Montana ›Dillon

Pioneer Care and Rehabilitation

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200 N Oregon St, Dillon, MT 59725 (opens Google Maps) · Beaverhead County · (406) 683-5105· 87 certified beds · avg 72 residents/day · certified since Aug 25, 1988 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: SWEETWATER CARE (8 facilities, chain avg rating 2.4★)

2/5
Health inspection rating (on-site)
inspected Jun 4, 2026
4
Serious findings on record
most recent May 8, 2025
$138,054
Fines, last 3 years
4.36
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · May 8, 2025 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: May 30, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Dec 5, 2024 · F-0760 · triggered by a complaint

The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Why it matters: A serious medication error can cause real harm, hospitalization, or worse.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jan 3, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Aug 27, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Sep 5, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · May 21, 2024 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jun 28, 2024 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 50 inspection findings. Open the full record below to read every finding.

  1. F · Potential for more than minimal harm, widespread

    The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. F-0812

  2. E · Potential for more than minimal harm, pattern

    The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. F-0585

  3. E · Potential for more than minimal harm, pattern

    The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689

View all 50 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jun 4, 2026F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jun 4, 2026E · Potential for more than minimal harm, patternThe facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · F-0585
Jun 4, 2026E · Potential for more than minimal harm, patternThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jun 4, 2026E · Potential for more than minimal harm, patternThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Jun 4, 2026D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Jun 4, 2026D · Potential for more than minimal harm, isolatedThe facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645
Jun 4, 2026D · Potential for more than minimal harm, isolatedThe facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit. · F-0711
Dec 31, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. · from a complaint · F-0744
May 8, 2025▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
May 8, 2025F · Potential for more than minimal harm, widespreadThe facility did not designate a physician to serve as medical director — the doctor responsible for overseeing resident care policies and coordinating medical care across the facility. · F-0841
May 8, 2025F · Potential for more than minimal harm, widespreadThe facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · from a complaint · F-0865
May 8, 2025F · Potential for more than minimal harm, widespreadThe facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · F-0882
May 8, 2025E · Potential for more than minimal harm, patternThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578
May 8, 2025E · Potential for more than minimal harm, patternThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756
May 8, 2025E · Potential for more than minimal harm, patternThe facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · F-0881
May 8, 2025D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609
May 8, 2025D · Potential for more than minimal harm, isolatedThe facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · F-0627
May 8, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · F-0628
May 8, 2025D · Potential for more than minimal harm, isolatedThe facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655
May 8, 2025D · Potential for more than minimal harm, isolatedThe facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. · F-0676
May 8, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
May 8, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
May 8, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697
May 8, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760
May 8, 2025D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
May 8, 2025D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
May 8, 2025D · Potential for more than minimal harm, isolatedThe facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. · F-0943
Feb 27, 2025E · Potential for more than minimal harm, patternThe facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint · F-0835
Feb 27, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Dec 5, 2024▲ G · Actual harm, isolatedThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760
Dec 5, 2024D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Aug 27, 2024▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
May 21, 2024▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
May 21, 2024E · Potential for more than minimal harm, patternThe facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803
May 21, 2024E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
May 21, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
May 21, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
May 21, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677
May 21, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · F-0740
May 21, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. · F-0745
May 21, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. · F-0825
May 21, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883
May 21, 2024D · Potential for more than minimal harm, isolatedThe facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · F-0887
Feb 27, 2024D · Potential for more than minimal harm, isolatedThe facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint · F-0622
Feb 27, 2024D · Potential for more than minimal harm, isolatedThe facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint · F-0623
Feb 27, 2024D · Potential for more than minimal harm, isolatedThe facility did not let a resident return after a hospital stay or approved leave that lasted longer than the facility's bed-hold policy allowed. Residents generally have the right to come back to the next available bed. · from a complaint · F-0626
Jan 4, 2024D · Potential for more than minimal harm, isolatedThe facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint · F-0602
Jan 4, 2024D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Oct 25, 2023D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint · F-0657
Oct 25, 2023D · Potential for more than minimal harm, isolatedThe facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint · F-0726

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (19 → 7).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 2
Serious citations (G–L): 0
2024
All citations: 19
Serious citations (G–L): 3
2025
All citations: 22
Serious citations (G–L): 1
2026
All citations: 7
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202320D
2024193G ▲
2025221G ▲
202670F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

6 fines totaling $138,054.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Feb 19, 2026Fine$4,784
May 8, 2025Fine$48,464
Dec 5, 2024Fine$12,529
Aug 27, 2024Fine$18,850
May 21, 2024Fine$40,641
Jan 4, 2024Fine$12,786

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityMontana averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.36
Montana average: 4.82
U.S. average: 3.95
Registered Nurse hours
This facility: 0.54
Montana average: 1.17
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.79
Montana average: 4.26
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityMontana avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.364.823.95bottom 47% in Montana; top 27% in the U.S.
Registered Nurse hours0.541.170.69bottom 5% in Montana; bottom 44% in the U.S.
Weekend total nurse staffing3.794.263.50bottom 43% in Montana; top 30% in the U.S.
Weekend RN hours (not acuity-adjusted)0.260.710.48bottom 5% in Montana; bottom 24% in the U.S.
Total nursing staff turnover (%)85.354.845.8bottom 2% in Montana; bottom 2% in the U.S.
RN turnover (%)60.048.342.9bottom 31% in Montana; bottom 22% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.69, RN 0.46, weekend 3.20.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.69 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Pioneer Care and Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.

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  • Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Chesley, AaronIndividual5% or Greater Indirect Ownership Interest—12/01/2017
Sweetwater Care Opco LLCOrganization5% or Greater Indirect Ownership Interest—12/01/2017
Boesch, MadisonIndividualW-2 Managing EmployeeNOT APPLICABLE01/01/2022
Chesley, AaronIndividualCorporate OfficerNOT APPLICABLE12/01/2017
Crickmore, ReidIndividualW-2 Managing EmployeeNOT APPLICABLE01/01/2020

All 5 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Sweetwater Care — 8 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "What systems do you use to prevent medication errors, and what happens when one occurs?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
  • "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
  • "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
  • "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
  • "How often does each resident's doctor visit and review their care in person?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Montana midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 85% total nursing staff turnover here — who on the care team has been with you longest?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Tobacco Root Mountains Care Center26.7 miSheridan, MT★☆☆☆☆2/5abuse

Compare this facility with the 1 closest →

All facilities in Dillon →

Facility data as of CMS processing date 2026-08-01. CCN 275124.

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