Pioneer Therapy and Living

Name: Pioneer Therapy and Living
Address: 1506 EAST MAIN STREET, Melbourne, AR, 72556, US
Telephone: 8703684377

1506 East Main Street, Melbourne, AR 72556 · Izard County · 86 certified beds · avg 71 residents/day · certified since May 1, 1997

Part of chain: ANTHONY & BRYAN ADAMS (38 facilities, chain avg rating 3.8★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.27

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

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.

All citations in the current public record (10)

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
Oct 31, 2024	E · Potential for harm, repeated	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.
Oct 31, 2024	D · Potential for harm, one-off	The 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.
Oct 26, 2023	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Oct 26, 2023	E · Potential for harm, repeated	The 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.
Oct 26, 2023	E · Potential for harm, repeated	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.
Oct 26, 2023	E · Potential for harm, repeated	The 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.
Oct 26, 2023	E · Potential for harm, repeated	The 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.
Oct 26, 2023	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Oct 26, 2023	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Oct 26, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2023	8	0	E
2024	2	0	E

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)

No fines or payment denials in the published 3-year window.

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

Measure	This facility	Arkansas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.27	4.71	3.95	bottom 27% in Arkansas; top 30% in the U.S.
Registered Nurse hours	0.26	0.48	0.69	bottom 9% in Arkansas; bottom 6% in the U.S.
Weekend total nurse staffing	3.35	4.04	3.50	bottom 8% in Arkansas; bottom 50% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.16	0.28	0.48	bottom 17% in Arkansas; bottom 6% in the U.S.
Total nursing staff turnover (%)	59.8	49.5	45.8	bottom 22% in Arkansas; bottom 17% in the U.S.
RN turnover (%)	62.5	44.8	42.9	bottom 26% in Arkansas; bottom 19% in the U.S.

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 3.33, RN 0.20, weekend 2.61. Staffing rating: 2/5.

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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Adams, Anthony	Individual	Corporate Officer	NOT APPLICABLE	04/01/2014
Adams, Bryan	Individual	Corporate Officer	NOT APPLICABLE	12/03/2013
Cooper, Benjamin	Individual	ADP of the SNF	NOT APPLICABLE	10/24/2019
Cooper, James	Individual	ADP of the SNF	NOT APPLICABLE	10/24/2019
Cooper, Robert	Individual	ADP of the SNF	NOT APPLICABLE	10/24/2019
Dvorak, Nora	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2017
Dvorak, Nora	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2014
Ellis, John	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2014
Health Care Solutions, LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/24/2019
Incite Rehab, LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2013
Kever, Jody	Individual	Managing Control - Governing Body	NOT APPLICABLE	04/01/2014
Kever, Jody	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2014
Kever, Jody	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2014
Koehler, Tobey	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2014
LTC Systems/Rx, LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2013
Mainord, William	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2014
McGinnis, Larry	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2014
Pedigo, Rita	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2014
Pharmacy Consults, LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2013
Reliance Health Care, INC.	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2013

Questions to ask on your visit

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

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How is pest control handled here, and when was the last treatment or inspection?"
"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
White River Healthcare	9.8 mi	Calico Rock, AR	★☆☆☆☆	2/5
The Blossoms at Mountain View Rehab & Nursing Cen	18.1 mi	Mountain View, AR	★★★★☆	4/5
Eaglecrest Nursing and Rehab	18.9 mi	Ash Flat, AR	★★★★★	5/5
Ash Flat Healthcare and Rehabilitation Center	19.4 mi	Ash Flat, AR	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Melbourne →

Facility data as of CMS processing date 2026-08-01. CCN 045322.

The Care File

Visit checklist — Pioneer Therapy and Living

1506 East Main Street, Melbourne, AR 72556 · 8703684377

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How is pest control handled here, and when was the last treatment or inspection?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 045322 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)