Pioneer Therapy and Living

1506 East Main Street · Melbourne, AR · 72556 · 8703684377

86 certified beds For profit - Individual Chain: Anthony & Bryan Adams

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

Red flags

RN staffing in the bottom 10% nationally

0.23 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

63% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 71
Serious harm & abuse 20% 100
Staffing 20% 47
Federal penalties 15% 100
Trend 10% 88
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.633.48 min · 4.1 strong
RN hours / resident-day0.230.55–0.75
Weekend hours / resident-day2.76≈ weekday level
Nursing turnover / year63%median 45%
Fines (3-yr window)none

Inspection citations (15 in the current record)

  • Potential for harm · D October 31, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected November 29, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E October 31, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 29, 2024 · Nutrition and Dietary

  • Potential for harm · E October 26, 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 November 24, 2023 · Resident Rights

  • Potential for harm · D October 26, 2023

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected November 24, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E October 26, 2023

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected November 24, 2023 · Quality of Life and Care

  • Potential for harm · D October 26, 2023

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected November 24, 2023 · Quality of Life and Care

  • Potential for harm · E October 26, 2023

    Ensure medication error rates are not 5 percent or greater.

    Corrected November 24, 2023 · Pharmacy Service

  • Potential for harm · E October 26, 2023

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Corrected November 24, 2023 · Administration

  • Potential for harm · E October 26, 2023

    Provide and implement an infection prevention and control program.

    Corrected November 24, 2023 · Infection Control

  • Potential for harm · E October 26, 2023

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected November 24, 2023 · Environmental

  • Potential for harm · D August 4, 2022

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected August 26, 2022 · Quality of Life and Care

  • Potential for harm · F August 4, 2022

    Dispose of garbage and refuse properly.

    Corrected August 26, 2022 · Nutrition and Dietary

  • Potential for harm · E August 4, 2022

    Provide and implement an infection prevention and control program.

    Corrected August 26, 2022 · Infection Control

  • Potential for harm · F August 4, 2022

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected August 26, 2022 · Environmental

  • No harm found · C August 4, 2022

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Corrected August 4, 2022 · Resident Rights

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 045322 · certified since May 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.