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Pioneer Manor Nursing Home
Nursing Home, Assisted Living, Respite Care & Skilled Nursing · Hay Springs, NE
CMS overall rating Info 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.
Front view of a senior living facility with greenery A caregiver posing with a resident in a cozy environment Elderly woman interacting with a child and chicks A caregiver posing with a resident in a cozy environment Resident enjoying tea in a bright common area Residents participating in an engaging activity session Residents and staff smiling together at a celebration Staff and residents posing for a photo in the facility Senior resident smiling in a common area A resident smiling with a staff member in a cozy setting Staff member engaging with resident at a table Resident engaged in a puzzle activity in the common area Three residents engaged in an activity in a common area Smiling resident in a casual setting Elderly resident smiling in a common area Two residents smiling while holding hands in a common area An elderly woman and a young boy holding a chick indoors

Pioneer Manor Nursing Home

Nursing Home, Assisted Living, Respite Care & Skilled Nursing · Hay Springs, NE
CMS overall rating Info 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.
318 N 3Rd Street, Hay Springs, NE 69347 View map Calculator: See prices in your area
Pioneer Manor Nursing Home accepts Medicare, Medicaid, and private pay.
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Pioneer Manor Nursing Home accepts Medicare, Medicaid, and private pay.

Overview of Pioneer Manor Nursing Home

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Pioneer Manor Nursing Home is a 57-bed skilled nursing facility operated by Krystyn Turman in the rural community of Hay Springs, Nebraska. The home handles multiple billing methods, accepting Medicare, Medicaid, and private pay. For visitors, the surrounding area is car-dependent with a walkability score of 23 out of 100, meaning family members will need a personal vehicle to reach the property or run errands.

Resident stays last an average of 970 days, highlighting an operational focus heavily centered on permanent or long-term nursing placement rather than brief rehabilitation turnarounds. Daily care needs are backed by an average of 3 hours and 58 minutes of total nursing care per resident each day. An around-the-clock team of registered nurses, licensed practical nurses, and nurse aides covers these clinical tasks, with nurse aides contributing 3 hours and 14 minutes of that time for hands-on personal support and temporary respite care.

State health department logs document the property’s regulatory oversight history. Inspection records indicate that the facility has addressed previous tracking flags related to fall prevention and medication management, meeting standard licensing requirements with zero current deficiencies on recent surveys.

Prospective residents live in a small-scale setting that features laundry services, an on-site beauty shop, and a regular calendar of monthly social activities and community outings. The kitchen plans meals around basic daily nutritional guidelines, served in a communal dining room.

Facility Direct Line (308) 638-4483
Facility Direct Line (308) 638-4483
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
Health Inspection Info 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.
Staffing Info 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.
Quality Measures Info 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.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to state averages

Total nursing care / resident Info 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.
3h 58m per day
Rank #75 / 128Nurse hours — State benchmarkedThis home is ranked 75th out of 128 homes in Nebraska for Nurse Hours. Shows adjusted nurse hours per resident per day benchmarked to the Nebraska average, with a ranking across 128 Nebraska facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg

1 of 1 metrics below state avg

Staff typeHours / Day / Residentvs state avg
Weekend Total Nursing Info 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

Capacity and availability

Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
970 days
Bed community size
57-bed community Rank #144 / 228Bed count — State benchmarkedThis home is ranked 144th out of 228 homes in Nebraska for Bed Count. Shows this facility's certified or reported bed count compared to other Nebraska facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 23 / 100 Rank #237 / 296Walk Score — State benchmarkedThis home is ranked 237th out of 296 homes in Nebraska for Walk Score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Nebraska facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
88%
Rank #39 / 183Occupancy rate — State benchmarkedThis home is ranked 39th out of 183 homes in Nebraska for Occupancy. Shows this facility's occupancy rate versus the Nebraska average, with its Statewide rank out of 183. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Nebraska average: 70.3%
Occupied beds
50 / 57
Average occupied beds in Nebraska homes 54 beds

License Details

Facility TypeNursing Home
CountySheridan
CMS Certification Number285212
Certification TypeCertification

Ownership & Operating Entity

Pioneer Manor Nursing Home is administered by Administrator Krystyn Turman.

