Pioneer Care and Rehabilitation

Nursing Home, Memory Care & Respite Care · Dillon, MT

CMS overall rating

Dillon, MT 59725 View map

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Pioneer Care and Rehabilitation accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Pioneer Care and Rehabilitation accepts Medicare, Medicaid, and private pay.

Overview of Pioneer Care and Rehabilitation

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.

Facility Direct Line (406) 683-5105

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 15m per day

vs avg

4 of 6 metrics below state avg

Standout metric LPN / LVN is +24% above state avg

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

Capacity and availability

220 days

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.

Walk Score: 77 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

26%

Lower than the Montana average: 61.7%

Occupied beds

23 / 87

Average occupied beds in Montana homes 55 beds

Facility TypeLong Term Care

StatusCurrent

IssuanceDecember 2, 2023

License Number13567

CMS Certification Number275124

Pioneer Care and Rehabilitation is administered by Zachary Degn.

Accept Medicare

Rehabilitation Services

24-Hour Staffing

Resident-Centered Activities

Since 2023 · 3 years of data 61 deficiencies

Inspection Scorecard This scorecard compares key inspection, deficiency, 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.

Since 2023 vs. Montana state average

Overall vs. MT average

Latest Inspection December 31, 2025 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	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 assisted living residence (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 assisted living residence (20.3 vs. MT avg 7).↑ 190% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

December 31, 2025 complaint investigation found failure to supervise a resident with dementia, causing wandering, altercations, and minor injuries to residents.
May 8, 2025 inspection identified 18 deficiencies including failure in medication management, abuse reporting, infection prevention, antibiotic stewardship, and medical director oversight.
February 27, 2025 complaint investigation substantiated missed medication doses and administration issues, plus resident retaliation concerns affecting mood and participation.

Show Inspection Reports

Inspections since 2023

Total health inspections 10

State average N/A

Last Health inspection on May 2025

Total health citations

State average N/A

Citations per inspection

5.8

State average N/A

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

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

1 critical citation State average: N/A

8 serious citations State average: N/A

48 moderate citations State average: N/A

1 minor citation State average: N/A

Citations history (last 3 years)

Abuse/Neglect moderate citation May 08, 2025

Corrected

Abuse/Neglect moderate citation May 08, 2025

Corrected

Administration moderate citation May 08, 2025

Corrected

Infection Control moderate citation May 08, 2025

Corrected

Total staff 101

Employees 101

Contractors 0

Staff to resident ratio 1.87 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 37

Average shift 7.9 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 26,782

Nursing staff breakdown

8.8 hours

9.7 hours

7.4 hours

Contractor staffing

Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category


Certified Nursing Assistant	43	43	12,567	92	100%	7.4
Licensed Practical Nurse	14	14	3,774	92	100%	9.7
Registered Nurse	9	9	2,739	92	100%	8.8
Nurse Aide in Training	15	15	2,582	91	99%	7.5
Physical Therapy Assistant	2	2	957	64	70%	7.8
Qualified Activities Professional	4	4	677	46	50%	11.1
Administrator	1	1	520	65	71%	8
Qualified Social Worker	2	2	518	62	67%	7.4
Nurse Practitioner	1	1	512	64	70%	8
Dental Services Staff	1	1	481	62	67%	7.8
Dietitian	1	1	430	61	66%	7
Respiratory Therapy Technician	1	1	387	45	49%	8.6
Other Dietary Services Staff	2	2	337	47	51%	7.2
Speech Language Pathologist	1	1	136	17	18%	8
Occupational Therapy Aide	1	1	72	14	15%	5.1
Occupational Therapy Assistant	1	1	41	11	12%	3.7
Medical Director	1	1	35	43	47%	0.8
Physical Therapy Aide	1	1	19	4	4%	4.8

43 Certified Nursing Assistant

% of Days 100%

14 Licensed Practical Nurse

% of Days 100%

9 Registered Nurse

% of Days 100%

15 Nurse Aide in Training

% of Days 99%

2 Physical Therapy Assistant

% of Days 70%

4 Qualified Activities Professional

% of Days 50%

1 Administrator

% of Days 71%

2 Qualified Social Worker

% of Days 67%

1 Nurse Practitioner

% of Days 70%

1 Dental Services Staff

% of Days 67%

1 Dietitian

% of Days 66%

1 Respiratory Therapy Technician

% of Days 49%

2 Other Dietary Services Staff

% of Days 51%

1 Speech Language Pathologist

% of Days 18%

1 Occupational Therapy Aide

% of Days 15%

1 Occupational Therapy Assistant

% of Days 12%

1 Medical Director

% of Days 47%

1 Physical Therapy Aide

% of Days 4%

View All Staffing Data

Total fines amount $201K

131% higher than State average

State average: $87K

Number of fines 6

158% more fines than State average

State average: 2.3

Payment Denials 0

100% fewer payment denials than State average

State average: 0.2

Fines amount comparison

This facility $201K

State average $87K

Penalty History

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.

