Nursing home
Pioneer Valley Living And Rehab
400 Sergeant Square Drive, Sergeant Bluff, IA 51054 · Map
For profit - Limited Liability company · 66 certified beds
Pioneer Valley Living And Rehab is a Medicare-certified nursing home in Sergeant Bluff, Iowa. CMS rates it 1 out of 5 stars overall (4/5 for staffing, 1/5 for health inspections). Nurse staffing is 4.03 hours per resident per day, above the Iowa average of 3.83. Its most recent inspection on Feb 6, 2025 cited 34 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 1 fine totaling $29,572In CMS records: 2 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Pioneer Valley Living And Rehab compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.03 | 3.83 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.72 | 0.73 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.96 | 2.53 | 2.34 | above avg |
| Nursing staff turnover | 49.1% | 43.9% | 46.4% | above avg |
| Deficiencies cited, last inspection | 34.0 | 6.2 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the March 3, 2026 inspection was corrected by March 20, 2026
Penalties in CMS records: 1 fine totaling $29,572, 2 total penalties, 1 Medicare payment denial.
What inspectors found at Pioneer Valley Living And Rehab
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Mar 3, 2026 · Full report (PDF) - Potential for harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 3, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Apr 3, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 400 Sergeant Square Drive
Sergeant Bluff, IA 51054 - CMS certification #
- 165615
- Ownership
- For profit - Limited Liability company
- Certified beds
- 66
- Avg residents/day
- 44.4
- Provider type
- Medicare and Medicaid
- First certified
- 2016-06-21
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Pioneer Valley Living And Rehab using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Mercyone Siouxland Medical Center, Sioux City. 7.3 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Embassy Rehab and Care Center, Sergeant Bluff. 0.5 miles away, straight line.
- Nearest home health agency office
- Wel-Home Health Of Sergeant Bluff, Sergeant Bluff. 0.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hy-Vee Pharmacy. 3.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 51054 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Siouxland Dialysis, Sioux City, 5.0 miles away, straight line (has a shift starting after 5 pm; CMS rating 1 of 5 stars)
Fmc Midwest Dialysis, Sioux City, 10.0 miles away, straight line (CMS rating 3 of 5 stars)
Fresenius Kidney Care Dakota Dunes, Dakota Dunes, 10.3 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 51054.
Care Initiatives Hospice - Sioux City, office in Sioux City, 5.4 miles away, straight line (CMS family survey rating 4 of 5 stars)
Hospice Of Midwest, office in Sioux City, 9.1 miles away, straight line - Nearest geriatric medicine practice
- Physicians Clinic Inc, Omaha. 80.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Sergeant Bluff, IA, risk to homes is greater than 99% of communities in Iowa and 82% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively moderate, wildfire relatively moderate, tornado very high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Pioneer Valley Living And Rehab a good nursing home?
CMS gives Pioneer Valley Living And Rehab an overall rating of 1 out of 5 stars, including 4/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Pioneer Valley Living And Rehab staffed?
Pioneer Valley Living And Rehab reports 4.03 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Pioneer Valley Living And Rehab had inspection problems?
Its most recent CMS inspection cited 34 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Pioneer Valley Living And Rehab have?
Pioneer Valley Living And Rehab is certified for 66 beds.