About Pioneer Care and Rehabilitation

Pioneer Care and Rehabilitation is a nursing home in Dillon, Montana. Its capacity is 87 beds, above the Montana median of 72 for nursing homes. It is run by a for-profit operator and is part of Sweetwater Care. It is Medicare certified. Its public inspection record shows 53 citations, the most recent on December 31, 2025. CMS also lists 6 fines or payment denials against it. Nurse staffing averages 3.64 hours per resident per day. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

3.0

Staffing

3.0

Quality measures

5.0

CMS Care Compare, October 2026.

Inspection history (53)

Records from May 2023 to December 2025.

December 31, 2025
Tag F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 23, 2026.
May 8, 2025
Tag F0760
Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0695
Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0881
Implement a program that monitors antibiotic use.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected May 30, 2025.
May 8, 2025
Tag F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0692
Provide enough food/fluids to maintain a resident's health.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0841
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0627
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0697
Provide safe, appropriate pain management for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0761
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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0943
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0880
Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.

See the source data on data.cms.gov

Penalties (6)

Total fines: $140,630

February 19, 2026 · Fine
CMS recorded a civil money penalty of $7,360 against this nursing home on February 19, 2026.
May 8, 2025 · Fine
CMS recorded a civil money penalty of $48,464 against this nursing home on May 8, 2025.
December 5, 2024 · Fine
CMS recorded a civil money penalty of $12,529 against this nursing home on December 5, 2024.
August 27, 2024 · Fine
CMS recorded a civil money penalty of $18,850 against this nursing home on August 27, 2024.
May 21, 2024 · Fine
CMS recorded a civil money penalty of $40,641 against this nursing home on May 21, 2024.
January 4, 2024 · Fine
CMS recorded a civil money penalty of $12,786 against this nursing home on January 4, 2024.

See the source data on data.cms.gov

Staffing

3.64 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit

Part of Sweetwater Care, a chain of 8 nursing homes.

Average CMS star ratings across the chain: 2.4 overall, 2.0 for health inspections, 3.3 for staffing, 4.1 for quality measures.

Parent company: Sweetwater Care Opco LLC

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in Montana.

Nursing Homes

Montana median$8,973/mo

Montana cost breakdown

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