Civil Money Penalty May 8, 2025

$75K

Civil Money Penalty Dec 5, 2024

$19K

Civil Money Penalty Aug 27, 2024

$29K

Civil Money Penalty May 21, 2024

$41K

Last updated: Jan 2026

High-risk clinical events score 4.6

59% better than State average

State average: 11.2

Functional decline score 9.5

56% better than State average

State average: 21.8

Long-stay resident measures

Above average State avg: 3.0

Need for Help with Daily Activities Increased 5.9%

69% better than State average

State average: 19.4%

Walking Ability Worsened 5.2%

75% better than State average

State average: 20.8%

Low Risk Residents with Bowel/Bladder Incontinence 17.4%

31% better than State average

State average: 25.2%

Falls with Major Injury 4.3%

In line with State average

State average: 4.3%

High Risk Residents with Pressure Ulcers 1.8%

72% better than State average

State average: 6.3%

Urinary Tract Infection 0.6%

80% better than State average

State average: 2.8%

Lost Too Much Weight 5.9%

In line with State average

State average: 6.1%

Depressive Symptoms 12.1%

156% worse than State average

State average: 4.7%

Antipsychotic Use 22.0%

15% worse than State average

State average: 19.1%

Pneumococcal Vaccine 83.2%

11% worse than State average

State average: 93.8%

Influenza Vaccine 96.2%

In line with State average

State average: 93.7%

Hospitalizations per 1,000 days 2.40

89% worse than State average

State average: 1.27

ED visits per 1,000 days 4.22

94% worse than State average

State average: 2.17

Short-stay resident measures

Significantly below average State avg: 2.3

Pneumococcal Vaccine 41.6%

46% worse than State average

State average: 76.4%

Antipsychotic medication increase 3.5%

98% worse than State average

State average: 1.8%

Influenza Vaccine 41.2%

44% worse than State average

State average: 73.8%

Re-hospitalized after SNF stay 21.5%

11% worse than State average

State average: 19.4%

Emergency department visits 27.1%

81% worse than State average

State average: 15.0%

Falls with major injury 3.6%

373% worse than State average

State average: 0.8%

Ability to care for self at discharge 40.5%

24% worse than State average

State average: 53.7%

Successful return to home or community 40.0%

21% worse than State average

State average: 50.6%

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

Total residents 54

Medicare

14.8% of residents

Medicaid

81.5% of residents

Private pay or other

3.7% 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.

Financial Trends

Historical financial and operational data for Pioneer Care and Rehabilitation from 2012–2023, based on CMS SNF Cost Reports.

