Nursing homes › Montana › Pioneer Care and Rehabilitation
200 N Oregon St, Dillon, MT 59725 · 4066835105 · 87 certified beds
Per CMS filings, this facility is affiliated with Sweetwater Care, a group operating 10 facilities in 3 states. Group record: average rating 2.4/5, 1 abuse citation icons, 1 facilities on the Special Focus list, $890,789 in federal fines. This facility rates below its group average (2.4/5).
Total nurse staffing: 3.69 (Montana median: 3.87). RN hours: 0.46. Weekend total: 3.20. Nursing staff turnover: 85%.
All-time on record: 53 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-12-31 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | complaint | corrected 2026-01-23 |
| 2025-05-08 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Health | corrected 2025-05-30 |
| 2025-05-08 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | F | Health | corrected 2025-05-30 |
| 2025-05-08 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | complaint | corrected 2025-05-30 |
| 2025-05-08 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Health | corrected 2025-05-30 |
| 2025-05-08 | 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. | E | Health | corrected 2025-05-30 |
| 2025-05-08 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Health | corrected 2025-05-30 |
| 2025-05-08 | Implement a program that monitors antibiotic use. | E | Health | corrected 2025-05-30 |
| 2025-05-08 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2025-05-30 |
| 2025-05-08 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Health | corrected 2025-05-30 |
| 2025-05-08 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Health | corrected 2025-05-30 |
| 2025-05-08 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2025-05-30 |
| 2025-05-08 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Health | corrected 2025-05-30 |
| 2025-05-08 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2025-05-30 |
| 2025-05-08 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-05-30 |
| 2025-05-08 | Provide safe, appropriate pain management for a resident who requires such services. | D | Health | corrected 2025-05-30 |
| 2025-05-08 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2025-05-30 |
| 2025-05-08 | 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. | D | Health | corrected 2025-05-30 |
| 2025-05-08 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-05-30 |
| 2025-05-08 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Health | corrected 2025-05-30 |
| 2025-02-27 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | complaint | corrected 2025-04-04 |
| 2025-02-27 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-04-04 |
| 2024-12-05 | Ensure that residents are free from significant medication errors. | G | complaint | corrected 2025-01-03 |
| 2024-12-05 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-01-03 |
| 2024-08-27 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-09-05 |
| 2024-05-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Health | corrected 2024-06-28 |
| 2024-05-21 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Health | corrected 2024-06-28 |
| 2024-05-21 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-06-28 |
| 2024-05-21 | 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. | D | Health | corrected 2024-06-28 |
| 2024-05-21 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2024-06-28 |
| 2024-05-21 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2024-06-28 |
| 2024-05-21 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Health | corrected 2024-06-28 |
| 2024-05-21 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Health | corrected 2024-06-28 |
| 2024-05-21 | Provide or get specialized rehabilitative services as required for a resident. | D | Health | corrected 2024-06-28 |
| 2024-05-21 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2024-06-28 |
| 2024-05-21 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Health | corrected 2024-06-28 |
| 2024-02-27 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | complaint | corrected 2024-03-11 |
| 2024-02-27 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | complaint | corrected 2024-03-11 |
| 2024-02-27 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | complaint | corrected 2024-03-11 |
| 2024-01-04 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2024-02-27 |
| Date | Type | Amount |
|---|---|---|
| 2026-02-19 | Fine | $7,360 |
| 2025-05-08 | Fine | $48,464 |
| 2024-12-05 | Fine | $12,529 |
| 2024-08-27 | Fine | $18,850 |
| 2024-05-21 | Fine | $40,641 |
| 2024-01-04 | Fine | $12,786 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| SWEETWATER CARE OPCO LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 12/01/2017 |
| CHESLEY, AARON | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 12/01/2017 |
| CHESLEY, AARON | Corporate Officer | Individual | NOT APPLICABLE | since 12/01/2017 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 275124. Corrections: data@carerecords.org.