Owner NameCity Of Hay Springs

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

1 service
24-Hour Staffing

Contact Information

Fax(308) 638-7385

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Beauty Shop
Housekeeping / Laundry
Scheduled Outings
Social And Recreational Programs
Activities

Contact Pioneer Manor Nursing Home

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.

Since 2011 · 15 years of data 101 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, deficiency, 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.

Since 2011 vs. Nebraska state average
Overall vs. NE average 2 Worse Metrics worse than Nebraska average:
• Total deficiencies (94% above)
• Deficiencies per year (91% above) 0 Better No metrics in this bucket.
Latest Inspection February 13, 2023 Renewal

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityNE Averagevs. NE Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 10152 This facility has 94% more total deficiencies than a typical Nebraska assisted living residence (101 vs. NE avg 52).↑ 94% worse
Deficiencies per year Info Average deficiencies per year since 2011. 6.73.5 This facility has 91% more deficiencies per year than a typical Nebraska assisted living residence (6.7 vs. NE avg 3.5).↑ 91% worse

Inspection Reports Summary Info 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 licensure renewal with a 57-bed capacity.
  • In 2019 and 2018, multiple deficiencies involved failure to prevent falls and elopement, resulting in resident injuries and license probation periods.
  • Complaint investigations from 2017 to 2020 substantiated failures in abuse reporting, timely investigation submissions, and care plan updates for fall prevention.
Show Inspection Reports

Health Inspection History

Inspections since 2022
Total health inspections 3

State average N/A

Last Health inspection on Sep 2024

Total health citations
16 Rank #62 / 131Health citations — State benchmarkedThis home is ranked 62nd out of 131 homes in Nebraska for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Nebraska State average, with a ranking across all 131 NE facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
5.33 Rank #107 / 131Citations per inspection — State benchmarkedThis home is ranked 107th out of 131 homes in Nebraska for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Nebraska mean across 131 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

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 4 years)
Critical health citations
0
In line with State average

State average: N/A

Serious health citations
1
In line with State average

State average: N/A

0 critical citations State average: N/A
1 serious citation State average: N/A
15 moderate citations State average: N/A
0 minor citations State average: N/A
Citations history (last 4 years)
Care Planning moderate citation Sep 26, 2024
Corrected
Care Planning moderate citation Sep 26, 2024
Corrected
Resident Rights moderate citation Sep 26, 2024
Corrected
Infection Control moderate citation 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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 76
Employees 72
Contractors 4
Staff to resident ratio 1.77 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 25
Average shift 8.1 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 18,569

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 7 RN Staff are full-time employees. No contractors work on this role. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 8 LPN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 36 total: 35 full-time employees and 1 contractor. 36
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

3.1%

577 contractor hours this quarter

Certified Nursing Assistant: 1 Occupational Therapy Aide: 1 Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant351369,77192100%8.6
Registered Nurse7072,4339098%9.5
Licensed Practical Nurse8082,10492100%7.2
Other Dietary Services Staff7071,32592100%6.3
Nurse Practitioner4045736672%8.2
Dental Services Staff1014745661%8.5
Administrator1014665964%7.9
RN Director of Nursing2024474549%5.9
Speech Language Pathologist2024386874%6.4
Dietitian1011732224%7.9
Clinical Nurse Specialist2021511820%6.1
Physical Therapy Assistant1011242426%5.2
Occupational Therapy Aide0112867%4.7
Medical Director0112433%8
Occupational Therapy Assistant011221314%1.7
Respiratory Therapy Technician101161415%1.1
36 Certified Nursing Assistant
% of Days 100%
7 Registered Nurse
% of Days 98%
8 Licensed Practical Nurse
% of Days 100%
7 Other Dietary Services Staff
% of Days 100%
4 Nurse Practitioner
% of Days 72%
1 Dental Services Staff
% of Days 61%
1 Administrator
% of Days 64%
2 RN Director of Nursing
% of Days 49%
2 Speech Language Pathologist
% of Days 74%
1 Dietitian
% of Days 24%
2 Clinical Nurse Specialist
% of Days 20%
1 Physical Therapy Assistant
% of Days 26%
1 Occupational Therapy Aide
% of Days 7%
1 Medical Director
% of Days 3%
1 Occupational Therapy Assistant
% of Days 14%
1 Respiratory Therapy Technician
% of Days 15%
View All Staffing Data

