Federal inspection record · CMS data as of October 1, 2026

Pioneer Care Center

1131 South Mabelle Avenue, Fergus Falls, MN · (218) 998-1500

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
105
Residents per day
91
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
April 11, 1987

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Minnesota.

  2. Staffing

    +1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Minnesota homes

Pioneer Care Center carries 13 inspection points. That is fewer than 83% of Minnesota's 335 rated homes.

5★4★3★2★1★+11 homes above 194.7505102550100inspection points → fewer is better on the leftThis home · 13 pts · 4★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Minnesota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–9 pts
  • 4★ 9–30 pts
  • 3★ 30–54 pts
  • 2★ 54–92 pts
  • 1★ over 92 pts

Bars show every rated home in Minnesota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

15 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 12 4 pts
E 2 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care5D
  1. D

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    August 6, 2025 · Standard · F688 · Corrected September 3, 2025

  2. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    May 27, 2025 · Complaint · F684 · Corrected June 20, 2025

  3. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    May 16, 2025 · Complaint · F689 · Corrected June 7, 2025

  4. D

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    July 24, 2024 · Standard · F676 · Corrected August 16, 2024

  5. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    July 24, 2024 · Standard · F686 · Corrected August 16, 2024

Resident Rights3D
  1. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    August 6, 2025 · Standard · F554 · Corrected September 3, 2025

  2. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    May 27, 2025 · Complaint · F580 · Corrected June 20, 2025

  3. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    July 24, 2024 · Standard · F554 · Corrected August 16, 2024

Pharmacy Service2E
  1. E

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    August 6, 2025 · Standard · F761 · Corrected September 3, 2025

  2. D

    Ensure that residents are free from significant medication errors.

    January 9, 2024 · Complaint · F760 · Corrected January 30, 2024

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    August 6, 2025 · Standard · F604 · Corrected September 3, 2025

  2. D

    Respond appropriately to all alleged violations.

    May 27, 2025 · Complaint · F610 · Corrected June 20, 2025

Nutrition and Dietary1E
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    August 6, 2025 · Standard · F812 · Corrected September 3, 2025

Resident Assessment and Care Planning1D
  1. D

    Ensure each resident receives an accurate assessment.

    August 6, 2025 · Standard · F641 · Corrected September 8, 2025

Nursing and Physician Services1C
  1. C

    Post nurse staffing information every day.

    August 6, 2025 · Standard · F732 · Corrected September 3, 2025

Inspection history

  1. 2026-06-03

    0 health deficiencies · 7 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

  2. 2025-08-06

    11 health deficiencies · 1 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  3. 2024-07-24

    4 health deficiencies · 1 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 36 min of nursing staff time a day, 1 h 8 min of it from a registered nurse.

This home

4 h 36 min

Minnesota average

4 h 16 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 26% of nursing staff and 19% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.3 pts worse1.81.51.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts worse2.91.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.7 pts better100.0%97.3%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.6 pts better100.0%96.4%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.8 pts better2.3%4.1%3.2%
Percentage of long-stay residents who have depressive symptoms4.1 pts better0.0%4.1%13.5%
Percentage of long-stay residents who lose too much weight2.3 pts better1.6%3.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication7.6 pts worse20.3%12.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication3.5 pts worse20.7%17.2%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1.4 pts better17.4%18.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased6.6 pts better11.6%18.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better1.2%1.7%0.7%
Percentage of long-stay residents with a urinary tract infection0.6 pts better2.0%2.6%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.5 pts worse26.2%23.7%18.3%
Percentage of long-stay residents with pressure ulcers3.1 pts better2.0%5.1%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.5 pts better98.6%88.1%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4.3 pts worse18.9%14.6%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts worse2.2%1.9%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.7 pts better93.0%83.3%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4.1 pts better18.9%23.0%23.4%

