Pioneer Nursing Home
1060 D Street West, Vale, OR 97918 · Malheur County · 33 certified beds · avg 14 residents/day · certified since Aug 13, 2010
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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 self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Dec 10, 2023 · F-0658 · triggered by a complaint
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Why it matters: Care that falls below professional standards can directly harm a resident's health and recovery.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jan 28, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Dec 10, 2023 · 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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jan 28, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (9)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 23, 2026 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| Dec 10, 2023 | ▲ J · Immediate jeopardy, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Dec 10, 2023 | ▲ J · Immediate jeopardy, one-off | 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 |
| Dec 10, 2023 | D · Potential for harm, one-off | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. · from a complaint |
| Dec 10, 2023 | D · Potential for harm, one-off | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · from a complaint |
| Oct 19, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Oct 19, 2023 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Oct 19, 2023 | D · Potential for harm, one-off | The 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. |
| Oct 19, 2023 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 2 | J ▲ |
| 2026 | 1 | 0 | D |
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)
1 fine totaling $114,520.
| Date | Type | Amount / length |
|---|---|---|
| Oct 19, 2023 | Fine | $114,520 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Oregon avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 6.03 | 5.42 | 3.95 | top 15% in Oregon; top 4% in the U.S. |
| Registered Nurse hours | 1.52 | 0.78 | 0.69 | top 5% in Oregon; top 4% in the U.S. |
| Weekend total nurse staffing | 5.32 | 4.85 | 3.50 | top 18% in Oregon; top 4% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.82 | 0.48 | 0.48 | top 10% in Oregon; top 11% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 47.4 | 45.8 | — |
| RN turnover (%) | 0.0 | 51.6 | 42.9 | — |
Hours are per resident per day, 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 6.96, RN 1.76, weekend 6.13. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Who owns this facility
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Browning, Alexis | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2009 |
| Browning, Alexis | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2009 |
| Buttice, Dennis | Individual | Corporate Director | NOT APPLICABLE | 07/01/2014 |
| Buttice, Dennis | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2014 |
| Crismon, Corey | Individual | Corporate Officer | NOT APPLICABLE | 05/04/2022 |
| Crismon, Corey | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/04/2022 |
| Crismon, Corey | Individual | ADP of the SNF | NOT APPLICABLE | 05/04/2022 |
| Estes, Monica | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/05/2024 |
| Estes, Monica | Individual | ADP of the SNF | NOT APPLICABLE | 08/05/2024 |
| Gillespie, Christy | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/07/2013 |
| Gillespie, Christy | Individual | ADP of the SNF | NOT APPLICABLE | 08/07/2013 |
| Hines, Debra | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/07/2006 |
| Hines, Debra | Individual | ADP of the SNF | NOT APPLICABLE | 04/07/2006 |
| Keller, Karlene | Individual | Corporate Director | NOT APPLICABLE | 07/01/2019 |
| Keller, Karlene | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2019 |
| Monihan, Kerrisue | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/03/2017 |
| Monihan, Kerrisue | Individual | ADP of the SNF | NOT APPLICABLE | 07/03/2017 |
| Nalivka, John | Individual | Corporate Director | NOT APPLICABLE | 08/23/2016 |
| Nalivka, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/23/2016 |
| Phillips, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2016 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "How do you decide you have enough staff and resources for your resident population, including nights and weekends?"
- "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Payette Healthcare of Cascadia | 17.1 mi | Payette, ID | ★★★★★ | 4/5 |
Compare this facility with the 1 closest →
Facility data as of CMS processing date 2026-08-01. CCN 385273.