1/5
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.
1/5
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.
Pioneer Ridge Retirement Community is a 76-bed nursing facility offering a care continuum including independent living, assisted living, skilled nursing, and rapid recovery services in Lawrence, Kansas. Privately owned and operated by Ann Bell, the community serves Douglas County residents across multiple care levels.
The inspection record is a major decision factor. Over the past seven years, Pioneer Ridge recorded 140 total deficiencies, roughly 85 percent above Kansas state average of 6 per year. Three recent findings carry particular weight: a March 2025 complaint investigation resulted in an immediate jeopardy determination after a resident with documented peanut allergies was served a peanut butter cookie, suffered anaphylaxis, and was hospitalized; an August 2025 substantiated complaint found the facility failed to report an abuse allegation to the state agency as required; and the December 2025 annual survey cited 16 deficiencies, including staff narcotics misappropriation that led to termination. The facility holds a 2-star CMS rating, driven primarily by a health inspection score 24.8 percent below Kansas’ average. Staffing runs counter to the overall picture; nurse hours of 4h 25m per resident per day sit about 11 percent above state average.
On-site activities are available. Offerings feature rehabilitation services, memory care, respite care, and a rapid recovery program for post-acute stays.
Pioneer Ridge fits residents and families seeking a multi-level campus in Lawrence. It’s where care can be transitioned across independent, assisted, and skilled nursing settings, specifically those pursuing short-term post-acute or quick recovery stays.
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.
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 |
|---|---|---|
|
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.
| 45m per day | ▲ 5% State avg: 43m 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.
| 41m per day | ■ Avg State avg: 40m 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 33m per day | ▼ 5% State avg: 2h 41m 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 31m per day | ■ Avg State avg: 3h 35m 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.
| 10m per day | ▲ 418% State avg: 2m 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.
| 31m per day | ▲ 3% State avg: 30m per day · National avg: 28m per day |
Similar to the Kansas average: 79.5%Pioneer Ridge Retirement Community is administered by Deja Rhodeman.
In Kansas, the Department for Aging and Disability Services, Survey and Certification Commission performs the unannounced inspections required for facility licensing and federal certification.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kansas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | KS Average | vs. KS Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 145 | 100 | This facility has 45% more total deficiencies than a typical Kansas nursing home (145 vs. KS avg 100).↑ 45% worse |
|
Deficiencies per year
Average deficiencies per year since 2013.
| 11.2 | 7.7 | This facility has 45% more deficiencies per year than a typical Kansas nursing home (11.2 vs. KS avg 7.7).↑ 45% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Kansas average 4.5
Last Health inspection on Dec 2025
Kansas average 26.9
Kansas average 6.07
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
33 of 52 citations resulted from standard inspections; 4 of 52 resulted from complaint investigations; and 15 of 52 came from combined inspections (standard and complaint).
11% worse than Kansas averageKansas average: 0.9
11% worse than Kansas averageKansas average: 0.9
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
44% more staff per resident than Kansas average
0% compared with Kansas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 9 RN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursAssists with medical care and medications.
All 7 LPN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursHelps with daily care and mobility.
All 64 CNA Staff are full-time employees. No contractors work on this role.
64
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 64 | 0 | 64 | 11,333 | 92 | 100% | 7.3 |
| Physical Therapist | 26 | 0 | 26 | 5,925 | 92 | 100% | 6.4 |
| Medication Aide/Technician | 10 | 0 | 10 | 3,288 | 92 | 100% | 8.3 |
| Registered Nurse | 9 | 0 | 9 | 2,985 | 92 | 100% | 9.9 |
| Licensed Practical Nurse | 7 | 0 | 7 | 2,785 | 92 | 100% | 9.8 |
| Physical Therapy Assistant | 7 | 0 | 7 | 1,722 | 74 | 80% | 6.2 |
| RN Director of Nursing | 2 | 0 | 2 | 1,076 | 69 | 75% | 8.5 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 985 | 74 | 80% | 7 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 812 | 58 | 63% | 8 |
| Dietitian | 1 | 0 | 1 | 545 | 62 | 67% | 8.8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 381 | 50 | 54% | 7.6 |
| Qualified Social Worker | 2 | 0 | 2 | 234 | 73 | 79% | 2.8 |
| Speech Language Pathologist | 6 | 0 | 6 | 133 | 36 | 39% | 3.2 |
Includes penalties issued in 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)
27% lower than Kansas averageKansas average: $44K
17% fewer fines than Kansas averageKansas average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Kansas averageKansas average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Mar 19, 2025 · $23K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 19, 2025Last updated: Jan 2026
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.
8.6
18% better than Kansas averageKansas average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.7
10% better than Kansas averageKansas average: 20.7
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
12.3%
35% better than Kansas averageKansas average: 19.0%
Percent of long-stay residents whose ability to move independently worsened
16.6%
14% better than Kansas averageKansas average: 19.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.3%
15% worse than Kansas averageKansas average: 23.8%
Percent of long-stay residents experiencing one or more falls with major injury
5.2%
18% worse than Kansas averageKansas average: 4.4%
Percent of long-stay high risk residents with pressure ulcers
6.3%
36% worse than Kansas averageKansas average: 4.6%
Percent of long-stay residents with a urinary tract infection
5.3%
69% worse than Kansas averageKansas average: 3.1%
Percent of long-stay residents who lose too much weight
2.5%
51% better than Kansas averageKansas average: 5.1%
Percent of long-stay residents who have depressive symptoms
2.3%
56% better than Kansas averageKansas average: 5.2%
Percent of long-stay residents who received an antipsychotic medication
9.5%
44% better than Kansas averageKansas average: 16.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
89.0%
In line with Kansas averageKansas average: 91.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
75.6%
21% worse than Kansas averageKansas average: 95.5%
Number of hospitalizations per 1,000 long-stay resident days.
3.08
67% worse than Kansas averageKansas average: 1.84
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.49
31% better than Kansas averageKansas average: 2.16
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
72.8%
In line with Kansas averageKansas average: 75.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Kansas averageKansas average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
56.5%
23% worse than Kansas averageKansas average: 73.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
31.0%
35% worse than Kansas averageKansas average: 23.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.6%
In line with Kansas averageKansas average: 11.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.7%
9% better than Kansas averageKansas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
49.2%
8% worse than Kansas averageKansas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
63.8%
26% better than Kansas averageKansas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
85% of new residents, usually for short-term rehab.
15% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
45Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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 Ridge Retirement Community from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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."
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."
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."
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."
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.
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.
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.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (85% of admissions), and a typical Medicare stay runs around 24 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Lawrence's city center to Pioneer Ridge Retirement Community's address, calculated via Google Maps.
Add your location
Pioneer Ridge Retirement Community is located in LAWRENCE, Kansas.
Here are the financial assistance programs available to residents in Kansas.
Pioneer Ridge Retirement Community is in the Lawrence Cultural District neighborhood of LAWRENCE.
Pioneer Ridge Retirement Community is legally operated by Pioneer Ridge Llc, and administered by Deja Rhodeman.
Pioneer Ridge Retirement Community has a walk score of 87. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to KS state health department records, Pioneer Ridge Retirement Community's license number is 175445.
Pioneer Ridge Retirement Community's occupancy is 82%.
Pioneer Ridge Retirement Community is registered as a for-profit in KS.
Deja Rhodeman is the administrator of Pioneer Ridge Retirement Community.
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