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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.
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.
Pioneer Care and Rehabilitation is a private-company-operated 87-bed skilled nursing and rehabilitation facility in Dillon, Montana, in Beaverhead County. The facility offers skilled nursing, memory care, and rehabilitation services. Medicare, Medicaid, and private pay are welcome. Occupancy stands at 26 percent, well below Montana’s 61.7 percent average indicating broad current availability. 24-hour staffing exists.
CMS grades the facility 1 star, with all four sub-ratings well below Montana’s average. Across 12 complaint-driven inspections since May 2023, the facility averaged 20.3 deficiencies annually, 250 percent above Montana’s 5.8 average. Serious findings include an August 2024 elopement wherein a resident with a known elopement history took a vehicle from the facility parking lot, sustained injury, and was hospitalized; a December 2024 medication error in which failure to crush a resident’s medications as ordered caused aspiration pneumonia and hospitalization; and a May 2025 complaint investigation citing a dual fentanyl patch administration error, failure to report abuse allegations, and a fall resulting in a fractured hip. Nurse hours run 3h 15m per resident daily, 17 percent below Montana’s average, placing the facility 29th of 34 state SNFs. No fines or immediate jeopardy findings noted. As a rural facility in Beaverhead County, it’s among the few skilled nursing options in Dillon.
The community fits residents seeking skilled nursing or memory care in rural southwestern Montana. Its geographic access to long-term care options is limited.
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 29th out of 34 homes in Montana 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.
| 32m per day | ▼ 43% State avg: 56m 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.
| 37m per day | ▲ 24% State avg: 30m 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 29m per day | ■ Avg State avg: 2h 32m per day · National avg: 2h 20m 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.
| 3h 8m per day | ▼ 10% State avg: 3h 29m 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.
| 4m per day | ▼ 5% State avg: 4m 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.
| 19m per day | ▼ 54% State avg: 41m per day · National avg: 28m per day |
Lower than the Montana average: 61.7%Pioneer Care and Rehabilitation is administrated by Zachary Degn.
In Montana, the Department of Public Health and Human Services, Quality Assurance Division is the state body responsible for inspecting and licensing all senior residential care facilities.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Montana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | MT Average | vs. MT Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 61 | 21 | This facility has 190% more total deficiencies than a typical Montana nursing home (61 vs. MT avg 21).↑ 190% worse |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 20.3 | 7 | This facility has 190% more deficiencies per year than a typical Montana nursing home (20.3 vs. MT avg 7).↑ 190% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Montana average 5.1
Last Health inspection on May 2025
Montana average 29.7
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).
233% worse than Montana averageMontana average: 0.3
264% worse than Montana averageMontana average: 2.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Montana average
8% worse than Montana average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 9 RN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursAssists with medical care and medications.
All 14 LPN Staff are full-time employees. No contractors work on this role.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursHelps with daily care and mobility.
All 43 CNA Staff are full-time employees. No contractors work on this role.
43
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 43 | 0 | 43 | 12,567 | 92 | 100% | 7.4 |
| Licensed Practical Nurse | 14 | 0 | 14 | 3,774 | 92 | 100% | 9.7 |
| Registered Nurse | 9 | 0 | 9 | 2,739 | 92 | 100% | 8.8 |
| Nurse Aide in Training | 15 | 0 | 15 | 2,582 | 91 | 99% | 7.5 |
| Physical Therapy Assistant | 2 | 0 | 2 | 957 | 64 | 70% | 7.8 |
| Qualified Activities Professional | 4 | 0 | 4 | 677 | 46 | 50% | 11.1 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 518 | 62 | 67% | 7.4 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 481 | 62 | 67% | 7.8 |
| Dietitian | 1 | 0 | 1 | 430 | 61 | 66% | 7 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 387 | 45 | 49% | 8.6 |
| Other Dietary Services Staff | 2 | 0 | 2 | 337 | 47 | 51% | 7.2 |
| Speech Language Pathologist | 1 | 0 | 1 | 136 | 17 | 18% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 72 | 14 | 15% | 5.1 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 41 | 11 | 12% | 3.7 |
| Medical Director | 1 | 0 | 1 | 35 | 43 | 47% | 0.8 |
| Physical Therapy Aide | 1 | 0 | 1 | 19 | 4 | 4% | 4.8 |
Includes penalties issued in 2024-2025
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)
131% higher than Montana averageMontana average: $87K
158% more fines than Montana averageMontana average: 2.3
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
5 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
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.
