Nursing home
Pioneer Care and Rehabilitation
200 N Oregon St, Dillon, MT 59725 · Map
For profit - Limited Liability company · Part of Sweetwater Care (9 facilities) · 87 certified beds
Pioneer Care and Rehabilitation is a Medicare-certified nursing home in Dillon, Montana. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.03 hours per resident per day, below the Montana average of 3.97. Its most recent inspection on May 8, 2025 cited 20 deficiencies.
- 6 fines totaling $158,103In CMS records: 6 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Pioneer Care and Rehabilitation compares
This facility vs. the Montana and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Montana avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.03 | 3.97 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.52 | 0.94 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.81 | 2.53 | 2.34 | below avg |
| Nursing staff turnover | 87.8% | 55.6% | 46.4% | above avg |
| Deficiencies cited, last inspection | 20.0 | 11.3 | 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.
Penalties in CMS records: 6 fines totaling $158,103, 6 total penalties.
What inspectors found at Pioneer Care and Rehabilitation
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 the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · Dec 31, 2025 · Full report (PDF) - Actual 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 · May 8, 2025 · Full report (PDF) - Potential for harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · May 8, 2025 · Full report (PDF) - Potential for harm
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · May 8, 2025 · Full report (PDF) - Potential for harm
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Nursing and Physician Services Deficiencies · May 8, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · May 8, 2025 · Full report (PDF) - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · May 8, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · May 8, 2025 · Full report (PDF) - Potential for harm
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 8, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 8, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · May 8, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · May 8, 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
- 200 N Oregon St
Dillon, MT 59725 - CMS certification #
- 275124
- Ownership
- For profit - Limited Liability company
- Certified beds
- 87
- Avg residents/day
- 57.3
- Provider type
- Medicare and Medicaid
- First certified
- 1988-08-25
- Chain
- Sweetwater Care (9 facilities)
- Setting
- Rural
Part of Sweetwater Care
Sweetwater Care operates 9 nursing facilities across the United States. View all Sweetwater Care facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Pioneer Care and Rehabilitation using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Barrett Hospital & Healthcare, Dillon. 1.6 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Tobacco Root Mountains Care Center, Sheridan. 26.7 miles away, straight line.
- Nearest home health agency office
- Compassus Home Health - Butte, Butte. 53.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Higher Standard Dispensary. 53.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 59725 as small town (small town core).
- Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 59725.
Honeybee Hospice, LLC, office in Dillon, 1.9 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Bozeman Health Deaconess Hospital, Bozeman. 83.9 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 high. By hazard: inland flooding relatively moderate, wildfire relatively low, tornado very low, heat wave very low, earthquake relatively high. 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 | 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 | No plain statements of services found |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Pioneer Care and Rehabilitation a good nursing home?
CMS gives Pioneer Care and Rehabilitation an overall rating of 1 out of 5 stars, including 2/5 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 Care and Rehabilitation staffed?
Pioneer Care and Rehabilitation reports 3.03 total nurse hours per resident per day, compared with the Montana average of 3.97.
Has Pioneer Care and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 20 deficiencies.
How many beds does Pioneer Care and Rehabilitation have?
Pioneer Care and Rehabilitation is certified for 87 beds.