3/5
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.
3/5
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.
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.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 87th out of 282 homes 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 21m per day | ▼ 24% State avg: 28m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 39m per day | ▼ 6% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
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 9m per day | ▼ 8% State avg: 2h 20m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 36m per day | ▼ 15% State avg: 3h 3m per day · National avg: 3h 26m per day |
|
Physical Therapist
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 per day | ▼ 89% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
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.
| 14m per day | ▼ 29% State avg: 20m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
37% more staff per resident than Missouri average
0% compared with Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 8 RN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursAssists with medical care and medications.
All 8 LPN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursHelps with daily care and mobility.
All 37 CNA Staff are full-time employees. No contractors work on this role.
37
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,360 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 37 | 0 | 37 | 8,654 | 92 | 100% | 8.5 |
| Physical Therapist | 23 | 0 | 23 | 3,788 | 92 | 100% | 6.4 |
| Licensed Practical Nurse | 8 | 0 | 8 | 2,398 | 92 | 100% | 9.5 |
| Medication Aide/Technician | 9 | 0 | 9 | 1,793 | 79 | 86% | 9.9 |
| Registered Nurse | 8 | 0 | 8 | 1,338 | 86 | 93% | 8.7 |
| RN Director of Nursing | 2 | 0 | 2 | 906 | 64 | 70% | 7.8 |
| Nurse Aide in Training | 4 | 0 | 4 | 621 | 49 | 53% | 10.9 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 490 | 60 | 65% | 8.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 486 | 49 | 53% | 9.9 |
| Dental Services Staff | 1 | 0 | 1 | 445 | 56 | 61% | 7.9 |
| Speech Language Pathologist | 0 | 3 | 3 | 442 | 68 | 74% | 6.1 |
| Nurse Practitioner | 1 | 0 | 1 | 436 | 56 | 61% | 7.8 |
| Physical Therapy Aide | 0 | 2 | 2 | 431 | 67 | 73% | 6.4 |
| Qualified Social Worker | 0 | 1 | 1 | 378 | 63 | 68% | 6 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 59 | 7 | 8% | 8.4 |
| Physical Therapy Assistant | 0 | 1 | 1 | 49 | 28 | 30% | 1.7 |
| Medical Director | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 18 | 26 | 28% | 0.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 14 | 2 | 2% | 6.8 |
| Therapeutic Recreation Specialist | 0 | 1 | 1 | 6 | 1 | 1% | 5.8 |
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)
5% higher than Missouri averageMissouri average: $73K
18% fewer fines than Missouri averageMissouri average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Missouri averageMissouri average: 0.7
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.5
In line with Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.1
7% better than Missouri averageMissouri average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
17.8%
10% better than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
17.2%
17% better than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.3%
7% worse than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
8.5%
110% worse than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
1.8%
64% better than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
3.3%
20% worse than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
7.0%
26% worse than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
17.4%
21% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
87.8%
In line with Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.1%
In line with Missouri averageMissouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.32
37% better than Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.15
9% better than Missouri averageMissouri average: 2.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
58.4%
12% worse than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
35% better than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
30.0%
53% worse than Missouri averageMissouri average: 63.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.3%
12% better than Missouri averageMissouri average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.1%
32% better than Missouri averageMissouri average: 13.4%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Missouri averageMissouri average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
53.6%
In line with Missouri averageMissouri average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
63.1%
25% better than Missouri averageMissouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
40% of new residents, usually for short-term rehab.
38% of new residents, often for short stays.
22% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
47Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Pioneer by Americare from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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."
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."
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."
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."
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.
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 #219 / 292Payroll — State benchmarkedThis home is ranked 219th out of 292 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.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 #184 / 292Payroll % — State benchmarkedThis home is ranked 184th out of 292 homes in Missouri. Shows payroll as a percentage of revenue versus the Missouri average. Well-run Missouri facilities typically land around 60–71% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Pets Allowed
Room Sizes: 215 / 240 / 300 / 330 sq. ft.
