Occupancy rate
62%
In line with Montana averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in Montana
CMS overall rating
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.
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.
Pioneer Care and Rehabilitation
Nursing Home in Montana
CMS overall rating
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.
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.
Pioneer Care and Rehabilitation
Pioneer Care and Rehabilitation is a Medicare-certified skilled nursing and rehabilitation facility located in Dillon, MT. It offers skilled nursing services, resident-centered activities, and social services to support residents during their stay. The facility is staffed around the clock to provide comfort and specialized care.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
87
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
62.3%
Residents per day (avg)
56
Occupancy rate
62.3%
Residents per day (avg)
56
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
61% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
19% of new residents, often for short stays.
Typical stay
8 - 9 months
Medicaid
20% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Privately-owned community
Home revenue
$6.9M
Profit
$2.6M
Privately-owned community
Home revenue
$6.9M
Profit
$2.6M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$549.4K
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.3M
87-bed community
A larger shared setting that may offer more common spaces and organized community services.
2 years in operation
A newer community that may feature more recent facilities and programs.
About this community
Occupancy
In line with Montana averageOccupied beds
54 / 87
Average residents
55 per day
Facility TypeLong Term Care
StatusCurrent
IssuanceDecember 2, 2023
License Number13567
CMS Certification Number275124
Pioneer Care and Rehabilitation is administrated by Degn, Zachary.
Accept Medicare
Rehabilitation Services
Skilled Nursing
24-Hour Staffing
Skilled Nursing
Resident-Centered Activities
Social Services
Rehabilitation Services
Specific ProgramsNursing Services, Activities, Social Services, Rehabilitation
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicare Accepted
This facility is certified for eligible Medicare services.
Health Inspection History
Inspections
Total health inspections
10
Montana average 5.1
Last Health inspection on May 2025
Total health citations
58
Montana average 29.7
Citations per inspection
5.8
Montana average 5.72
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
36 of 58 citations resulted from standard inspections; 18 of 58 resulted from complaint investigations; and 4 of 58 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
233% worse than Montana averageMontana average: 0.3
Serious Health citations
8
8
264% worse than Montana averageMontana average: 2.2
1 critical citation
8 serious citations
48 moderate citations
1 minor citation
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 08, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 08, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 08, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 08, 2025
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
May 08, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
May 08, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 08, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 08, 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.
Compare Nursing Homes around Montana The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.
Filter by care type
Eureka of Cascadia, LLC dba Mountain View of Cascadia
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).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Eureka
49
69.3%
+12%
3.56
-21%
0
13
4.3
0
47
-
-
Carvey, Dianna
$3.7M
$1.5M
40.8%
275084
Avantara Billings
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).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Billings
160
65.6%
+6%
3.57
-21%
3
49
6.1
5
105
A+
72
Caldwell, Sarah
$7.6M
$3.5M
46.8%
275029
Pioneer Care and Rehabilitation
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).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Dillon
87
62.3%
+1%
3.25
-28%
7
58
5.8
9
56
-
-
Boesch, Madison
$6.9M
$3.8M
54.4%
275124
Central Montana Nursing and Rehabilitation Center
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
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).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Lewistown
62
35.5%
-42%
-
-
0
0
0.0
0
-
-
39
Central Montana Snf Operations Holdings Llc
$1.0M
$0.3M
28.2%
275064
Libby of Cascadia, LLC dba Libby Care Center
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).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Libby
101
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
91
Employees
41
Contractors
50
Staff to resident ratio
1.69:1
5% worse than Montana averageMontana average ratio: 1.77:1
Avg staff/day
27
Average shift
7.9 hours
8% worse than Montana averageMontana average: 8.6 hours
Total staff hours (quarter)
19,408
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
39
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
42.4%
8,238 contractor hours this quarter
Certified Nursing Assistant: 28
Licensed Practical Nurse: 13
Respiratory Therapy Technician: 3
Qualified Activities Professional: 1
Medical Director: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Qualified Social Worker: 1
Speech Language Pathologist: 1
Staff by category
| Certified Nursing Assistant | 11 | 28 | 39 | 8,069 | 91 | 100% | 8.2 |
| Licensed Practical Nurse | 4 | 13 | 17 | 3,142 | 91 | 100% | 9.7 |
| Registered Nurse | 10 | 0 | 10 | 2,286 | 91 | 100% | 8.3 |
