Show Inspection Reports
Total health inspections
5
Iowa average 4.9
Last Health inspection on Apr 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Pioneer Valley Living and Rehab
Nursing Home
Pioneer Valley Living and Rehab
Nursing Home
Pioneer Valley Health & Rehabilitation is a nursing home facility located in South Hadley, Massachusetts. It meets the short-term rehab, long-term care, and respite care needs of patients and their families with attention, understanding, compassion, and respect. The facility provides a tranquil environment for a patient-centered approach to care, promoting healing, recovery, and comfort.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
66
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
76.3%
Residents per day (avg)
45
Occupancy rate
76.3%
Residents per day (avg)
45
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
36% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
43% of new residents, often for short stays.
Typical stay
7 - 8 months
Medicaid
21% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Finances and operations
Proprietary home
Corporation
Home revenue
$5.6M
Operating loss
-$67.4K
Proprietary home
Corporation
Home revenue
$5,615,135.00
Operating loss
$-67,418.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.2M
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.
$3.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.3M
66-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
10 years in operation
A community with a solid operating history and experience delivering ongoing care.
About this community
Occupancy Rate
68%
Occupied Beds
45 of 66
Percentage of available beds currently in use by residents.
License Status
ActiveFacility Type
Free Standing NF/SNF
License Date
February 26, 2016
Additional licensing details
License number:
974356
CMS Certification Number:
165615
Certification type:
FALSE
County:
Woodbury
Ownership & operating entity
Pioneer Valley Living and Rehab is administrated by Stephanie Amick.
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Licensed Nurses/CNAs
Short-Term Rehab
All Levels of Care
Contact Information
Email:
[email protected]
Fax:
7129432370
Programs & Activities
Specific Programs
Short-term rehabilitation, long-term care, respite care.
Inspection History
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
16 visits/inspections
Latest inspection
Date:October 22, 2025
62 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Compare Nursing Homes around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
+15%
+10%
+30%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 510017716
45
No
CITY OF AKRON
98.1%
$4,650,730.00
$2,144,112.00
46.1%
42.00
4.7098
-
4
-
+15%+10%+30%
Accura HealthCare of Carlisle
-40%
+36%
+7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 500478733
46
No
AMERICAN HEALTHCARE ASSOCIATES INC
80.5%
$4,098,046.00
$2,453,646.00
59.9%
38.90
5.8515
-
17
2
-40%+36%+7%
Pioneer Valley Living and Rehab
-13%
+1%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 51054
66
No
HENGGELER, PATRICK
76.3%
$5,611,200.00
$2,215,215.00
39.5%
45.30
4.2977
1
61
5
-13%
0%
+1%
Accura Healthcare of Spirit Lake
-8%
-12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 513601000
85
No
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65.20
4.2922
1
21
1
-8%
0%
-12%
Accura Healthcare of Lake City, LLC
-33%
+20%
-7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 514499701
46
No
ACCURA HEALTHCARE OF THE HEARTLAND LLC
70.4%
$2,045,587.00
$969,532.00
47.4%
39.80
5.1665
4
39
4
-33%+20%-7%
Akron Care Center, INC
Type of care:
SNF
AL
Community:
IA 510017716
Bed Count:
45
Pets Allowed:
No
Operator:
CITY OF AKRON
CCN:
165595
Occupancy:
98.1%
Home Revenue:
$4,650,730.00
Payroll Costs:
$2,144,112.00
Payroll %:
46.1%
Avg Residents/Day:
42.00
Overall Rating:
Adj Nurse Hours:
4.7098
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
+15%
+15%
Staffing vs State Avg:
+10%
+10%
Occupancy vs State Avg:
+30%
+30%
Accura HealthCare of Carlisle
Type of care:
SNF
AL
Community:
IA 500478733
Bed Count:
46
Pets Allowed:
No
Operator:
AMERICAN HEALTHCARE ASSOCIATES INC
CCN:
165311
Occupancy:
80.5%
Home Revenue:
$4,098,046.00
Payroll Costs:
$2,453,646.00
Payroll %:
59.9%
Avg Residents/Day:
38.90
Overall Rating:
Adj Nurse Hours:
5.8515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
17
Severe Citations:
2
RN share vs State Avg:
-40%
-40%
Staffing vs State Avg:
+36%
+36%
Occupancy vs State Avg:
+7%
+7%
Pioneer Valley Living and Rehab
Type of care:
SNF
AL
Community:
IA 51054
Bed Count:
66
Pets Allowed:
No
Operator:
HENGGELER, PATRICK
CCN:
165615
Occupancy:
76.3%
Home Revenue:
$5,611,200.00
Payroll Costs:
$2,215,215.00
Payroll %:
39.5%
Avg Residents/Day:
45.30
Overall Rating:
Adj Nurse Hours:
4.2977
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
61
Severe Citations:
5
RN share vs State Avg:
-13%
-13%
Staffing vs State Avg:
0%
Occupancy vs State Avg:
+1%
+1%
Accura Healthcare of Spirit Lake
Type of care:
SNF
AL
Community:
IA 513601000
Bed Count:
85
Pets Allowed:
No
CCN:
165528
Occupancy:
66.6%
Home Revenue:
$7,053,735.00
Payroll Costs:
$3,009,392.00
Payroll %:
42.7%
Avg Residents/Day:
65.20
Overall Rating:
Adj Nurse Hours:
4.2922
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
21
Severe Citations:
1
RN share vs State Avg:
-8%
-8%
Staffing vs State Avg:
0%
Occupancy vs State Avg:
-12%
-12%
Accura Healthcare of Lake City, LLC
Type of care:
SNF
AL
Community:
IA 514499701
Bed Count:
46
Pets Allowed:
No
Operator:
ACCURA HEALTHCARE OF THE HEARTLAND LLC
CCN:
165082
Occupancy:
70.4%
Home Revenue:
$2,045,587.00
Payroll Costs:
$969,532.00
Payroll %:
47.4%
Avg Residents/Day:
39.80
Overall Rating:
Adj Nurse Hours:
5.1665
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
39
Severe Citations:
4
RN share vs State Avg:
-33%
-33%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
-7%
