Lilisity

Nursing home

Pioneer Skilled Nursing Center

1500 South Kansas Avenue, Marceline, MO 64658 · Map
For profit - Corporation · Part of Americare Senior Living (23 facilities) · 96 certified beds

Medicare and Medicaid certified
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Pioneer Skilled Nursing Center is a Medicare-certified nursing home in Marceline, Missouri. CMS rates it 3 out of 5 stars overall (2/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.14 hours per resident per day, below the Missouri average of 3.47. Its most recent inspection on Mar 20, 2025 cited 7 deficiencies.

3 out of 5Overall CMS rating
3 out of 5Health inspections
2 out of 5Staffing
96 bedsCertified beds
  • 1 fine totaling $47,467In CMS records: 1 total penalty.

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating3/5
Health inspections3/5
Staffing2/5
Quality measures4/5
Long-stay quality2/5
Short-stay quality5/5

How Pioneer Skilled Nursing Center compares

This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityMissouri avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)3.143.473.89below avg
RN staffing (hrs/resident/day)0.290.460.68below avg
Aide staffing (hrs/resident/day)2.062.322.34below avg
Nursing staff turnover54.9%57.0%46.4%below avg
Deficiencies cited, last inspection7.012.09.5below avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

3.14Total nurse hrs/resident/day
0.29RN hrs/resident/day
0.80LPN hrs/resident/day
2.06Aide hrs/resident/day
2.57Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff54.9%
Registered nurses50.0%
Administrator changes0 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Mar 20, 2025Most recent inspection
7Deficiencies found
60Health inspection score
1Fines
  • Every deficiency from the March 20, 2025 inspection was corrected by May 1, 2025

Penalties in CMS records: 1 fine totaling $47,467, 1 total penalty.

What inspectors found at Pioneer Skilled Nursing Center

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 and implement an infection prevention and control program.

    Infection Control Deficiencies · Mar 20, 2025 · Full report (PDF)
  • Potential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary Deficiencies · Mar 20, 2025 · Full report (PDF)
  • Potential for harm

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Infection Control Deficiencies · Mar 20, 2025 · Full report (PDF)
  • Potential for harm

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Resident Rights Deficiencies · Mar 20, 2025 · Full report (PDF)
  • Potential for harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Quality of Life and Care Deficiencies · Mar 20, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

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

    Quality of Life and Care Deficiencies · Mar 20, 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 · Mar 20, 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 · Dec 17, 2024 · Full report (PDF)
  • Potential for harm

    Respond appropriately to all alleged violations.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 17, 2024 · Full report (PDF)
  • Potential for harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 17, 2024 · Full report (PDF)
  • Immediate jeopardy

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Quality of Life and Care Deficiencies · Jun 13, 2023
  • Potential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary Deficiencies · Jun 13, 2023

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
1500 South Kansas Avenue
Marceline, MO 64658
CMS certification #
265169
Ownership
For profit - Corporation
Certified beds
96
Avg residents/day
57.3
Provider type
Medicare and Medicaid
First certified
1982-06-30
Chain
Americare Senior Living (23 facilities)
Setting
Rural

Part of Americare Senior Living

Americare Senior Living operates 23 nursing facilities across the United States. View all Americare Senior Living facilities →

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around Pioneer Skilled Nursing Center using Google Maps.

Other public records

  • Website says Works with hospice, pets allowed, secured outdoor area
  • Workplace safety 1 OSHA workplace safety inspection since 2019, no violations cited
Full public records, with dates and sources

Care and services

From the community’s website

What Pioneer Skilled Nursing Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.

  • Offers hospice care on site or works with hospice providers. By coordinating Hospice Care with trusted local providers, we ensure comfort, dignity and peace in familiar surroundings – allowing families to focus on meaningful moments together. (page, checked Oct 12, 2026)
  • Pets allowed. Of course, Pioneer is also pet friendly, providing you can care for your furry friend. (page, checked Oct 12, 2026)
  • Has a secured outdoor area. At Pioneer, our residents enjoy numerous amenities that enhance quality of life, including our spacious community dining rooms, family rooms with big-screen TV, cozy kitchens and social areas, activities room, beauty salon, manicured grounds and secure patios with scenic views of nature. (page, checked Oct 12, 2026)

Staff pay and workplace safety

Federal records about how the employer here treats its staff.

OSHA workplace safety inspections

OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.

  • Dec 12, 2019: complaint inspection, partial (health). Case closed Jan 28, 2020. No violations cited. OSHA record. OSHA recorded the employer as Pioneer Skilled Nursing.

Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.

Location and nearby care

Nearest hospital with an emergency room
Pershing Memorial Hospital, Brookfield. 7.6 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
Nearest Medicare nursing home
Life Care Center of Brookfield, Brookfield. 7.6 miles away, straight line.
Nearest home health agency office
Angels Care Home Health, Moberly. 35.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Chillicothe Family Pharmacy. 31.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 64658 as rural (rural area).
Hospice
3 Medicare hospices tell CMS they serve ZIP code 64658.
Nearest geriatric medicine practice
Compass Health Inc, Columbia. 60.8 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)
FEMA National Risk Index
Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire relatively low, tornado relatively high, heat wave relatively moderate, earthquake relatively 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.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026See above
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here relatively low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteSee above

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Frequently asked questions

Is Pioneer Skilled Nursing Center a good nursing home?

CMS gives Pioneer Skilled Nursing Center an overall rating of 3 out of 5 stars, including 2/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Pioneer Skilled Nursing Center staffed?

Pioneer Skilled Nursing Center reports 3.14 total nurse hours per resident per day, compared with the Missouri average of 3.47.

Has Pioneer Skilled Nursing Center had inspection problems?

Its most recent CMS inspection cited 7 deficiencies.

How many beds does Pioneer Skilled Nursing Center have?

Pioneer Skilled Nursing Center is certified for 96 beds.