Housing Options: Studio
Building Type: Single-story
Transportation Services
Fitness and Recreation
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.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.1 miles from city center
Estimated distance in miles from Marceline's city center to Pioneer by Americare's address, calculated via Google Maps.
Add your location
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| Pioneer by Americare | NH HC | Marceline | 96
Facility
96
MO AVG
97
Rank
#201 / 454 |
54.5%
Facility
54.5%
MO AVG
66.6%
Rank
#321 / 434 | -18% | 4.09
Facility
4.09
MO AVG
3.74
Rank
#87 / 282 | -5% | +9% | $47.5k
Facility
$47.5k
MO AVG
$76.9k
Rank
#230 / 289 | 22
Facility
22
MO AVG
36.5
Rank
#89 / 287 | 4.4
Facility
4.4
MO AVG
5.7
Rank
#98 / 287 | 2 | 56 | - |
4
Facility
4
MO AVG
45
Rank
#530 / 563 | Pioneer Nursing, LLC | $5.1M
Facility
$5.1M
MO AVG
$8.4M
Rank
#204 / 292 | $2.5M
Facility
$2.5M
MO AVG
$3.3M
Rank
#219 / 292 | 49.5%
Facility
49.5%
MO AVG
45.6%
Rank
#184 / 292 | 265169 | ||||
| Valley View Health & Rehabilitation | NH | Moberly | 96
Facility
96
MO AVG
97
Rank
#201 / 454 |
79.2%
Facility
79.2%
MO AVG
66.6%
Rank
#121 / 434 | +19% | 3.41
Facility
3.41
MO AVG
3.74
Rank
#187 / 282 | +33% | -9% | $62.4k
Facility
$62.4k
MO AVG
$76.9k
Rank
#236 / 289 | 31
Facility
31
MO AVG
36.5
Rank
#146 / 287 | 3.4
Facility
3.4
MO AVG
5.7
Rank
#46 / 287 | 4 | 74 | - |
68
Facility
68
MO AVG
45
Rank
#92 / 563 | Zelig Friedman | $6.8M
Facility
$6.8M
MO AVG
$8.4M
Rank
#84 / 292 | $3.5M
Facility
$3.5M
MO AVG
$3.3M
Rank
#134 / 292 | 50.9%
Facility
50.9%
MO AVG
45.6%
Rank
#249 / 292 | 265536 | ||||
| Aspire of Moberly | NH HC MC NC PC RC | Moberly (East Urbandale Drive) | 101
Facility
101
MO AVG
97
Rank
#176 / 454 |
57.3%
Facility
57.3%
MO AVG
66.6%
Rank
#299 / 434 | -14% | 3.60
Facility
3.60
MO AVG
3.74
Rank
#161 / 282 | -21% | -4% | $79.3k
Facility
$79.3k
MO AVG
$76.9k
Rank
#252 / 289 | 33
Facility
33
MO AVG
36.5
Rank
#158 / 287 | 6.6
Facility
6.6
MO AVG
5.7
Rank
#206 / 287 | 2 | 69 | - |
16
Facility
16
MO AVG
45
Rank
#467 / 563 | - | $5.4M
Facility
$5.4M
MO AVG
$8.4M
Rank
#164 / 292 | $3.7M
Facility
$3.7M
MO AVG
$3.3M
Rank
#141 / 292 | 67.8%
Facility
67.8%
MO AVG
45.6%
Rank
#65 / 292 | 265407 |
Pioneer by Americare is located in Marceline, Missouri.
Here are the financial assistance programs available to residents in Missouri.
Pioneer by Americare is in the Marceline neighborhood.
Pioneer by Americare has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.
Pioneer by Americare's occupancy is 54.5%.
Pioneer by Americare is registered as a for-profit.
Yes — there are 4 photos of Pioneer by Americare in the photo gallery on this page.
Pioneer by Americare is located at 1500 S Kansas Ave, Marceline, MO 64658.
(660) 376-2001 will put you in contact with the team at Pioneer by Americare.
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