Pioneer Skilled Nursing Center
1500 South Kansas Avenue · Marceline, MO · 64658 · 6603762001
96 certified beds For profit - Corporation Chain: Americare Senior Living
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.15 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.36 | 0.55–0.75 |
| Weekend hours / resident-day | 2.59 | ≈ weekday level |
| Nursing turnover / year | 59% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (20 in the current record)
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Potential for harm · E March 20, 2025
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected May 1, 2025 · Resident Rights
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Potential for harm · D March 20, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 1, 2025 · Quality of Life and Care
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Potential for harm · D March 20, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected May 1, 2025 · Quality of Life and Care
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Potential for harm · D March 20, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 1, 2025 · Quality of Life and Care
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Potential for harm · F March 20, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 1, 2025 · Nutrition and Dietary
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Potential for harm · F March 20, 2025
Provide and implement an infection prevention and control program.
Corrected May 1, 2025 · Infection Control
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Potential for harm · E March 20, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected May 1, 2025 · Infection Control
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Potential for harm · D December 17, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 17, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 17, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 17, 2025 · Quality of Life and Care
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Immediate jeopardy · J June 13, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 14, 2023 · Quality of Life and Care
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Potential for harm · E June 13, 2023
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.
Corrected July 14, 2023 · Resident Rights
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Potential for harm · E June 13, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 14, 2023 · Quality of Life and Care
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Potential for harm · F June 13, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 14, 2023 · Nutrition and Dietary
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Potential for harm · D October 3, 2019
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.
Corrected November 11, 2019 · Resident Rights
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Potential for harm · D October 3, 2019
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 11, 2019 · Resident Assessment and Care Planning
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Potential for harm · D October 3, 2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 11, 2019 · Quality of Life and Care
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Potential for harm · D October 3, 2019
Ensure medication error rates are not 5 percent or greater.
Corrected November 11, 2019 · Pharmacy Service
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Potential for harm · D October 3, 2019
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.
Corrected November 11, 2019 · Pharmacy Service
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Potential for harm · F October 3, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 16, 2019 · Nutrition and Dietary
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265169 · certified since June 30, 1982. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.