Dec 5, 2024
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.
May 21, 2024Last updated: Jan 2026
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.
4.6
59% better than Montana averageMontana average: 11.2
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
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
5.9%
69% better than Montana averageMontana average: 19.4%
Percent of long-stay residents whose ability to move independently worsened
5.2%
75% better than Montana averageMontana average: 20.8%
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%
Percent of long-stay residents experiencing one or more falls with major injury
4.3%
In line with Montana averageMontana average: 4.3%
Percent of long-stay high risk residents with pressure ulcers
1.8%
72% better than Montana averageMontana average: 6.3%
Percent of long-stay residents with a urinary tract infection
0.6%
80% better than Montana averageMontana average: 2.8%
Percent of long-stay residents who lose too much weight
5.9%
In line with Montana averageMontana average: 6.1%
Percent of long-stay residents who have depressive symptoms
12.1%
156% worse than Montana averageMontana average: 4.7%
Percent of long-stay residents who received an antipsychotic medication
22.0%
15% worse than Montana averageMontana average: 19.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
83.2%
11% worse than Montana averageMontana average: 93.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.2%
In line with Montana averageMontana average: 93.7%
Number of hospitalizations per 1,000 long-stay resident days.
2.40
89% worse than Montana averageMontana average: 1.27
Number of outpatient emergency department visits per 1,000 long-stay resident days.
4.22
94% worse than Montana averageMontana average: 2.17
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
41.6%
46% worse than Montana averageMontana average: 76.4%
Percent of short-stay residents who newly received an antipsychotic medication
3.5%
98% worse than Montana averageMontana average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
41.2%
44% worse than Montana averageMontana average: 73.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.5%
11% worse than Montana averageMontana average: 19.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
27.1%
81% worse than Montana averageMontana average: 15.0%
Percentage of SNF residents who experience falls with major injury during their stay.
3.6%
373% worse than Montana averageMontana average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
40.5%
24% worse than Montana averageMontana average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
40.0%
21% worse than Montana averageMontana average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
61% of new residents, usually for short-term rehab.
19% of new residents, often for short stays.
20% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
54Residents 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 Care and Rehabilitation based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #11 / 31Payroll — State benchmarkedThis home is ranked 11th out of 31 homes in Montana. Shows total annual staff payroll benchmarked to the Montana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Dillon's city center to Pioneer Care and Rehabilitation's address, calculated via Google Maps.
Add your location
Pioneer Care and Rehabilitation is located in Dillon, Montana.
Here are the financial assistance programs available to residents in Montana.
The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.
| The Living Centre |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Stevensville (Main Street) | 50
Facility
50
MT AVG
70
Rank
#63 / 106 |
61.3%
Facility
61.3%
MT AVG
61.7%
Rank
#18 / 35 | -1% | 4.87
Facility
4.87
MT AVG
4.53
Rank
#10 / 34 | -41% | +8% | $37.5k
Facility
$37.5k
MT AVG
$83.8k
Rank
#21 / 35 | 15
Facility
15
MT AVG
29.7
Rank
#4 / 35 | 2.5
Facility
2.5
MT AVG
5.7
Rank
#3 / 35 | 2 | 37 | A+ |
38
Facility
38
MT AVG
43
Rank
#90 / 159 | Living Centre Limited | $5.9M
Facility
$5.9M
MT AVG
$6.3M
Rank
#18 / 31 | $4.2M
Facility
$4.2M
MT AVG
$2.8M
Rank
#16 / 31 | 71.1%
Facility
71.1%
MT AVG
45.6%
Rank
#4 / 31 | 275125 | ||||
| Timbers And Reflections At The Grandview At Benefis |
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.