Occupancy Rate 62.3% ↑ 6.4pp vs 2022

Net Patient Income $2.6M ↑ ~$1.9M vs 2022

Payroll Costs $3.8M ↑ ~$1.0M vs 2022

Operating Margin 27.0% ↑ 15.9pp vs 2022

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	58.9%	57.4%	60.5%	57.7%	52.9%	50.8%	50.5%	61.7%	60.9%	47.3%	55.9%	62.3%
Beds	87	87	87	87	87	87	87	87	87	99	87	87
Net Income	-$180,469	-$270,546	$82,129	-$79,504	-$217,889	-$20,809	-$25,346	$469,674	$1,781,277	$1,181,775	$674,660	$2,612,998
Gross Revenue	$4,202,141	$4,040,348	$4,575,987	$4,616,590	$4,319,593	$4,333,452	$5,265,728	$5,912,072	$5,662,741	$5,991,194	$5,938,142	$6,901,108
Operating Expenses	$4,059,691	$3,993,370	$3,867,510	$3,989,268	$3,910,530	$3,633,010	$3,986,953	$4,331,583	$4,450,077	$4,660,676	$5,242,789	$7,031,149
Net Patient Income	-$218,461	-$332,047	$26,546	-$82,891	-$220,212	-$22,126	-$27,128	$468,057	$1,780,638	$563,903	$653,749	$2,596,801
Net Patient Revenue	$3,841,230	$3,661,323	$3,894,056	$3,906,377	$3,690,318	$3,610,884	$3,959,825	$4,799,640	$6,230,715	$5,224,579	$5,896,538	$9,627,950
Payroll Costs	$1,949,330	$1,920,184	$1,920,077	$1,932,517	$1,793,314	$1,894,992	$2,179,368	$2,443,715	$2,718,590	$2,563,780	$2,742,343	$3,754,942
Operating Margin %	-5.7%	-9.1%	0.7%	-2.1%	-6.0%	-0.6%	-0.7%	9.8%	28.6%	10.8%	11.1%	27.0%
Medicare %	10.9%	6.5%	7.8%	8.1%	7.0%	8.2%	10.5%	7.8%	10.1%	10.5%	24.8%	12.4%
Medicaid %	69.0%	69.5%	75.7%	71.2%	74.7%	78.7%	80.7%	75.1%	77.4%	76.4%	58.3%	64.8%
Private %	20.1%	24.1%	16.5%	20.7%	18.2%	13.1%	8.9%	17.0%	12.5%	13.0%	16.9%	22.9%
Net Patient Revenue/Day	$205	$201	$203	$213	$219	$224	$227	$245	$321	$306	$332	$487
Cost/Day	$217	$219	$201	$218	$232	$225	$229	$221	$230	$273	$295	$355
Avg Length of Stay	163.0 days	176.9 days	274.4 days	218.0 days	244.1 days	237.3 days	197.9 days	296.8 days	N/A	N/A	204.1 days	219.8 days

Finances and operations

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

Net patient revenue

$9.6M

Net patient income

$2.6M

For-profit Operated by a single business entity.

Net patient revenue

$9.6M

Net patient income

$2.6M

Other income

$16.2K

Payroll costs

$3.8M 39% of net patient revenue

Other operating costs

$3.3M

Total costs

$7.0M

TYPE OF STAY

Mostly short-term rehab stays

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

Most new residents arrive under Medicare (61% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 61%

Private pay 19%

Medicaid 20%

Coverage residents most often leave under.

Medicare 38%

Private pay 23%

Medicaid 39%

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.

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The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.


Pioneer Care and Rehabilitation	NH MC RC	Dillon	-	87	-	77	-
Eastern Montana Veterans Home	NH	Glendive (Montana Avenue)	-	80	-	18	Private Rooms
Elkhorn Healthcare and Rehabilitation	NH HC RC	Clancy	-	70	-	0	-
Valle Vista Rehabilitation and Nursing LLC	NH HC NC RC	Lewistown	-	101	-	79	-
Libby of Cascadia, LLC dba Libby Care Center	NH	Libby	-	101	-	76	-

Nursing Home Explorer

Is Pioneer Care and Rehabilitation in a walkable area?

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.

What is the license number of Pioneer Care and Rehabilitation?

According to MT state health department records, Pioneer Care and Rehabilitation's license number is 13567.

What is the occupancy rate at Pioneer Care and Rehabilitation?

Pioneer Care and Rehabilitation's occupancy is 26%.

Does Pioneer Care and Rehabilitation operate as a for-profit or non-profit?

Pioneer Care and Rehabilitation is registered as a for-profit in MT.

Who is the administrator of Pioneer Care and Rehabilitation?

Zachary Degn is the administrator of Pioneer Care and Rehabilitation.

How many beds does Pioneer Care and Rehabilitation have?

Pioneer Care and Rehabilitation has 87 beds.

What is the address of Pioneer Care and Rehabilitation?

Pioneer Care and Rehabilitation is located at Dillon, MT 59725.

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Pioneer Care and Rehabilitation

Overview of Pioneer Care and Rehabilitation

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Amenities & Lifestyle

Contact Pioneer Care and Rehabilitation

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, 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 Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

43 Certified Nursing Assistant

14 Licensed Practical Nurse

9 Registered Nurse

15 Nurse Aide in Training

2 Physical Therapy Assistant

4 Qualified Activities Professional

1 Administrator

2 Qualified Social Worker

1 Nurse Practitioner

1 Dental Services Staff

1 Dietitian

1 Respiratory Therapy Technician

2 Other Dietary Services Staff

1 Speech Language Pathologist

1 Occupational Therapy Aide

1 Occupational Therapy Assistant

1 Medical Director

1 Physical Therapy Aide

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

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