Pioneer Skilled Nursing Center: Staffing, Turnover, and Inspection Record
Pioneer Skilled Nursing Center is a 96-bed for-profit nursing home in Marceline, Missouri, part of Americare Senior Living. In the CMS August 2026 release it reported 2.40 nurse aide hours per resident per day, 5% above the Missouri average of 2.29, and 62.7% nursing staff turnover (Missouri average 56.0%).
Pioneer Skilled Nursing Center
1500 South Kansas AvenueMarceline, MO 64658
Chariton 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 Skilled Nursing Center, nurse aides logged 2.40 hours per resident per day, 5% above the Missouri average. With about 54 residents a day, that works out to roughly 131 aide hours a day, or about 16 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 18% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.40 | 2.29 | 2.32 |
| Licensed practical nurses | 0.68 | 0.68 | 0.86 |
| Registered nurses | 0.48 | 0.46 | 0.69 |
| All nursing staff | 3.57 | 3.43 | 3.86 |
| All nursing staff, weekends | 2.92 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
62.7% of nursing staff at Pioneer Skilled Nursing Center left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. Registered nurse turnover was 85.7%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 20, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 7 health deficiencies (Missouri average 11.5). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Pioneer Skilled Nursing Center holds 3 of 5 overall; the Missouri average is 2.5.
About Pioneer Skilled Nursing Center
- Ownership: For profit - Corporation
- Chain: Americare Senior Living, 23 homes
- Legal name: Pioneer Nursing, LLC
- Medicare and Medicaid certified since: Jun 30, 1982
- Councils: resident council
- Area: rural
Nursing homes near Pioneer Skilled Nursing Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Life Care Center of Brookfield Brookfield | 7.6 | 120 | 2.41 | 3.63 | 43.0% | 2 | $45,159 |
| Brookfield Health Care Center Brookfield | 8.8 | 60 | 1.80 | 2.74 | 78.4% | 1 | $14,800 |
| Brunswick Health Care Center Brunswick | 21.3 | 60 | 2.26 | 3.77 | 75.0% | 1 | $15,143 |
| Chariton Park Health Care Center Salisbury · SFF candidate · abuse citation | 21.4 | 120 | 1.40 | 1.83 | 53.3% | 1 | $198,116 |
| Loch Haven Macon | 25.1 | 100 | 2.86 | 3.57 | 29.8% | 2 | $77,841 |
| Macon Health Care Center Macon | 27.3 | 84 | 2.09 | 3.50 | 20.6% | 5 | None |
| Livingston Manor Care Center Chillicothe · abuse citation | 31.2 | 94 | 2.76 | 3.99 | 61.9% | 1 | $168,230 |
| Grand River Health Care Chillicothe · abuse citation · many days without an RN | 31.5 | 60 | 1.97 | 2.84 | 81.3% | 1 | $68,226 |
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.