1060 D Street West, Vale, OR 97918 (opens Google Maps) · Malheur County · (541) 473-3131· 33 certified beds · avg 14 residents/day · certified since Aug 13, 2010 · 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 →
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · 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.
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. 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 28, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. 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 28, 2024 (Deficient, Provider has date of correction)
Showing the latest 3 of 9 inspection findings. Open the full record below to read every finding.
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. F-0605
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 F-0658
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
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.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 23, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0605 |
| Dec 10, 2023 | ▲ J · Immediate jeopardy, isolated | 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 · F-0658 |
| Dec 10, 2023 | ▲ J · Immediate jeopardy, isolated | 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 |
| Dec 10, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0838 |
| Dec 10, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0947 |
| Oct 19, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Oct 19, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| Oct 19, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0756 |
| Oct 19, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0759 |
All bars start at zero. Exact values and supporting details remain below.
| 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.
How to file a complaint about care →
1 fine totaling $114,520.
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.
| Date | Type | Amount / length |
|---|---|---|
| Oct 19, 2023 | Fine | $114,520 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 (%) | — | 47.4 | 45.8 | — |
| RN turnover (%) | — | 51.6 | 42.9 | — |
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 6.96, RN 1.76, weekend 6.13.Comparing with Medicare Care Compare? Care Compare shows the raw figure (6.96 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
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: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Pioneer Nursing Home. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 →
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 |
Showing 20 of 29 parties CMS has on file for this facility; 9 are not displayed. The full list is in the CMS Ownership dataset.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Payette Healthcare of Cascadia | 17.1 mi | Payette, ID | ★★★★★ | 4/5 |
Facility data as of CMS processing date 2026-08-01. CCN 385273.
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