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. | Great Falls | 71
Facility
71
MT AVG
70
Rank
#45 / 106 | - | - | 4.36
Facility
4.36
MT AVG
4.53
Rank
#11 / 34 | +8% | -4% | $0
Facility
$0
MT AVG
$83.8k
Rank
#1 / 35 | 21
Facility
21
MT AVG
29.7
Rank
#10 / 35 | 5.3
Facility
5.3
MT AVG
5.7
Rank
#14 / 35 | - | 25 | A+ |
26
Facility
26
MT AVG
43
Rank
#109 / 159 | - | - | - | - | 275157 | ||||
| Kindred Transitional Care & Rehab – Park Place |
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.
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. | Great Falls | 189
Facility
189
MT AVG
70
Rank
#3 / 106 | - | - | 3.79
Facility
3.79
MT AVG
4.53
Rank
#15 / 34 | +13% | -16% | $104.1k
Facility
$104.1k
MT AVG
$83.8k
Rank
#32 / 35 | 43
Facility
43
MT AVG
29.7
Rank
#26 / 35 | 5.4
Facility
5.4
MT AVG
5.7
Rank
#17 / 35 | 6 | 140 | - |
46
Facility
46
MT AVG
43
Rank
#73 / 159 | Reid Crickmore | $11.5M
Facility
$11.5M
MT AVG
$6.3M
Rank
#5 / 31 | $4.7M
Facility
$4.7M
MT AVG
$2.8M
Rank
#14 / 31 | 40.8%
Facility
40.8%
MT AVG
45.6%
Rank
#30 / 31 | 275030 | ||||
| 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
Facility
87
MT AVG
70
Rank
#36 / 106 |
26.4%
Facility
26.4%
MT AVG
61.7%
Rank
#32 / 35 | -57% | 3.25
Facility
3.25
MT AVG
4.53
Rank
#29 / 34 | -43% | -28% | $140.6k
Facility
$140.6k
MT AVG
$83.8k
Rank
#34 / 35 | 58
Facility
58
MT AVG
29.7
Rank
#32 / 35 | 5.8
Facility
5.8
MT AVG
5.7
Rank
#20 / 35 | 9 | 23 | - |
77
Facility
77
MT AVG
43
Rank
#18 / 159 | Madison Boesch | $6.9M
Facility
$6.9M
MT AVG
$6.3M
Rank
#16 / 31 | $5.0M
Facility
$5.0M
MT AVG
$2.8M
Rank
#11 / 31 | 71.9%
Facility
71.9%
MT AVG
45.6%
Rank
#3 / 31 | 275124 | ||||
| Yellowstone River Nursing 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. | Billings (East Central) | 160
Facility
160
MT AVG
70
Rank
#6 / 106 | - | - | 3.57
Facility
3.57
MT AVG
4.53
Rank
#18 / 34 | +50% | -21% | $141.5k
Facility
$141.5k
MT AVG
$83.8k
Rank
#23 / 35 | 49
Facility
49
MT AVG
29.7
Rank
#29 / 35 | 6.1
Facility
6.1
MT AVG
5.7
Rank
#25 / 35 | 5 | 2 | - |
67
Facility
67
MT AVG
43
Rank
#33 / 159 | Sarah Caldwell | $7.6M
Facility
$7.6M
MT AVG
$6.3M
Rank
#14 / 31 | $4.6M
Facility
$4.6M
MT AVG
$2.8M
Rank
#15 / 31 | 60.4%
Facility
60.4%
MT AVG
45.6%
Rank
#12 / 31 | 275029 |
Pioneer Care and Rehabilitation has a walk score of 77. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to MT state health department records, Pioneer Care and Rehabilitation's license number is 13567.
Pioneer Care and Rehabilitation's occupancy is 26%.
Zachary Degn is the administrator of Pioneer Care and Rehabilitation.
Pioneer Care and Rehabilitation has 87 beds.
Pioneer Care and Rehabilitation is located at Dillon, MT 59725.
(406) 683-5105 will put you in contact with the team at Pioneer Care and Rehabilitation.
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