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.

February 27, 2025
Tag F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 4, 2025.
February 27, 2025
Tag F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 4, 2025.
December 5, 2024
Tag F0880
Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 3, 2025.
December 5, 2024
Tag F0760
Ensure that residents are free from significant medication errors.
Severity G: isolated, actual harm. Corrected January 3, 2025.
August 27, 2024
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 September 5, 2024.
May 21, 2024
Tag F0745
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 28, 2024.
May 21, 2024
Tag F0825
Provide or get specialized rehabilitative services as required for a resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 28, 2024.
May 21, 2024
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 June 28, 2024.
May 21, 2024
Tag F0887
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 28, 2024.
May 21, 2024
Tag F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 28, 2024.
May 21, 2024
Tag F0584
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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 28, 2024.
May 21, 2024
Tag F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 28, 2024.
May 21, 2024
Tag F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 28, 2024.
May 21, 2024
Tag F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 28, 2024.
May 21, 2024
Tag F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 28, 2024.
May 21, 2024
Tag F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 28, 2024.
February 27, 2024
Tag F0626
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 11, 2024.
February 27, 2024
Tag F0622
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 11, 2024.
February 27, 2024
Tag F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 11, 2024.
January 4, 2024
Tag F0602
Protect each resident from the wrongful use of the resident's belongings or money.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 27, 2024.

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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