Pioneer by Americare

Nursing Home in Moberly

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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.
Pioneer by Americare

Nursing Home in Moberly

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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.
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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.

(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.
2/5 ▼ 0.5 Missouri average: 2.5/5
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.
3/5 ▲ 0.2 Missouri average: 2.8/5
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.
1/5 ▼ 1.2 Missouri average: 2.2/5
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.
4/5 ▲ 1.3 Missouri average: 2.7/5

Staffing hours breakdown

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 — compared to Missouri state averages

Total nursing care / resident Info This home is ranked 71st out of 239 homes in Missouri.

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 5m per day
Rank #71 / 239Nurse hours — state benchmarkedThis home is ranked 71st out of 239 homes in Missouri.Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 239 Missouri SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
This facility Missouri avg (3h 44m per day)
vs Missouri avg
+9%

4 of 5 metrics below state avg

Standout metric LPN / LVN is +17% above state avg
Staff typeHours / dayvs 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. 17m per day ▼ 39% 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 per day ▲ 17% 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 3m per day ▼ 12% State avg: 2h 20m per day · National avg: 2h 21m per day
Total Nursing (Weekend) 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. 2h 56m per day ▼ 4% State avg: 3h 3m per day · National avg: 3h 26m per day
RN (Weekend) 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. 10m per day ▼ 50% State avg: 20m per day · National avg: 29m per day

Capacity and availability

This home usually has availability

Occupancy lower than 85% suggests more openings may be available.

Lower occupancy than the Missouri average: 66.6%
Occupancy rate 54.5% Rank #207 / 245Occupancy rate — state benchmarkedThis home is ranked 207th out of 245 homes in Missouri.Shows this facility's occupancy rate versus the Missouri average, with its statewide rank out of 245. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay 116 days
Occupancy rate
54.5% Rank #207 / 245Occupancy rate — state benchmarkedThis home is ranked 207th out of 245 homes in Missouri.Shows this facility's occupancy rate versus the Missouri average, with its statewide rank out of 245. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
116 days

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.

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

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$5.1M
Profit
$636.9K
Privately-owned community Operated by a business corporation.
Home revenue
$5.1M Rank #158 / 245Revenue — state benchmarkedThis home is ranked 158th out of 245 homes in Missouri.Shows this facility's annual revenue compared to the Missouri SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Profit
$636.9K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #162 / 245Payroll — state benchmarkedThis home is ranked 162nd out of 245 homes in Missouri.Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$2.2M
42.9% of revenue Rank #121 / 245Payroll % — state benchmarkedThis home is ranked 121st out of 245 homes in Missouri.Shows payroll as a percentage of revenue versus the Missouri average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.3M
Total costs $4.4M
Walk Score
Walk Score: 4 / 100 Rank #63 / 66Walk Score — state benchmarkedThis home is ranked 63rd out of 66 homes in Missouri.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Missouri SNFs. Higher scores benefit residents, families, and staff.
Car-dependent. Most errands require a car, with limited nearby walkable options.

What does this home offer?

Pets allowed icon
Pets allowed icon

Pets Allowed: Yes, 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

Types of Care at Pioneer by Americare

Skilled Nursing Hospice Care

Contact Pioneer by Americare

Health Inspection History

Inspections
Total health inspections 5

Missouri average 6.6


Last Health inspection on Mar 2025

Total health citations
22 Rank #77 / 243Health citations — state benchmarkedThis home is ranked 77th out of 243 homes in Missouri.Shows this facility's total health deficiency citations benchmarked to the Missouri state average, with a ranking across all 243 MO SNFs. Lower citation counts earn a better rank.

Missouri average 36.5

Citations per inspection
4.4 Rank #82 / 243Citations per inspection — state benchmarkedThis home is ranked 82nd out of 243 homes in Missouri.Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 243 SNFs with citation data. Lower is better.

Missouri 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 3 years)
Critical Health citations More info
1
43% worse than Missouri average

Missouri average: 0.7


Serious Health citations More info 1
In line with Missouri average

Missouri average: 1

1 critical citation More info Missouri average: 0.7

1 serious citation More info Missouri average: 1

20 moderate citations More info Missouri average: 33.6

0 minor citations More info Missouri average: 1.2
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Mar 20, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Mar 20, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Mar 20, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Mar 20, 2025
Corrected

Financial Assistance for
Nursing Home in Missouri

Pioneer by Americare is located in Marceline, Missouri.
Here are the financial assistance programs available to residents in Missouri.

Get Financial aid guidance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled
General 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

Rural access prioritized.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$65/day) Home health services

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+
General Missouri resident, in approved facility.
Income Limits ~$1,215/month individual
Asset Limits $2,000 individual
MO

Supplements SSI; facility-based only.

Benefits
Monthly cash payment (~$156-$292/month) for care costs

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+
General 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

Caregiver must be family; small program size.

Benefits
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

Age 65+ or disabled
General 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

Less intensive than waivers; statewide access.

Benefits
Personal care (2-4 hours/day) Homemaker services Limited respite Medical equipment

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled
General 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

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Age
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

Administered via AAAs and Alzheimer’s Association; rural focus.

Benefits
Respite (4-6 hours/week) Training Assistive tech ($500/year) Supplies

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

Age 55+
General unemployed, low-income, Missouri resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified; income-focused.
MO

Priority for veterans, rural residents; AARP partnership.

Benefits
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

Age 65+ or disabled veteran/spouse
General 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

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Places of interest near Pioneer by Americare

Address 50.5 miles from city center Info Estimated distance in miles from Marceline's city center to Pioneer by Americare's address, calculated via Google Maps.

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 108
Employees 93
Contractors 15
Staff to resident ratio 2.30:1
34% better than Missouri average

Missouri average ratio: 1.71:1

Avg staff/day 33
Average shift 7.9 hours
0% compared with Missouri average

Missouri average: 8.1 hours

Total staff hours (quarter) 23,825
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 17
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.9 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 33
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

7.2%

1,716 contractor hours this quarter

Licensed Practical Nurse: 4 Speech Language Pathologist: 3 Physical Therapy Aide: 2 Registered Nurse: 2 Respiratory Therapy Technician: 2 Qualified Social Worker: 1 Physical Therapy Assistant: 1
Staff by category
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
33 Certified Nursing Assistant
% of Days 100%
19 Physical Therapist
% of Days 100%
17 Licensed Practical Nurse
% of Days 99%
9 Medication Aide/Technician
% of Days 100%
9 Registered Nurse
% of Days 70%
2 RN Director of Nursing
% of Days 66%
2 Nurse Aide in Training
% of Days 71%
3 Speech Language Pathologist
% of Days 74%
2 Physical Therapy Aide
% of Days 75%
1 Administrator
% of Days 65%
1 Other Dietary Services Staff
% of Days 70%
1 Mental Health Service Worker
% of Days 55%
1 Dental Services Staff
% of Days 65%
1 Qualified Social Worker
% of Days 73%
3 Clinical Nurse Specialist
% of Days 58%
1 Nurse Practitioner
% of Days 44%
1 Physical Therapy Assistant
% of Days 43%
2 Respiratory Therapy Technician
% of Days 36%

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.

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
Below 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%

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
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
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Jun 13, 2023 · $47K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jun 13, 2023
$47K

Last updated: Jan 2026

Compare Nursing Homes around Moberly The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.

1 facility compared · CMS & MO Dept. of Health data · Updated Apr 2026

Filter by care type
Pioneer by Americare
HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

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).

Marceline96 54.5% -18%4.09 +6%+9%2224.4251 4 Pioneer Nursing, Llc$5.1M$2.2M42.9%265169

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