CNA Staff are full-time employees. No contractors work on this role. 37
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

5.8%

1,360 contractor hours this quarter

Speech Language Pathologist: 3 Physical Therapy Aide: 2 Respiratory Therapy Technician: 2 Qualified Social Worker: 1 Physical Therapy Assistant: 1 Therapeutic Recreation Specialist: 1 Occupational Therapy Assistant: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant370378,65492100%8.5
Physical Therapist230233,78892100%6.4
Licensed Practical Nurse8082,39892100%9.5
Medication Aide/Technician9091,7937986%9.9
Registered Nurse8081,3388693%8.7
RN Director of Nursing2029066470%7.8
Nurse Aide in Training4046214953%10.9
Administrator1014966267%8
Other Dietary Services Staff1014906065%8.2
Mental Health Service Worker1014864953%9.9
Dental Services Staff1014455661%7.9
Speech Language Pathologist0334426874%6.1
Nurse Practitioner1014365661%7.8
Physical Therapy Aide0224316773%6.4
Qualified Social Worker0113786368%6
Clinical Nurse Specialist1015978%8.4
Physical Therapy Assistant011492830%1.7
Medical Director0112433%8
Respiratory Therapy Technician022182628%0.7
Occupational Therapy Assistant0111422%6.8
Therapeutic Recreation Specialist011611%5.8
37 Certified Nursing Assistant
% of Days 100%
23 Physical Therapist
% of Days 100%
8 Licensed Practical Nurse
% of Days 100%
9 Medication Aide/Technician
% of Days 86%
View All Staffing Data

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 $77K Rank #218 / 276Federal fines — State benchmarkedThis home is ranked 218th out of 276 homes we track in Missouri for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 276 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
5% higher than Missouri average

Missouri average: $73K

Number of fines 2
18% fewer fines than Missouri average

Missouri average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Missouri average

Missouri average: 0.7

Fines amount comparison
Fines amount comparison
This facility $77K
Missouri average $73K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 10.5
In line with Missouri average

Missouri average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 18.1
7% better than Missouri average

Missouri average: 19.5

Long-stay resident measures
Average Missouri avg: 2.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 17.8%
10% better than Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 17.2%
17% better than Missouri average

Missouri average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 19.3%
7% worse than Missouri average

Missouri average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 8.5%
110% worse than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.8%
64% better than Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.3%
20% worse than Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.0%
26% worse than Missouri average

Missouri average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Missouri average

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 17.4%
21% better than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 87.8%
In line with Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 89.1%
In line with Missouri average

Missouri average: 90.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.32
37% better than Missouri average

Missouri average: 2.08

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.15
9% better than Missouri average

Missouri average: 2.35

Short-stay resident measures
Significantly above average Missouri avg: 2.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 58.4%
12% worse than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.5%
35% better than Missouri average

Missouri average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 30.0%
53% worse than Missouri average

Missouri average: 63.5%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 22.3%
12% better than Missouri average

Missouri average: 25.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 9.1%
32% better than Missouri average

Missouri average: 13.4%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Missouri average

Missouri average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 53.6%
In line with Missouri average

Missouri average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 63.1%
25% better than Missouri average

Missouri average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

40% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

38% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

22% of new residents, often for long-term daily care.

Typical stay 11 - 12 months

Facility Characteristics

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

Total residents 47
Medicare
3
6.4% of residents
Medicaid
22
46.8% of residents
Private pay or other
22
46.8% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.1M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$634.1K
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.1M Rank #154 / 251Net patient revenue — State benchmarkedThis home is ranked 154th out of 251 homes we track in Missouri. Shows this facility's net patient revenue compared to the Missouri average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$634.1K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$2.8K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #172 / 251Payroll costs — State benchmarkedThis home is ranked 172nd out of 251 homes we track in Missouri. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Missouri average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$2.5M 49.5% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #168 / 251Payroll % of net patient revenue — State benchmarkedThis home is ranked 168th out of 251 homes we track in Missouri. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$1.9M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$4.4M
How we calculate these figures

This home is owned by Pioneer Nursing, LLC

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 265169

Show certification details

What does this home offer?

Pets allowed icon
Pets allowed icon

Pets Allowed

Room sizes icon
Room sizes icon

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

Housing options icon
Housing options icon

Housing Options: Studio

Building type icon
Building type icon

Building Type: Single-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (40% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
145 total

Coverage residents most often arrive under.

Medicare 40%
Private pay 38%
Medicaid 22%
Discharges
165 total

Coverage residents most often leave under.

Medicare 39%
Private pay 34%
Medicaid 27%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Pioneer by Americare

Address 1.1 miles from city center Info Estimated distance in miles from Marceline's city center to Pioneer by Americare's address, calculated via Google Maps.

