Nursing homes › Missouri › Pioneer Skilled Nursing Center
1500 South Kansas Avenue, Marceline, MO 64658 · 6603762001 · 96 certified beds
Per CMS filings, this facility is affiliated with Americare Senior Living, a group operating 23 facilities in 2 states. Group record: average rating 3.7/5, 3 abuse citation icons, 0 facilities on the Special Focus list, $273,613 in federal fines. This facility rates below its group average (3.7/5).
Total nurse staffing: 3.57 (Missouri median: 3.36). RN hours: 0.48. Weekend total: 2.92. Nursing staff turnover: 63%.
All-time on record: 20 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-03-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-05-01 |
| 2025-03-20 | Provide and implement an infection prevention and control program. | F | Health | corrected 2025-05-01 |
| 2025-03-20 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | Health | corrected 2025-05-01 |
| 2025-03-20 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Health | corrected 2025-05-01 |
| 2025-03-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-05-01 |
| 2025-03-20 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2025-05-01 |
| 2025-03-20 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2025-05-01 |
| 2024-12-17 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2025-01-17 |
| 2024-12-17 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-01-17 |
| 2024-12-17 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-01-17 |
| 2023-06-13 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Health | corrected 2023-07-14 |
| 2023-06-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-07-14 |
| 2023-06-13 | 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. | E | Health | corrected 2023-07-14 |
| 2023-06-13 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2023-07-14 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| PIONEER NURSING, LLC | 5% Or Greater Direct Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 01/01/2003 |
| R H MONTGOMERY PROPERTIES, INC | 5% Or Greater Direct Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 01/01/2003 |
| MONTGOMERY, ANNA | 5% Or Greater Indirect Ownership Interest | Individual | 50% | since 01/01/2013 |
| MONTGOMERY, RICHARD | 5% Or Greater Indirect Ownership Interest | Individual | 50% | since 01/06/2003 |
| REIKER, JAMES | Corporate Officer | Individual | NOT APPLICABLE | since 04/02/2002 |
| SCHADE, KYLE | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2021 |
| AMERICARE SYSTEMS, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 09/07/2011 |
| CROSSON, CLAY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/29/2001 |
| HATLESTAD, STEVEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/07/2011 |
| REIKER, JAMES | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2003 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 265169. Corrections: data@carerecords.org.