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C
Below Standard

PIONEER CARE AND REHABILITATION

200 N OREGON ST · DILLON, MT 59725

4066835105 · For profit - Limited Liability company

87 beds57.3 residents90 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

PIONEER CARE AND REHABILITATION receives an overall staffing grade of C (Below Standard). With 3.0318 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5276 HPRD, below the recommended 0.75. It is 0.86 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 18.28% compared to weekdays. The facility has low agency staff usage (1.15% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.0318 HPRD — needs 0.45 more hours per resident per day.
⚠️RN staffing (0.5276 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 (1.15%) — mostly permanent, familiar staff
Total Nurse HPRD
3.0318hrs/resident/day▼ 0.86
CMS benchmark: 3.48
RN HPRD
0.5276hrs/resident/day▼ 0.16
Recommended: 0.75
Weekend Drop-off
18.28%
3.197 weekday → 2.6125 weekend
Agency Staff
1.15%
6.65% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.6612hrs/resident/day
Direct care aides
LPN HPRD
0.6941hrs/resident/day
Licensed practical nurses
Consistency
0.4715std 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. Beaverhead County Average+0.00 HPRD
3.03
03.03 HPRD
vs. Montana State Average-0.95 HPRD
3.98
03.03 HPRD
vs. National Average-0.86 HPRD
3.90
03.03 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 CARE AND REHABILITATION ★
DILLON · This facility
—
C
3.03180.5276★☆☆☆☆
TOBACCO ROOT MOUNTAINS CARE CENTER
SHERIDAN
26.7 mi
A+
7.68141.6181★★★★★
MADISON VALLEY MANOR
ENNIS
44.3 mi
A+
5.1871.3757★★★★☆
SOUTHWEST MONTANA VETERANS HOME
BUTTE
50.9 mi
A+
5.32582.135★★★★★
CREST NURSING HOME
BUTTE
53.8 mi
C
3.36260.5504★★★★★
CONTINENTAL CARE AND REHABILITATION
BUTTE
54 mi
C
3.14090.6845★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

10
Inspections
53
Total Deficiencies
$158,103
Fines Assessed
Dec 31, 2025Health
1 deficiency cited
▼
May 8, 2025Health
19 deficiencies cited· Includes actual harm
▼
Feb 27, 2025Health
2 deficiencies cited
▼
Dec 5, 2024Health
2 deficiencies cited· Includes actual harm
▼
Aug 27, 2024Health
1 deficiency cited· Includes actual harm
▼
May 21, 2024Health
11 deficiencies cited· Includes actual harm
▼
Feb 27, 2024Health
3 deficiencies cited
▼
Jan 4, 2024Health
2 deficiencies cited
▼
Oct 25, 2023Health
2 deficiencies cited
▼
May 11, 2023Health
10 deficiencies cited· Includes actual harm
▼

Penalty History

May 8, 2025Fine
$48,464
Dec 5, 2024Fine
$12,529
Aug 27, 2024Fine
$18,850
May 21, 2024Fine
$40,641
Jan 4, 2024Fine
$12,786
May 11, 2023Fine
$24,833
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.