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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
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 68th out of 117 homes in Nebraska. 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 |
|---|---|---|
|
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 14m per day | ▼ 10% State avg: 3h 37m per day · National avg: 3h 26m per day |
Higher than the Nebraska average: 70.3%Pioneer Manor Nursing Home is administrated by Administrator Krystyn Turman.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Nebraska state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 101 | 52 | This facility has 94% more total deficiencies than a typical Nebraska nursing home (101 vs. NE avg 52).↑ 94% worse |
|
Deficiencies per year
Average deficiencies per year since 2011.
| 6.7 | 3.5 | This facility has 91% more deficiencies per year than a typical Nebraska nursing home (6.7 vs. NE avg 3.5).↑ 91% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on February 13, 2023, found no deficiencies and confirmed the facility meets statutory requirements for licensure renewal. Earlier inspections showed a pattern of deficiencies primarily related to resident safety, including fall prevention, elopement interventions, medication management, and timely reporting of incidents. Several complaint investigations substantiated issues such as failure to protect residents from abuse or unsafe behaviors, delays in reporting, and inadequate care plan updates. The facility faced enforcement actions including license probation periods in 2013, 2014, and 2018, and a $5,000 civil money penalty in 2017 for failure to investigate and report abuse allegations. Recent reports indicate improvement, with the latest renewal showing no deficiencies after a history of mixed compliance.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNebraska average 4.3
Last Health inspection on Sep 2024
Nebraska average 18.2
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.
100% better than Nebraska averageNebraska average: 0.2
100% worse than Nebraska averageNebraska average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
13% worse than Nebraska average
0% compared with Nebraska average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
577 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 35 | 1 | 36 | 9,771 | 92 | 100% | 8.6 |
| Registered Nurse | 7 | 0 | 7 | 2,433 | 90 | 98% | 9.5 |
| Licensed Practical Nurse | 8 | 0 | 8 | 2,104 | 92 | 100% | 7.2 |
| Other Dietary Services Staff | 7 | 0 | 7 | 1,325 | 92 | 100% | 6.3 |
| Nurse Practitioner | 4 | 0 | 4 | 573 | 66 | 72% | 8.2 |
| Dental Services Staff | 1 | 0 | 1 | 474 | 56 | 61% | 8.5 |
| Administrator | 1 | 0 | 1 | 466 | 59 | 64% | 7.9 |
| RN Director of Nursing | 2 | 0 | 2 | 447 | 45 | 49% | 5.9 |
| Speech Language Pathologist | 2 | 0 | 2 | 438 | 68 | 74% | 6.4 |
| Dietitian | 1 | 0 | 1 | 173 | 22 | 24% | 7.9 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 151 | 18 | 20% | 6.1 |
| Physical Therapy Assistant | 1 | 0 | 1 | 124 | 24 | 26% | 5.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 28 | 6 | 7% | 4.7 |
| Medical Director | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 22 | 13 | 14% | 1.7 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 16 | 14 | 15% | 1.1 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
12.7
12% worse than Nebraska averageNebraska average: 11.3
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
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
31.4%
51% worse than Nebraska averageNebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
17.4%
21% better than Nebraska averageNebraska average: 22.1%
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%
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
8% better than Nebraska averageNebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
6.3%
45% worse than Nebraska averageNebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
5.5%
80% worse than Nebraska averageNebraska average: 3.1%
Percent of long-stay residents who lose too much weight
4.0%
26% better than Nebraska averageNebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
0.6%
86% better than Nebraska averageNebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
29.2%
47% worse than Nebraska averageNebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
7% better than Nebraska averageNebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Nebraska averageNebraska average: 96.1%
Number of hospitalizations per 1,000 long-stay resident days.
0.99
45% better than Nebraska averageNebraska average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.35
31% better than Nebraska averageNebraska average: 1.95
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
88.5%
10% better than Nebraska averageNebraska average: 80.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Nebraska averageNebraska average: 2.4%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Nebraska averageNebraska average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
30.4%
43% worse than Nebraska averageNebraska average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
57% of new residents, usually for short-term rehab.
31% of new residents, often for short stays.
11% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
43Residents 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 Manor Nursing Home 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 #68 / 120Payroll — State benchmarkedThis home is ranked 68th out of 120 homes in Nebraska. Shows total annual staff payroll benchmarked to the Nebraska 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.
1567.0 miles from city center
Estimated distance in miles from Hay Springs's city center to Pioneer Manor Nursing Home's address, calculated via Google Maps.
Add your location
Pioneer Manor Nursing Home is located in HAY SPRINGS, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
| 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 | 87.7% | +25% | 3.96 | -4% | -11% | $0 | 16 | 5.3 | 1 | 46 | - | 23 | Krystyn Turman | $5.0M | $3.3M | 67% | 285212 | ||||
| Tabitha Nursing and Rehabilitation 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.
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.
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. | Lincoln (Witherbee) | 208 | 81.7% | +16% | 5.76 | -20% | +29% | $13.0k | 18 | 4.5 | - | 170 | A+ | 59 | Tabitha, Inc. | $71.9M | $39.2M | 54.5% | 285057 | ||||
| Nye Pointe |
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. | Fremont (Laverna Street) | 43 | 100.0% | +42% | 3.95 | +25% | -11% | $0 | 8 | 2.7 | - | 43 | A+ | 36 | Russell Peterson | $7.3M | $2.2M | 29.5% | 285235 | ||||
| Emerald Columbus |
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. | Columbus (40Th Avenue) | 145 | 56.6% | -20% | 3.78 | -37% | -15% | $0 | 20 | 3.3 | - | 82 | A+ | 57 | Columbus Operations LLC | $11.3M | $6.1M | 54% | 285092 | ||||
| Holmes Lake Rehabilitation & 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.
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.
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. | Lincoln (Normal Boulevard) | 97 | 62.9% | -11% | 3.51 | -25% | -21% | $3.2k | 32 | 4.0 | - | 61 | A+ | 21 | Holmes Lake Operations LLC | $5.2M | $2.8M | 53.9% | 285164 |
The legal owner and operator of Pioneer Manor Nursing Home is City Of Hay Springs.
Pioneer Manor Nursing Home has a walk score of 23. Car-dependent. Most errands require a car, with limited nearby walkable options.
Pioneer Manor Nursing Home's occupancy is 88%.
Administrator Krystyn Turman is the administrator of Pioneer Manor Nursing Home.
Pioneer Manor Nursing Home has 57 beds.
Yes — there are 18 photos of Pioneer Manor Nursing Home in the photo gallery on this page.
Pioneer Manor Nursing Home is located at 318 N 3rd Street.
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