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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 97th out of 222 homes in Iowa.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
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 15m per day |
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
36% of new residents, usually for short-term rehab.
43% of new residents, often for short stays.
21% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #156 / 222Payroll — state benchmarkedThis home is ranked 156th out of 222 homes in Iowa.Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Iowa average: 75.4%Pioneer Valley Living and Rehab is administrated by Stephanie Amick.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 62 | 27 | This facility has 130% more total deficiencies than a typical Iowa nursing home (62 vs. IA avg 27).↑ 130% worse |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 10.3 | 4.5 | This facility has 129% more deficiencies per year than a typical Iowa nursing home (10.3 vs. IA avg 4.5).↑ 129% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 3.9 | 1.8 | This facility has 117% more deficiencies per inspection than a typical Iowa nursing home (3.9 vs. IA avg 1.8).↑ 117% worse |
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 16 | 15 | This facility has 7% more total inspections than a typical Iowa nursing home (16 vs. IA avg 15).↑ 7% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on October 21, 2025, found the facility to be in substantial compliance with no deficiencies. Earlier inspections showed a pattern of deficiencies primarily related to resident care, documentation, Minimum Data Set assessments, infection control, and quality assurance programs. Several complaint investigations were substantiated, including issues with dignity, care planning, medication management, and infection prevention, with one inspection in July 2023 identifying Immediate Jeopardy related to resident safety and abuse. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility appears to have made significant improvements over time, correcting prior deficiencies and achieving substantial compliance in the most recent surveys.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIowa average 4.9
Last Health inspection on Apr 2025
Iowa average 21.7
Iowa average 4.11
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).
233% worse than Iowa averageIowa average: 0.6
3
233% worse than Iowa averageIowa average: 0.9
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Apr 03, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 03, 2025
Corrected
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 03, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
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.
Pioneer Valley Living and Rehab is located in Sergeant Bluff, Iowa.
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82.9 miles from city center
Estimated distance in miles from Sergeant Bluff's city center to Pioneer Valley Living and Rehab's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
5% worse than Iowa averageIowa average ratio: 2.00:1
0% compared with Iowa averageIowa average: 7.4 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 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.
7.7 hoursNo contractors work on this role.
Total hours from contractors
1,185 contractor hours this quarter
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
47Residents 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.
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.
15.0
46% worse than Iowa averageIowa average: 10.2
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
Percent of long-stay residents whose need for help with daily activities has increased
28.9%
54% worse than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
35.1%
78% worse than Iowa averageIowa average: 19.7%
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%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
29% better than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
4.4%
In line with Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
3.6%
43% worse than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
3.9%
21% better than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
30.9%
62% worse than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.7%
In line with Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
In line with Iowa averageIowa average: 95.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.9%
9% better than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
3.0%
62% worse than Iowa averageIowa average: 1.8%
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.
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)
38% lower than Iowa averageIowa average: $48K
41% fewer fines than Iowa averageIowa average: 1.7
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Feb 6, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 13, 2023Last updated: Jan 2026
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Akron Care Center, INC |
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. | Akron | 45 | 98.1% | +30% | 4.71 | +15% | +10% | 0 | 4 | 2.0 | - | 42 | 37 | City Of Akron | $4.7M | $2.1M | 45.1% | 165595 | ||||
| Accura HealthCare of Carlisle |
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. | Carlisle | 80 | 80.5% | +7% | 5.85 | -40% | +36% | 0 | 17 | 5.7 | 2 | 39 | 50 | American Healthcare Associates Inc | $4.1M | $2.5M | 59.6% | 165311 | ||||
| Pioneer Valley Living and Rehab |
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. | Sergeant Bluff (Woodbury Township) | 66 | 76.3% | +1% | 4.30 | -13% | 0% | 1 | 61 | 12.2 | 5 | 45 | 61 | Patrick Henggeler | $5.6M | $2.2M | 39.5% | 165615 | ||||
| Accura Healthcare of Spirit Lake |
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. | Spirit Lake | 85 | 66.6% | -12% | 4.29 | -8% | 0% | 1 | 21 | 7.0 | 1 | 65 | 76 | - | $7.1M | $3.0M | 42.3% | 165528 | ||||
| Accura Healthcare of Lake City, 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. | Lake City | 46 | 70.4% | -7% | 5.17 | -33% | +20% | 4 | 39 | 3.9 | 4 | 40 | 51 | Accura Healthcare Of The Heartland LLC | $2.1M | $1.0M | 46.7% | 165082 |
Historical financial and operational data for Pioneer Valley Living and Rehab based on CMS SNF Cost Reports.
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Pioneer Valley Living and Rehab is in the Woodbury Township neighborhood of Sergeant Bluff.
Pioneer Valley Living and Rehab has a walk score of 61. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to IA state health department records, Pioneer Valley Living and Rehab's license number is 974356.
Pioneer Valley Living and Rehab's occupancy is 68%.
The team at Pioneer Valley Living and Rehab can be reached at [email protected].
Stephanie Amick is the administrator of Pioneer Valley Living and Rehab.
Pioneer Valley Living and Rehab has 66 beds.
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