-7%Places of interest near Pioneer Valley Living and Rehab
82.9 miles from city center
Sergeant Bluff, IA 51054
Calculate Travel Distance to Pioneer Valley Living and Rehab
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
89
Total Staff
76
Employees
13
Contractors
22,238
Total Hours (Quarter)
34
Avg Staff/Day
7.2
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 9 | 8.2 | Yes |
| Licensed Practical Nurse | 5 | 8.6 | No |
| Certified Nursing Assistant | 34 | 7.7 | No |
Staff by Category
Administration ⓘ
2 staff
7.9hs shift avg
Nursing Staff ⓘ
55 staff
7.8hs shift avg
Physicians & Practitioners ⓘ
4 staff
7.7hs shift avg
Therapy Services ⓘ
24 staff
6hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
0.7hs shift avg
Dietary Services ⓘ
2 staff
6.6hs shift avg
Other Services ⓘ
1 staff
7.9hs shift avg
Contractor Analysis
5.3%
of total hours from contractors
1,185 contractor hours this quarter
Administrator: 1
Speech Language Pathologist: 1
Physical Therapy Assistant: 3
Registered Nurse: 1
Respiratory Therapy Technician: 3
Occupational Therapy Aide: 1
Qualified Social Worker: 1
Medical Director: 1
Physical Therapy Aide: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 34 | 0 | 34 | 9,753 | 91 | 100% | 7.7 |
| Physical Therapist | 15 | 0 | 15 | 4,249 | 91 | 100% | 6.6 |
| Medication Aide/Technician | 7 | 0 | 7 | 2,210 | 91 | 100% | 8 |
| Licensed Practical Nurse | 5 | 0 | 5 | 1,758 | 91 | 100% | 8.6 |
| Registered Nurse | 8 | 1 | 9 | 1,195 | 86 | 95% | 8.2 |
| Nurse Practitioner | 2 | 0 | 2 | 789 | 62 | 68% | 7.7 |
| Administrator | 0 | 1 | 1 | 520 | 65 | 71% | 8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 496 | 64 | 70% | 6.6 |
| Mental Health Service Worker | 1 | 0 | 1 | 437 | 55 | 60% | 7.9 |
| Speech Language Pathologist | 0 | 1 | 1 | 304 | 61 | 67% | 5 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 212 | 16 | 18% | 7.8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 147 | 55 | 60% | 2.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 77 | 13 | 14% | 5.9 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 66 | 28 | 31% | 2.4 |
| Physical Therapy Aide | 0 | 1 | 1 | 16 | 11 | 12% | 1.5 |
| Qualified Social Worker | 0 | 1 | 1 | 8 | 12 | 13% | 0.7 |
| Medical Director | 0 | 1 | 1 | 2 | 1 | 1% | 2 |
Health Inspection History
Inspections
Total health citations
61
Citations per inspection
12.2
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
31 of 61 citations resulted from standard inspections; 21 of 61 resulted from complaint investigations; and 9 of 61 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
233% worse than Iowa averageIowa average: 0.6
Serious Health citations
3
3
233% worse than Iowa averageIowa average: 0.9
2 critical citations
3 serious citations
56 moderate citations
0 minor citations
Citations history (last 3 years)
Administration moderate citation
Apr 03, 2025
Corrected
Infection Control moderate citation
Apr 03, 2025
Corrected
Pharmacy moderate citation
Apr 03, 2025
Corrected
Quality of Care moderate citation
Apr 03, 2025
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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Resident Census by Payment Source
47
Total Residents
Medicare
6
(12.8%)
ⓘ
Medicaid
25
(53.2%)
ⓘ
Private Pay/Other
16
(34%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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.
15.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.0
46% worse than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.4
41% worse than Iowa averageIowa average: 21.6
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
28.9%
Percent of long-stay residents whose need for help with daily activities has increased
28.9%
54% worse than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
35.1%
Percent of long-stay residents whose ability to move independently worsened
35.1%
78% worse than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.3%
In line with Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
29% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.4%
Percent of long-stay high risk residents with pressure ulcers
4.4%
In line with Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.6%
Percent of long-stay residents with a urinary tract infection
3.6%
43% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.9%
Percent of long-stay residents who lose too much weight
3.9%
21% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
30.9%
Percent of long-stay residents who received an antipsychotic medication
30.9%
62% worse than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.7%
In line with Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
In line with Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.9%
9% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.0%
Percent of short-stay residents who newly received an antipsychotic medication
3.0%
62% worse than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.6%
21% better than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 (Data as of Jan 2026)
Total fines amount
$30K
38% lower than Iowa averageIowa average: $48K
Number of fines
1
41% fewer fines than Iowa averageIowa average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
88% more payment denials than Iowa averageIowa average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$30K
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Feb 6, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Feb 6, 2025
76 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 13, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 13, 2023
$30K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Pioneer Valley Living and Rehab based on CMS SNF Cost Reports.
Occupancy Rate
76.3%
↑ 17.6pp vs 2022
Net Income
-$67,418
↑ ~$437K vs 2022
Total Payroll
$2,561,000
↑ ~$373K vs 2022
Profit Margin
-1.2%
↑ 10.6pp vs 2022
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