Calculate Travel Distance to Pioneer by Americare

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Address

Compare Nursing Homes around the area

Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Missouri average is: 54.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
St. Clair Nursing Center ★ ★ ★ ★ ★
NH
HOS
MC
SNF
St Clair
79
Facility 79
MO AVG 96
Rank #273 / 450
73.4%
Facility 73.4%
MO AVG 66.5%
Rank #159 / 407
+10%
3.81
Facility 3.81
MO AVG 3.74
Rank #116 / 268
 ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ -19%+2%
$12.7k
Facility $12.7k
MO AVG $76.9k
Rank #170 / 276
7
Facility 7
MO AVG 36.5
Rank #6 / 274
2.3
Facility 2.3
MO AVG 5.7
Rank #10 / 274
-58A+
48
Facility 48
MO AVG 46
Rank #261 / 545
St. Clair Nursing LLC
$5.7MFiscal year ending 12/2023
Facility $5.7MFiscal year ending 12/2023
MO AVG $7.4M
Rank #125 / 251
$3.1MFiscal year ending 12/2023
Facility $3.1MFiscal year ending 12/2023
MO AVG $3.9M
Rank #131 / 251
55.5%Fiscal year ending 12/2023
Facility 55.5%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #105 / 251
265495
Southbrook ★ ★ ★ ★ ★
NH
HC
HOS
SNF
Farmington
104
Facility 104
MO AVG 96
Rank #164 / 450
83.7%
Facility 83.7%
MO AVG 66.5%
Rank #80 / 407
+26%
3.45
Facility 3.45
MO AVG 3.74
Rank #163 / 268
 ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ +22%-8%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
14
Facility 14
MO AVG 36.5
Rank #39 / 274
7.0
Facility 7.0
MO AVG 5.7
Rank #212 / 274
-87-
39
Facility 39
MO AVG 46
Rank #326 / 545
-$5.1M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$3.1M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.60.3%*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.265389
The Manor at Elfindale ★ ★ ★ ★ ☆
NH
HOS
MC
SNF
Springfield (Fassnight)
100
Facility 100
MO AVG 96
Rank #175 / 450
93.0%
Facility 93.0%
MO AVG 66.5%
Rank #22 / 407
+40%
4.92
Facility 4.92
MO AVG 3.74
Rank #26 / 268
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ -1%+32%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
3
Facility 3
MO AVG 36.5
Rank #1 / 274
3.0
Facility 3.0
MO AVG 5.7
Rank #23 / 274
-93A+
51
Facility 51
MO AVG 46
Rank #240 / 545
Vetter Senior Living
$11.3MFiscal year ending 06/2024
Facility $11.3MFiscal year ending 06/2024
MO AVG $7.4M
Rank #39 / 251
$7.7MFiscal year ending 06/2024
Facility $7.7MFiscal year ending 06/2024
MO AVG $3.9M
Rank #12 / 251
67.7%Fiscal year ending 06/2024
Facility 67.7%Fiscal year ending 06/2024
MO AVG 54.9%
Rank #33 / 251
265804
Pioneer by Americare ★ ★ ★ ☆ ☆
NH
HC
HOS
SNF
Marceline
96
Facility 96
MO AVG 96
Rank #199 / 450
56.6%
Facility 56.6%
MO AVG 66.5%
Rank #296 / 407
-15%
4.14
Facility 4.14
MO AVG 3.74
Rank #77 / 268
 ★ ★ ★ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ -5%+11%
$47.5k
Facility $47.5k
MO AVG $76.9k
Rank #218 / 276
22
Facility 22
MO AVG 36.5
Rank #85 / 274
4.4
Facility 4.4
MO AVG 5.7
Rank #92 / 274
254-
4
Facility 4
MO AVG 46
Rank #527 / 545
Pioneer Nursing, LLC
$5.1MFiscal year ending 12/2023
Facility $5.1MFiscal year ending 12/2023
MO AVG $7.4M
Rank #154 / 251
$2.5MFiscal year ending 12/2023
Facility $2.5MFiscal year ending 12/2023
MO AVG $3.9M
Rank #172 / 251
49.5%Fiscal year ending 12/2023
Facility 49.5%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #168 / 251
265169
Odessa Health Care Center ★ ☆ ☆ ☆ ☆
NH
HOS
RC
Odessa
60
Facility 60
MO AVG 96
Rank #340 / 450
93.3%
Facility 93.3%
MO AVG 66.5%
Rank #21 / 407
+40%
1.15
Facility 1.15
MO AVG 3.74
Rank #267 / 268
 ★ ☆ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ +1%-69%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
58
Facility 58
MO AVG 36.5
Rank #238 / 274
8.3
Facility 8.3
MO AVG 5.7
Rank #245 / 274
-56-
55
Facility 55
MO AVG 46
Rank #188 / 545
Odessa Health Care Center LLC
$3.4MFiscal year ending 12/2023
Facility $3.4MFiscal year ending 12/2023
MO AVG $7.4M
Rank #221 / 251
$2.3MFiscal year ending 12/2023
Facility $2.3MFiscal year ending 12/2023
MO AVG $3.9M
Rank #186 / 251
66.9%Fiscal year ending 12/2023
Facility 66.9%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #35 / 251
265501
Nursing Home Explorer

Frequently Asked Questions about Pioneer by Americare

Is Pioneer by Americare in a walkable area?

Pioneer by Americare has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at Pioneer by Americare?

Pioneer by Americare's occupancy is 54.5%.

Are pets allowed at Pioneer by Americare?

Yes, Pioneer by Americare allows residents to bring their pets.

Does Pioneer by Americare operate as a for-profit or non-profit?

Pioneer by Americare is registered as a for-profit.

Are there photos of Pioneer by Americare?

Yes — there are 4 photos of Pioneer by Americare in the photo gallery on this page.

What is the address of Pioneer by Americare?

Pioneer by Americare is located at 1500 S Kansas Ave, Marceline, MO 64658.

What is the phone number of Pioneer by Americare?

(660) 376-2001 will put you in contact with the team at Pioneer by Americare.

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