About Pioneer Skilled Nursing Center

Pioneer Skilled Nursing Center is a nursing home in Marceline, Missouri. Its capacity is 96 beds, above the Missouri median of 94 for nursing homes. It is run by a for-profit operator and is part of Americare Senior Living. It is Medicare certified. Its public inspection record shows 20 citations, the most recent on March 20, 2025. Enforcement records show no fine or payment denial against it. Nurse staffing averages 3.50 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

4.0

CMS Care Compare, October 2026.

Inspection history (20)

Records from October 2019 to March 2025.

March 20, 2025
Tag F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 1, 2025.
March 20, 2025
Tag F0880
Provide and implement an infection prevention and control program.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 1, 2025.
March 20, 2025
Tag F0569
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 1, 2025.
March 20, 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 1, 2025.
March 20, 2025
Tag F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 1, 2025.
March 20, 2025
Tag F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 1, 2025.
March 20, 2025
Tag F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 1, 2025.
December 17, 2024
Tag F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 17, 2025.
December 17, 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 January 17, 2025.
December 17, 2024
Tag F0610
Respond appropriately to all alleged violations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 17, 2025.
June 13, 2023
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 E: pattern, no actual harm, potential for more than minimal harm. Corrected July 14, 2023.
June 13, 2023
Tag F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected July 14, 2023.
June 13, 2023
Tag F0695
Provide safe and appropriate respiratory care for a resident when needed.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 14, 2023.
June 13, 2023
Tag F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity J: isolated, immediate jeopardy. Corrected July 14, 2023.
October 3, 2019
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 November 11, 2019.
October 3, 2019
Tag F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected December 16, 2019.
October 3, 2019
Tag F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 11, 2019.
October 3, 2019
Tag F0658
Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 11, 2019.
October 3, 2019
Tag F0759
Ensure medication error rates are not 5 percent or greater.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 11, 2019.
October 3, 2019
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 November 11, 2019.

See the source data on data.cms.gov

Penalties

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing

3.50 nurse hours per resident per day in Q2 2026, up from 3.15 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit

Part of Americare Senior Living, a chain of 23 nursing homes.

Average CMS star ratings across the chain: 3.6 overall, 3.5 for health inspections, 3.6 for staffing, 3.0 for quality measures.

Parent company: Americare Systems, INC.

Typical cost

CareScout Cost of Care Survey, 2025

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

Nursing Homes

Missouri median$6,741/mo

Missouri cost breakdown

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