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
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.
- 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.
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.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.14 | 3.47 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.29 | 0.46 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.06 | 2.32 | 2.34 | below avg |
| Nursing staff turnover | 54.9% | 57.0% | 46.4% | below avg |
| Deficiencies cited, last inspection | 7.0 | 12.0 | 9.5 | below 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 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 →
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.
| 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 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| 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 | See 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.