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Nursing Homes · Medicare certified

Pioneer Care and Rehabilitation

200 N Oregon St · Dillon, MT 59725 · 87 certified beds

(406) 683-5105

NPI 1649789314 (opens in a new tab)

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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.

  • January 4, 2024

    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 February 27, 2024.

  • October 25, 2023

    Tag F0726

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 27, 2023.

  • October 25, 2023

    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 November 27, 2023.

  • May 11, 2023

    Tag F0727

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 7, 2023.

  • May 11, 2023

    Tag F0656

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 7, 2023.

  • May 11, 2023

    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 June 7, 2023.

  • May 11, 2023

    Tag F0700

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 7, 2023.

  • May 11, 2023

    Tag F0880

    Provide and implement an infection prevention and control program.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected June 7, 2023.

  • May 11, 2023

    Tag F0725

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected June 7, 2023.

  • May 11, 2023

    Tag F0575

    Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

    Severity C: widespread, no actual harm, potential for minimal harm. Corrected June 7, 2023.

  • May 11, 2023

    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 7, 2023.

  • May 11, 2023

    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 7, 2023.

  • May 11, 2023

    Tag F0692

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

    Severity G: isolated, actual harm. Corrected June 7, 2023.

See the source data on data.cms.gov (opens in a new tab)

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 (opens in a new tab)

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

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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Pioneer Care and Rehabilitation in Dillon, MT · Inspections page 3 · ElderCareCosts