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.
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.
Pioneer Care and Rehabilitation is administered 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.
Deficiencies
| This Facility | MT Average | vs. MT Avg |
|---|---|---|---|
|
Total deficiencies
| 61 | 21 | This facility has 190% more total deficiencies than a typical Montana nursing home (61 vs. MT avg 21).↑ 190% worse |
State average 5.1
Last Health inspection on May 2025
State average 29.7
State 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).
State average: 0.3
State average: 2.2
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
| 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)
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.
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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)
Residents 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.
Historical financial and operational data for Pioneer Care and Rehabilitation from 2012–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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.
Coverage residents most often leave under.
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
Info below is compiled from CMS reports & the MT Dept. of Public Health & Human Services (DPHHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Valle Vista Rehabilitation and Nursing LLC | NH HOS RC SNF | Lewistown | 101
Facility
101
MT AVG
70
Rank
#24 / 103 |
53.0%
Facility
53.0%
MT AVG
61.5
Rank
#20 / 32 | -14% | 3.37
Facility
3.37
MT AVG
4.53
Rank
#21 / 33 | -39% | -26% | $0
Facility
$0
MT AVG
$83.8k
Rank
#1 / 34 | 15
Facility
15
MT AVG
29.7
Rank
#4 / 34 | 3.8
Facility
3.8
MT AVG
5.7
Rank
#4 / 34 | - | 54 | - |
79
Facility
79
MT AVG
43
Rank
#15 / 159 | Charly Bello Family Limited Partnership | $4.1M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$4.1M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MT AVG
$6.3M
Rank
#24 / 32 | $2.0M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$2.0M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MT AVG
$2.8M
Rank
#30 / 32 | 49.9%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
49.9%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MT AVG
45.6%
Rank
#31 / 32 | 275021 | ||||
| Libby of Cascadia, LLC dba Libby Care Center | NH SNF | Libby | 101
Facility
101
MT AVG
70
Rank
#24 / 103 |
76.3%
Facility
76.3%
MT AVG
61.5
Rank
#12 / 32 | +24% | 3.32
Facility
3.32
MT AVG
4.53
Rank
#24 / 33 | -7% | -27% | $22.7k
Facility
$22.7k
MT AVG
$83.8k
Rank
#16 / 34 | 18
Facility
18
MT AVG
29.7
Rank
#8 / 34 | 4.5
Facility
4.5
MT AVG
5.7
Rank
#9 / 34 | 2 | 77 | - |
76
Facility
76
MT AVG
43
Rank
#19 / 159 | Cascadia Montana Operations LLC | $9.0MFiscal year ending 12/2023
Facility
$9.0MFiscal year ending 12/2023
MT AVG
$6.3M
Rank
#5 / 32 | $4.2MFiscal year ending 12/2023
Facility
$4.2MFiscal year ending 12/2023
MT AVG
$2.8M
Rank
#16 / 32 | 46.9%Fiscal year ending 12/2023
Facility
46.9%Fiscal year ending 12/2023
MT AVG
45.6%
Rank
#32 / 32 | 275040 | ||||
| Eureka of Cascadia, LLC dba Mountain View of Cascadia | NH SNF | Eureka | 49
Facility
49
MT AVG
70
Rank
#62 / 103 |
91.4%
Facility
91.4%
MT AVG
61.5
Rank
#3 / 32 | +49% | 3.56
Facility
3.56
MT AVG
4.53
Rank
#15 / 33 | +2% | -21% | $0
Facility
$0
MT AVG
$83.8k
Rank
#1 / 34 | 13
Facility
13
MT AVG
29.7
Rank
#3 / 34 | 4.3
Facility
4.3
MT AVG
5.7
Rank
#7 / 34 | - | 45 | - |
58
Facility
58
MT AVG
43
Rank
#48 / 159 | Dianna Carvey | $3.3M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$3.3M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MT AVG
$6.3M
Rank
#29 / 32 | $2.1M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$2.1M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MT AVG
$2.8M
Rank
#29 / 32 | 62%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
62%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MT AVG
45.6%
Rank
#22 / 32 | 275084 | ||||
| Eastern Montana Veterans Home | NH SNF | Glendive (Montana Avenue) | 80
Facility
80
MT AVG
70
Rank
#39 / 103 |
63.0%
Facility
63.0%
MT AVG
61.5
Rank
#19 / 32 | +3% | 5.23
Facility
5.23
MT AVG
4.53
Rank
#6 / 33 | -27% | +16% | $57.5k
Facility
$57.5k
MT AVG
$83.8k
Rank
#22 / 34 | 29
Facility
29
MT AVG
29.7
Rank
#16 / 34 | 5.8
Facility
5.8
MT AVG
5.7
Rank
#20 / 34 | 5 | 50 | - |
18
Facility
18
MT AVG
43
Rank
#121 / 159 | - | $5.5M*Fiscal year ending 12/2015These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$5.5M*Fiscal year ending 12/2015These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MT AVG
$6.3M
Rank
#25 / 32 | $2.6M*Fiscal year ending 12/2015These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$2.6M*Fiscal year ending 12/2015These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MT AVG
$2.8M
Rank
#18 / 32 | 46.3%*Fiscal year ending 12/2015These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
46.3%*Fiscal year ending 12/2015These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MT AVG
45.6%
Rank
#2 / 32 | 275144 | ||||
| Pioneer Care and Rehabilitation | NH MC RC SNF | Dillon | 87
Facility
87
MT AVG
70
Rank
#34 / 103 |
26.4%
Facility
26.4%
MT AVG
61.5
Rank
#29 / 32 | -57% | 3.25
Facility
3.25
MT AVG
4.53
Rank
#28 / 33 | -43% | -28% | $140.6k
Facility
$140.6k
MT AVG
$83.8k
Rank
#31 / 34 | 58
Facility
58
MT AVG
29.7
Rank
#31 / 34 | 5.8
Facility
5.8
MT AVG
5.7
Rank
#20 / 34 | 9 | 23 | - |
77
Facility
77
MT AVG
43
Rank
#18 / 159 | Madison Boesch | $9.6MFiscal year ending 12/2023
Facility
$9.6MFiscal year ending 12/2023
MT AVG
$6.3M
Rank
#18 / 32 | $3.8MFiscal year ending 12/2023
Facility
$3.8MFiscal year ending 12/2023
MT AVG
$2.8M
Rank
#12 / 32 | 39%Fiscal year ending 12/2023
Facility
39%Fiscal year ending 12/2023
MT AVG
45.6%
Rank
#3 / 32 | 275124 |
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%.
Pioneer Care and Rehabilitation has been operating for approximately 2 years, based on available licensing and registration records.
No, Pioneer Care and Rehabilitation has a no-pet policy.
Pioneer Care and Rehabilitation is registered as a for-profit in MT.
Zachary Degn is the administrator of Pioneer Care and Rehabilitation.
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