| Respiratory Therapy Technician | 1 | 3 | 4 | 1,170 | 70 | 77% | 7.7 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Dietitian | 1 | 0 | 1 | 506 | 70 | 77% | 7.2 |
| Nurse Practitioner | 1 | 0 | 1 | 485 | 68 | 75% | 7.1 |
| Physical Therapy Assistant | 2 | 0 | 2 | 455 | 60 | 66% | 7.4 |
| Medication Aide/Technician | 1 | 0 | 1 | 429 | 49 | 54% | 8.8 |
| Dental Services Staff | 2 | 0 | 2 | 415 | 52 | 57% | 8 |
| Qualified Activities Professional | 2 | 1 | 3 | 390 | 45 | 49% | 8.1 |
| RN Director of Nursing | 1 | 0 | 1 | 383 | 49 | 54% | 7.8 |
| Nurse Aide in Training | 2 | 0 | 2 | 351 | 34 | 37% | 7.3 |
| Other Dietary Services Staff | 2 | 0 | 2 | 300 | 50 | 55% | 5.7 |
| Speech Language Pathologist | 0 | 1 | 1 | 175 | 22 | 24% | 7.9 |
| Qualified Social Worker | 0 | 1 | 1 | 165 | 21 | 23% | 7.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 74 | 13 | 14% | 5.7 |
| Medical Director | 0 | 1 | 1 | 50 | 49 | 54% | 1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 43 | 16 | 18% | 2.7 |
39 Certified Nursing Assistant
% of Days
100%
17 Licensed Practical Nurse
% of Days
100%
10 Registered Nurse
% of Days
100%
4 Respiratory Therapy Technician
% of Days
77%
1 Administrator
% of Days
71%
1 Dietitian
% of Days
77%
1 Nurse Practitioner
% of Days
75%
2 Physical Therapy Assistant
% of Days
66%
1 Medication Aide/Technician
% of Days
54%
2 Dental Services Staff
% of Days
57%
3 Qualified Activities Professional
% of Days
49%
1 RN Director of Nursing
% of Days
54%
2 Nurse Aide in Training
% of Days
37%
2 Other Dietary Services Staff
% of Days
55%
1 Speech Language Pathologist
% of Days
24%
1 Qualified Social Worker
% of Days
23%
1 Occupational Therapy Aide
% of Days
14%
1 Medical Director
% of Days
54%
1 Occupational Therapy Assistant
% of Days
18%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
54 residents
Residents by payment source
Medicare
8 residents (14.8%)
Medicaid
44 residents (81.5%)
Private pay or other
2 residents (3.7%)
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.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.6
59% better than Montana averageMontana average: 11.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.5
56% better than Montana averageMontana average: 21.8
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
5.9%
Percent of long-stay residents whose need for help with daily activities has increased
5.9%
69% better than Montana averageMontana average: 19.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
5.2%
Percent of long-stay residents whose ability to move independently worsened
5.2%
75% better than Montana averageMontana average: 20.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.4%
31% better than Montana averageMontana average: 25.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.3%
Percent of long-stay residents experiencing one or more falls with major injury
4.3%
In line with Montana averageMontana average: 4.3%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.8%
Percent of long-stay high risk residents with pressure ulcers
1.8%
72% better than Montana averageMontana average: 6.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.6%
Percent of long-stay residents with a urinary tract infection
0.6%
80% better than Montana averageMontana average: 2.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.9%
Percent of long-stay residents who lose too much weight
5.9%
In line with Montana averageMontana average: 6.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
12.1%
Percent of long-stay residents who have depressive symptoms
12.1%
156% worse than Montana averageMontana average: 4.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
22.0%
Percent of long-stay residents who received an antipsychotic medication
22.0%
15% worse than Montana averageMontana average: 19.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
83.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
83.2%
11% worse than Montana averageMontana average: 93.8%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.2%
In line with Montana averageMontana average: 93.7%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
41.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
41.6%
46% worse than Montana averageMontana average: 76.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.5%
Percent of short-stay residents who newly received an antipsychotic medication
3.5%
98% worse than Montana averageMontana average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
41.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
41.2%
44% worse than Montana averageMontana average: 73.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
$201K
131% higher than Montana averageMontana average: $87K
Number of fines
6
158% more fines than Montana averageMontana average: 2.3
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Montana averageMontana average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$201K
Montana average
$87K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 8, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 8, 2025
$75K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 5, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 5, 2024
$19K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 27, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 27, 2024
$29K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 21, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 21, 2024
$41K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Pioneer Care and Rehabilitation based on CMS SNF Cost Reports.
Occupancy Rate
62.3%
↑ 6.4pp vs 2022
Net Income
$2.6M
↑ ~$1.9M vs 2022
Total Payroll
$5.0M
↑ ~$2.2M vs 2022
Profit Margin
37.9%
↑ 26.5pp vs 2022
Loading trend charts...
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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