Occupancy rate
88%
In line with Nebraska 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 Nebraska
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 Manor Nursing Home
Nursing Home in Nebraska
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 Manor Nursing Home
Pioneer Manor Nursing Home is a skilled nursing and assisted living community located in Hay Springs, Nebraska. It has been serving the community for over 50 years, providing a comfortable home-like environment where each resident is valued and receives personalized care. The facility offers a variety of services including nursing, rehabilitation, and social activities.
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
57
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
87.7%
Residents per day (avg)
46
Occupancy rate
87.7%
Residents per day (avg)
46
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
57% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
31% of new residents, often for short stays.
Typical stay
2 years
Medicaid
11% of new residents, often for long-term daily care.
Typical stay
5 - 6 years
Finances and operations
Governmental community
Operated by a subsidized facility district.
Home revenue
$5.0M
Operating deficit
-$12.0K
Governmental community
Operated by a subsidized facility district.
Home revenue
$4,956,486.00
Operating deficit
$-12,009.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.0M
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.
$2.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.0M
57-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy
In line with Nebraska averageOccupied beds
50 / 57
Average residents
54 per day
Facility TypeNursing Home
CountySHERIDAN
CMS Certification Number285212
Certification TypeCertification
Pioneer Manor Nursing Home is administrated by Krystyn Turman, Administrator.
Owner NameCITY OF HAY SPRINGS
Rehabilitation Services
Respite Care
Skilled Nursing
24-Hour Staffing
Fax(308) 638-7385
Beauty Shop
Housekeeping / Laundry
Scheduled Outings
Social And Recreational Programs
ActivitiesPioneer Manor Nursing Home employs outgoing and friendly professional staff to create social programs and activities to fit the residents’ needs. We provide a monthly activity calendar to each resident to keep them informed of upcoming events.
Specific ProgramsNursing Services, Rehabilitation Services, Activities, Social Services, Assisted Living
Food DescriptionPioneer Manor provides a comfortable home-like environment where each resident is important, valued and provided with exceptional personalized around the clock care.
Inspection History
In Nebraska, the Department of Health and Human Services, Division of Public Health conducts regular inspections to ensure nursing and assisted living facilities meet state and federal standards.
29 visits/inspections
11 visits/inspections triggered by complaints
1 routine inspections
1 life safety inspections
Results
18 with issues
11 without issues
Show Inspection Reports
Latest inspection
Date
February 13, 2023
Renewal101 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Nebraska average: 52 deficiencies
Health Inspection History
Inspections
Total health inspections
3
Nebraska average 4.3
Last Health inspection on Sep 2024
Total health citations
16
Nebraska average 18.2
Citations per inspection
5.33
Nebraska average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 16 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Nebraska averageNebraska average: 0.2
Serious Health citations
1
1
100% worse than Nebraska averageNebraska average: 0.5
0 critical citations
1 serious citation
15 moderate citations
0 minor citations
Citations history (last 3 years)
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 26, 2024
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 26, 2024
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 26, 2024
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 26, 2024
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 26, 2024
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 26, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 14, 2023
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 14, 2023
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 Nebraska The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
Filter by care type
Accura HealthCare of Hartington
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.
HARTINGTON
67
63.6%
-10%
4.13
-7%
0
7
2.3
0
31
-
Klaasmeyer, Kenneth
$3.7M
$2.1M
57.9%
285088
Pioneer Manor Nursing Home
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.
HAY SPRINGS
57
79.0%
+12%
3.96
-11%
0
16
5.3
1
46
-
Turman, Krystyn
$4.7M
$3.0M
63.9%
285212
Accura HealthCare of Tekamah
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.
TEKAMAH
46
72.0%
+2%
3.83
-14%
0
12
4.0
0
30
-
Geis, Heather
$3.1M
$2.1M
66.4%
285118
Arbor Care Center-Valhaven, LLC
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.
VALLEY
66
72.4%
+3%
4.08
-8%
0
18
4.5
1
50
A+
-
$5.0M
$3.2M
64%
285117
Arbor Care Centers – Ord, LLC
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.