Penalties and fines

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.

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 Info 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 State average

State average: 11.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 22.4
In line with State average

State average: 23.3

Long-stay resident measures
Above average State avg: 2.8 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 31.4%
51% worse than State average

State average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 17.4%
21% better than State average

State average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 18.5%
31% better than State average

State average: 26.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.1%
8% better than State average

State average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.3%
45% worse than State average

State average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 5.5%
80% worse than State average

State average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.0%
26% better than State average

State average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.6%
86% better than State average

State average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 29.2%
47% worse than State average

State average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.4%
7% better than State average

State average: 93.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with State average

State average: 96.1%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.99
45% better than State average

State average: 1.80

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.35
31% better than State average

State average: 1.95

Short-stay resident measures
Average State avg: 2.2 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 88.5%
10% better than State average

State average: 80.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 2.4%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 30.4%
43% worse than State average

State average: 53.7%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 43
Medicare
2
4.7% of residents
Medicaid
19
44.2% of residents
Private pay or other
22
51.2% 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.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Government
City/County
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.6M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$298.8K
Government City/County
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.6M Rank #93 / 129Revenue — State benchmarkedThis home is ranked 93rd out of 129 homes in Nebraska for Revenue. Shows this facility's annual revenue compared to the Nebraska average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$298.8K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$286.8K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #80 / 129Payroll — State benchmarkedThis home is ranked 80th out of 129 homes in Nebraska for Payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.3M 72.1% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #39 / 129Payroll % — State benchmarkedThis home is ranked 39th out of 129 homes in Nebraska for Payroll %. Shows payroll as a percentage of revenue versus the Nebraska average. Well-run Nebraska facilities typically land around 66–74% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$1.6M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$4.9M
How we calculate these figures

This home is administered by Administrator Krystyn Turman.

This home is owned by Krystyn Turman

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 285212

Show certification details

Who this home usually serves

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 (57% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
35 total

Coverage residents most often arrive under.

Medicare 57%
Private pay 31%
Medicaid 11%
Discharges
17 total

Coverage residents most often leave under.

Medicare 53%
Private pay 12%
Medicaid 35%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

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Address 0.0 miles from city center Info Estimated distance in miles from Hay Springs's city center to Pioneer Manor Nursing Home's address, calculated via Google Maps.

Calculate Travel Distance to Pioneer Manor Nursing Home

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Frequently Asked Questions about Pioneer Manor Nursing Home

Who is the owner of Pioneer Manor Nursing Home?

Pioneer Manor Nursing Home is legally operated by City Of Hay Springs, and administered by Administrator Krystyn Turman.

Is Pioneer Manor Nursing Home in a walkable area?

Pioneer Manor Nursing Home has a walk score of 23. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at Pioneer Manor Nursing Home?

Pioneer Manor Nursing Home's occupancy is 88%.

Are pets allowed at Pioneer Manor Nursing Home?

No, Pioneer Manor Nursing Home has a no-pet policy.

Is Pioneer Manor Nursing Home a government-operated facility?

Pioneer Manor Nursing Home is a government-operated nursing facility in NE.

Who is the administrator of Pioneer Manor Nursing Home?

Administrator Krystyn Turman is the administrator of Pioneer Manor Nursing Home.

How many beds does Pioneer Manor Nursing Home have?

Pioneer Manor Nursing Home has 57 beds.

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