Pioneer Care and Rehabilitation: Staffing, Turnover, and Inspection Record
Pioneer Care and Rehabilitation is a 87-bed for-profit nursing home in Dillon, Montana, part of Sweetwater Care. In the CMS August 2026 release it reported 2.58 nurse aide hours per resident per day, about the same as the Montana average of 2.57, and 85.3% nursing staff turnover (Montana average 54.8%).
Pioneer Care and Rehabilitation
200 N Oregon StDillon, MT 59725
Beaverhead County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Pioneer Care and Rehabilitation, nurse aides logged 2.58 hours per resident per day, about the same as the Montana average. With about 72 residents a day, that works out to roughly 185 aide hours a day, or about 23 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
| Hours per resident per day | This home | Montana avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.58 | 2.57 | 2.32 |
| Licensed practical nurses | 0.65 | 0.50 | 0.86 |
| Registered nurses | 0.46 | 0.98 | 0.69 |
| All nursing staff | 3.69 | 4.05 | 3.86 |
| All nursing staff, weekends | 3.20 | 3.59 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
85.3% of nursing staff at Pioneer Care and Rehabilitation left over the year CMS measured, against a Montana average of 54.8% and a US average of 45.8%. Registered nurse turnover was 60.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 4, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 8 health deficiencies (Montana average 11.5). CMS lists 6 fines totaling $138,054 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Feb 19, 2026 | Fine | $4,784 |
| May 8, 2025 | Fine | $48,464 |
| Dec 5, 2024 | Fine | $12,529 |
| Aug 27, 2024 | Fine | $18,850 |
| May 21, 2024 | Fine | $40,641 |
| Jan 4, 2024 | Fine | $12,786 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Pioneer Care and Rehabilitation holds 2 of 5 overall; the Montana average is 2.9.
About Pioneer Care and Rehabilitation
- Ownership: For profit - Limited Liability company
- Chain: Sweetwater Care, 8 homes
- Legal name: Sweetwater Dillon Opco, LLC
- Medicare and Medicaid certified since: Aug 25, 1988
- Councils: resident council
- Area: rural
Nursing homes near Pioneer Care and Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Tobacco Root Mountains Care Center Sheridan · abuse citation | 26.7 | 39 | 4.65 | 7.05 | 72.7% | 1 | $22,205 |
| Madison Valley Manor Ennis | 44.3 | 32 | 3.18 | 6.58 | 61.3% | 5 | None |
| Southwest Montana Veterans Home Butte | 51.0 | 60 | 2.14 | 4.34 | 53.9% | 5 | None |
| Crest Nursing Home Butte | 53.9 | 103 | 2.10 | 3.33 | 53.2% | 5 | None |
| Continental Care and Rehabilitation Butte | 54.1 | 100 | 2.63 | 4.03 | 60.2% | 3 | None |
| Copper Ridge Health and Rehabilitation Center Butte | 54.1 | 186 | 1.98 | 3.33 | 45.8% | 4 | $9,311 |
| Discovery Rehabilitation and Living Salmon | 61.9 | 45 | 2.75 | 4.30 | 46.7% | 3 | None |
| Community Nursing Home of Anaconda Anaconda | 65.1 | 62 | 3.32 | 5.25 | — | 3 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.