ORD
60
51.8%
-26%
3.76
-16%
0
29
7.3
1
35
-
Luth, Kurt
$2.9M
$1.5M
52.9%
285294
Places of interest near Pioneer Manor Nursing Home
1567.0 miles from city center
318 N 3rd Street, HAY SPRINGS, NE 69347
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
83
Employees
77
Contractors
6
Staff to resident ratio
1.93:1
10% worse than Nebraska averageNebraska average ratio: 2.15:1
Avg staff/day
26
Average shift
7.8 hours
0% compared with Nebraska averageNebraska average: 7.8 hours
Total staff hours (quarter)
18,360
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
11
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.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
40
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
4%
733 contractor hours this quarter
Certified Nursing Assistant: 2
Qualified Social Worker: 1
Medical Director: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 38 | 2 | 40 | 9,724 | 91 | 100% | 8.4 |
| Licensed Practical Nurse | 11 | 0 | 11 | 2,865 | 91 | 100% | 8.3 |
| Registered Nurse | 8 | 0 | 8 | 1,504 | 84 | 92% | 8 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,385 | 89 | 98% | 6.5 |
| RN Director of Nursing | 2 | 0 | 2 | 725 | 65 | 71% | 6.1 |
| Nurse Practitioner | 7 | 0 | 7 | 613 | 66 | 73% | 9.1 |
| Administrator | 1 | 0 | 1 | 460 | 57 | 63% | 8.1 |
| Speech Language Pathologist | 1 | 0 | 1 | 447 | 68 | 75% | 6.6 |
| Dental Services Staff | 1 | 0 | 1 | 398 | 49 | 54% | 8.1 |
| Physical Therapy Assistant | 1 | 0 | 1 | 126 | 28 | 31% | 4.5 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 36 | 15 | 16% | 2.3 |
| Medical Director | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 23 | 6 | 7% | 3.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 21 | 9 | 10% | 2.3 |
| Qualified Social Worker | 1 | 1 | 2 | 9 | 7 | 8% | 1.3 |
40 Certified Nursing Assistant
% of Days
100%
11 Licensed Practical Nurse
% of Days
100%
8 Registered Nurse
% of Days
92%
4 Other Dietary Services Staff
% of Days
98%
2 RN Director of Nursing
% of Days
71%
7 Nurse Practitioner
% of Days
73%
1 Administrator
% of Days
63%
1 Speech Language Pathologist
% of Days
75%
1 Dental Services Staff
% of Days
54%
1 Physical Therapy Assistant
% of Days
31%
2 Respiratory Therapy Technician
% of Days
16%
1 Medical Director
% of Days
3%
1 Occupational Therapy Aide
% of Days
7%
1 Occupational Therapy Assistant
% of Days
10%
2 Qualified Social Worker
% of Days
8%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
43 residents
Residents by payment source
Medicare
2 residents (4.7%)
Medicaid
19 residents (44.2%)
Private pay or other
22 residents (51.2%)
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.
12.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.7
12% worse than Nebraska averageNebraska average: 11.3
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.4
In line with Nebraska averageNebraska average: 23.3
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
31.4%
Percent of long-stay residents whose need for help with daily activities has increased
31.4%
51% worse than Nebraska averageNebraska average: 20.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
17.4%
Percent of long-stay residents whose ability to move independently worsened
17.4%
21% better than Nebraska averageNebraska average: 22.1%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.5%
31% better than Nebraska averageNebraska average: 26.9%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
8% better than Nebraska averageNebraska average: 4.5%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.3%
Percent of long-stay high risk residents with pressure ulcers
6.3%
45% worse than Nebraska averageNebraska average: 4.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
5.5%
Percent of long-stay residents with a urinary tract infection
5.5%
80% worse than Nebraska averageNebraska average: 3.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.0%
Percent of long-stay residents who lose too much weight
4.0%
26% better than Nebraska averageNebraska average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.6%
Percent of long-stay residents who have depressive symptoms
0.6%
86% better than Nebraska averageNebraska average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
29.2%
Percent of long-stay residents who received an antipsychotic medication
29.2%
47% worse than Nebraska averageNebraska average: 19.8%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
7% better than Nebraska averageNebraska average: 93.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Nebraska averageNebraska average: 96.1%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.5%
10% better than Nebraska averageNebraska average: 80.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Nebraska averageNebraska average: 2.4%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Pioneer Manor Nursing Home based on CMS SNF Cost Reports.
Occupancy Rate
79.0%
↑ 4.9pp vs 2023
Net Income
-$12,009
↑ ~$183K vs 2023
Total Payroll
$3,322,732
↑ ~$652K vs 2023
Profit Margin
-0.3%
↑ 4.1pp vs 2023
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