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D
Poor

PIONEER THERAPY AND LIVING

1506 EAST MAIN STREET · MELBOURNE, AR 72556

8703684377 · For profit - Individual

86 beds71.1 residents100 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

PIONEER THERAPY AND LIVING receives an overall staffing grade of D (Poor). With 3.4416 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.2817 HPRD, below the recommended 0.75. It is 0.45 HPRD below the national average.

Weekend staffing drops significantly — dropping 31.72% compared to weekdays. The facility has low agency staff usage (2.06% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4416 HPRD — needs 0.04 more hours per resident per day.
⚠️RN staffing (0.2817 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️Weekend staffing drops 31.72% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (2.06%) — mostly permanent, familiar staff
Total Nurse HPRD
3.4416hrs/resident/day▼ 0.45
CMS benchmark: 3.48
RN HPRD
0.2817hrs/resident/day▼ 0.40
Recommended: 0.75
Weekend Drop-off
31.72%
3.7806 weekday → 2.5813 weekend
⚠ Significant weekend reduction
Agency Staff
2.06%
25.22% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.4413hrs/resident/day
Direct care aides
LPN HPRD
0.8126hrs/resident/day
Licensed practical nurses
Consistency
0.6423std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Izard County Average-0.88 HPRD
4.32
03.44 HPRD
vs. Arkansas State Average-0.65 HPRD
4.09
03.44 HPRD
vs. National Average-0.45 HPRD
3.90
03.44 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
PIONEER THERAPY AND LIVING ★
MELBOURNE · This facility
—
D
3.44160.2817★★★★★
WHITE RIVER HEALTHCARE
CALICO ROCK
9.8 mi
C
5.2080.5263★★☆☆☆
THE BLOSSOMS AT MOUNTAIN VIEW REHAB & NURSING CEN
MOUNTAIN VIEW
18.1 mi
D
3.18680.3516★★★★★
EAGLECREST NURSING AND REHAB
ASH FLAT
18.9 mi
D
3.73510.3245★★★★★
ASH FLAT HEALTHCARE AND REHABILITATION CENTER
ASH FLAT
19.3 mi
C
4.14570.4487★★★★★
CAVE CITY NURSING HOME INC
CAVE CITY
20.1 mi
D
4.6270.346★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
15
Total Deficiencies
$0
Fines Assessed
Oct 31, 2024Health
2 deficiencies cited
▼
Oct 26, 2023Health
8 deficiencies cited
▼
Aug 4, 2022Health
5 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.