·

Who owns and runs it

41 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Ackerson, JeffManaging Control - Governing Body · Individual0%1 facilities
Ackerson, JeffCorporate Director · Individual0%1 facilities
Aegis Therapies, Inc.Adp Of The SNF · Organization0%35 facilities
Brenna, LowellManaging Control - Governing Body · Individual0%1 facilities
Brenna, LowellCorporate Officer · Individual0%1 facilities
Bushinger, BradOperational/Managerial Control · Individual0%1 facilities
Demuth, SuzanneManaging Control - Governing Body · Individual0%1 facilities
Demuth, SuzanneCorporate Officer · Individual0%1 facilities
Ellig, JoeManaging Control - Governing Body · Individual0%1 facilities
Ellig, JoeCorporate Officer · Individual0%1 facilities
Freeman, JanetManaging Control - Governing Body · Individual0%1 facilities
Freeman, JanetCorporate Officer · Individual0%1 facilities
Hocum, AprilOperational/Managerial Control · Individual0%1 facilities
Hunter, KatieOperational/Managerial Control · Individual0%1 facilities
Johnson, KariManaging Control - Governing Body · Individual0%1 facilities
Johnson, KariCorporate Officer · Individual0%1 facilities
Johnson, NathanManaging Control - Governing Body · Individual0%1 facilities
Johnson, NathanCorporate Director · Individual0%1 facilities
Johnson, NathanOperational/Managerial Control · Individual0%1 facilities
Johnson, NathanAdp Of The SNF · Individual0%1 facilities
Lacey, TylerOperational/Managerial Control · Individual0%1 facilities
Lacey, TylerAdp Of The SNF · Individual0%1 facilities
Lee, LindaOperational/Managerial Control · Individual0%1 facilities
Lee, LindaAdp Of The SNF · Individual0%1 facilities
Mellum, KarenManaging Control - Governing Body · Individual0%1 facilities
Mellum, KarenCorporate Officer · Individual0%1 facilities
Monke, DeanManaging Control - Governing Body · Individual0%1 facilities
Monke, DeanCorporate Officer · Individual0%1 facilities
Nelson, LoriCorporate Officer · Individual0%1 facilities
Nelson, LoriAdp Of The SNF · Individual0%1 facilities
Nowacki, JuliaOperational/Managerial Control · Individual0%1 facilities
Nowacki, JuliaAdp Of The SNF · Individual0%1 facilities
Pederson, ElizabethOperational/Managerial Control · Individual0%1 facilities
Schmidt, HollyOperational/Managerial Control · Individual0%1 facilities
Sethre, JohnManaging Control - Governing Body · Individual0%1 facilities
Sethre, JohnCorporate Officer · Individual0%1 facilities
Sillerud, BrandiManaging Control - Governing Body · Individual0%1 facilities
Sillerud, BrandiCorporate Officer · Individual0%1 facilities
Walz, CatherineOperational/Managerial Control · Individual0%1 facilities
Watkins, SaraOperational/Managerial Control · Individual0%1 facilities
Watkins, SaraAdp Of The SNF · Individual0%1 facilities

·

Fire safety

9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke6F
  1. F

    Properly select, install, inspect, or maintain portable fire extinguishes.

    June 3, 2026 · K355 · Corrected June 24, 2026

  2. E

    Inspect, test, and maintain automatic sprinkler systems.

    June 3, 2026 · K353 · Corrected June 24, 2026

  3. D

    Provide properly protected cooking facilities.

    June 3, 2026 · K324 · Corrected June 25, 2026

  4. D

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    June 3, 2026 · K372 · Corrected June 24, 2026

  5. D

    Install an approved automatic sprinkler system.

    August 6, 2025 · K351 · Corrected November 13, 2025

  6. F

    Provide properly protected cooking facilities.

    July 24, 2024 · K324 · Corrected August 30, 2024

Gas, Vacuum, and Electrical Systems2F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    June 3, 2026 · K918 · Corrected August 3, 2026

  2. F

    Ensure proper usage of power strips and extension cords.

    June 3, 2026 · K920 · Corrected June 23, 2026

Miscellaneous1F
  1. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    June 3, 2026 · K761 · Corrected June 24, 2026

·

Other homes nearby

  1. Lb Broen Home

    Fergus Falls, MN

    Worst citation, 3 yrs
    J
    Nursing / resident / day
    4 h 6 min
    Fines
    $168,540
  2. Mn Veterans Home-Fergus Falls

    Fergus Falls, MN · Abuse icon

    Worst citation, 3 yrs
    J
    Nursing / resident / day
    4 h 59 min
    Fines
    $23,520
  3. Good Samaritan Society - Battle Lake

    Battle Lake, MN · Good Samaritan Society

    Worst citation, 3 yrs
    F
    Nursing / resident / day
    3 h 51 min
    Fines
    $0