Home›Missouri›Chariton County›PIONEER SKILLED NURSING CENTER
D
Poor

PIONEER SKILLED NURSING CENTER

1500 SOUTH KANSAS AVENUE · MARCELINE, MO 64658

6603762001 · For profit - Corporation

96 beds57.3 residents90 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 SKILLED NURSING CENTER receives an overall staffing grade of D (Poor). With 3.1597 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.2911 HPRD, below the recommended 0.75. It is 0.74 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 23.79% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1597 HPRD — needs 0.32 more hours per resident per day.
⚠️RN staffing (0.2911 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.1597hrs/resident/day▼ 0.74
CMS benchmark: 3.48
RN HPRD
0.2911hrs/resident/day▼ 0.39
Recommended: 0.75
Weekend Drop-off
23.79%
3.3875 weekday → 2.5815 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.5815hrs/resident/day
Direct care aides
LPN HPRD
0.8hrs/resident/day
Licensed practical nurses
Consistency
0.5879std 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. Chariton County Average+0.33 HPRD
2.83
03.16 HPRD
vs. Missouri State Average-0.32 HPRD
3.48
03.16 HPRD
vs. National Average-0.74 HPRD
3.90
03.16 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 SKILLED NURSING CENTER ★
MARCELINE · This facility
—
D
3.15970.2911★★★☆☆
LIFE CARE CENTER OF BROOKFIELD
BROOKFIELD
7.6 mi
B
3.61560.5728★★☆☆☆
LOCH HAVEN
MACON
25.1 mi
D
3.52080.3836★★★☆☆
MACON HEALTH CARE CENTER
MACON
27.2 mi
C
3.19790.8359★★★★☆
GRAND RIVER HEALTH CARE
CHILLICOTHE
31.5 mi
D
2.96730.7764★★☆☆☆
NORTH VILLAGE PARK
MOBERLY
33.5 mi
F
2.50950.0867★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
20
Total Deficiencies
$47,467
Fines Assessed
Mar 20, 2025Health
7 deficiencies cited
▼
Dec 17, 2024Health
3 deficiencies cited
▼
Jun 13, 2023Health
4 deficiencies cited· Includes actual harm
▼
Oct 3, 2019Health
6 deficiencies cited
▼

Penalty History

Jun 13, 2023Fine
$47,467
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.