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Nursing HomeMedicaid

Pioneer Skilled Nursing Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

1500 South Kansas Avenue, Marceline, MO 6465896 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 31 Google reviews

5
4
3
2
1

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What this means for your family

While many families report excellent rehabilitation outcomes and attentive care, the serious allegations of neglect for non-ambulatory residents are concerning. If you choose this facility, we strongly recommend conducting unannounced visits to monitor hygiene and skin integrity, especially if your loved one requires assistance with basic daily needs.

Google Reviews

Google Reviews

31 reviews on Google
Pioneer Skilled Nursing Center receives polarized feedback, with many families praising the compassionate, attentive nursing staff and successful rehabilitation outcomes. However, there are serious allegations regarding neglect, specifically concerning the development of bedsores and poor hygiene for residents who cannot care for themselves. Prospective families should be aware of the stark contrast between the highly positive testimonials and the critical reports of inadequate basic care.

Quality Themes

Tap a score for details
Food5.0Staff8.0Clean3.0ActivitiesN/AMedsN/AMemoryN/AComms9.0Value2.0

Strengths

  • Compassionate and attentive nursing staff
  • Effective rehabilitation therapy services
  • Welcoming and family-oriented environment
  • Professional communication with distant family members

Concerns

  • Neglect leading to bedsores and poor hygiene (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(1)'19(1)'22(1)'24(5)'26(1)

Distribution · 36 analyzed

5
31
4
0
3
0
2
0
1
5
10 reviews posted between Feb 12, 2020Feb 12, 2020 · 10 were 5-star

How They Respond to Reviews

33%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given the recent focus on staffing levels, could you walk me through how your team ensures consistent, one-on-one attention for residents throughout the day?
  • 2I’ve read some positive feedback about your communication with families who live out of town; what is your standard process for keeping us updated on our loved one’s daily health and well-being?
  • 3To ensure the highest level of comfort, what specific protocols do you have in place for skin integrity and hygiene management for residents who require extra assistance?
  • 4I noticed your rehabilitation services are highly regarded; how do you integrate those therapy sessions into the daily routine to keep residents active and engaged?
  • 5With the facility housing 96 residents, how do you maintain a clean and comfortable living environment that feels personal and home-like?
  • 6In the event of a medical emergency, what is your immediate response protocol, and how quickly are family members typically notified?

Personalized based on this facility's data


Key Review Excerpts

When I would come to visit him i don't remember a single instance where it seemed maybe 15 minutes would go by and someone, sometimes the same someone and sometimes someone new, was oming in to check him and ask if he needed anything.

Grandchild of resident · 2020★★★★★

My Aunt did nothing but decline completely once she arrived there. She was there for several months and developed one huge and many other bed sores because they did not get her out of bed. They did not shower or care for her properly.

Niece of resident · 2024☆☆☆☆

The facility took really great care of my loved one who is actually my next door neighbor, his needs were meet, staff was great, meals were good, he never wanted for anything, he rehabbed to home thanks to the great therapy he received while at Pioneer.

Neighbor of resident · 2024★★★★★
Source: 31 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.36hrs
47%
Registered nurses for medical care
Total Nursing
3.15hrs
77%
All nurses + aides combined
Staff Turnover
59%
Lower is better (< 30% = good)
RN Turnover
78%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

6

measures

Worse Than Avg

7

measures

Mixed Results

4

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
MO
16.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

⚖️

Residents who lost too much weight

↓ Lower is better
This Facility18.2%
Worse than Avg
Here
18.2%
US
5.3%
MO
5.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility15.2%
Better than Avg
Here
15.2%
US
15.5%
MO
23.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility91.4%
Mixed vs Avgs
Here
91.4%
US
93.4%
MO
84.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility89.1%
Worse than Avg
Here
89.1%
US
95.5%
MO
90.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility25.9%
Worse than Avg
Here
25.9%
US
19.5%
MO
25.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility30.0%
Worse than Avg
Here
30.0%
US
79.8%
MO
63.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility74.1%
Mixed vs Avgs
Here
74.1%
US
81.8%
MO
65.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
MO
2.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
Near state avg (12.0)
3 complaint-triggered
$47,467 in fines

Pioneer Skilled Nursing Center has a concerning pattern of recurring fire safety, quality of care, and food safety deficiencies across four years of inspections. Families filed complaints that triggered findings related to abuse reporting and daily care assistance. The facility repeatedly struggles with smoke barriers, emergency systems, medication management, and infection control, with some issues persisting from 2019 through 2025 despite reported corrections.

Mar 20, 2025Routine
11
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0569Potential for harm · PatternCorrected

Resident Rights Deficiencies

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

0883Potential for harm · PatternCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Dec 17, 2024Complaint
3
0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Jun 13, 2023Routine
24
0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0161Potential for harm · Widespread

Construction Deficiencies

Use approved construction type or materials.

0222Potential for harm · Widespread

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0324Potential for harm · Widespread

Smoke Deficiencies

Provide properly protected cooking facilities.

0363Potential for harm · Widespread

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · Widespread

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0311Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0915Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper power supply for life support equipment.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0223Potential for harm · PatternCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0362Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

0912Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

Oct 3, 2019Routine
12
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0271Potential for harm · PatternCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0362Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Pioneer Skilled Nursing Center

Organization Type

for profit

Chain Affiliation

Chain Name

Americare Senior Living

Chain Size

23 facilities nationwide

Chain avg rating: 3.6/5 · Rank 19 of 23

Ownership & Management

Owners

Pioneer Nursing, LLC

Owner · Organization

R H Montgomery Properties, INC

Owner · Organization

Montgomery, Anna

Owner (parent company)

50%

Montgomery, Richard

Owner (parent company)

50%

Key personnel

Schade, KyleContracted Managing EmployeeWoods, Matthew JW-2 Managing EmployeeReiker, JamesOfficer / DirectorSchade, KyleOfficer / DirectorAmericare Systems, INC.Manager
Source: Medicare provider data

Contact

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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