Pioneer Care and Rehabilitation

200 N Oregon St, Dillon, MT 59725 · (406) 683-5105
For profit - Limited Liability company · 87 certified beds

Pioneer Care and Rehabilitation has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in June 2026, found 7 citations (the Montana average is 11.2). It was fined 6 times in the last three years, $138,054 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on June 4, 2026 found 7 citations. What an inspection citation means

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.June 4, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.June 4, 2026 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 4, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.June 4, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.June 4, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• PASARR screening for Mental disorders or Intellectual DisabilitiesJune 4, 2026 · F0645 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.June 4, 2026 · F0711 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 15 citations.

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 4, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.December 31, 2025 · F0744 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Have a plan that describes the process for conducting QAPI and QAA activities.May 8, 2025 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.February 27, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Administer the facility in a manner that enables it to use its resources effectively and efficiently.February 27, 2025 · F0835 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that residents are free from significant medication errors.December 5, 2024 · F0760 · Level of harm: Actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.December 5, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 27, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
• 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.February 27, 2024 · F0622 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.February 27, 2024 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.February 27, 2024 · F0626 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from the wrongful use of the resident's belongings or money.January 4, 2024 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.January 4, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.October 25, 2023 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.October 25, 2023 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $4,784February 19, 2026
• Fine of $48,464May 8, 2025
• Fine of $12,529December 5, 2024
• Fine of $18,850August 27, 2024
• Fine of $40,641May 21, 2024
• Fine of $12,786January 4, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home