Coldwater, KS

Pioneer Lodge

2-star overall rating with 2-star inspections with 14 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

300 W 3rd, Coldwater, KS

(620) 582-2123

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1992-12-18

CMS approved date

Coverage

Medicaid

Participation flags

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.82

Registered nurse staffing · state 0.72 · national 0.68

LPN hours / resident day

0.51

Licensed practical nurse staffing · state 0.67 · national 0.87

Aide hours / resident day

2.04

Nurse aide staffing · state 2.69 · national 2.35

Total nurse hours

3.37

All reported nurse hours · state 4.07 · national 3.89

Licensed hours

1.33

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.86

Weekend nurse staffing · state 3.58 · national 3.43

Weekend RN hours

0.60

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

1.00

CMS adjusted RN staffing hours

Adjusted total hours

4.08

CMS adjusted total nurse staffing hours

Case-mix index

1.13

Higher values indicate more complex resident acuity

RN turnover

40%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

55%

Annual nurse turnover · state 50% · national 46%

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Medicare spending per beneficiary	Not Available	1.02	This provider is not required to submit SNF QRP data.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · This provider is not required to submit SNF QRP data.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	1.8 About the same	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.1 · Expected 1.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	2.2 1 pts better	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.9 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	90.9%	91.8% 0.9 pts worse	93.4% 2.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 83.3% · Q2 88.0% · Q3 96.0% · Q4 96.0% · 4Q avg 90.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.5% 4.5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.0%	4.4% 1.4 pts better	3.3% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 4.0% · Q3 4.0% · Q4 0.0% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.7%	5.6% 2.9 pts better	11.4% 8.7 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 2.7%
Percentage of long-stay residents who lose too much weight	6.1%	5.0% 1.1 pts worse	5.4% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 4.0% · Q3 4.0% · Q4 8.0% · 4Q avg 6.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	13.1%	23.2% 10.1 pts better	19.6% 6.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 16.0% · Q3 12.0% · Q4 12.0% · 4Q avg 13.1%
Percentage of long-stay residents who received an antipsychotic medication	39.5%	19.8% 19.7 pts worse	16.7% 22.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q2 40.9% · Q3 36.4% · 4Q avg 39.5% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	9.9%	18.4% 8.5 pts better	16.3% 6.4 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 9.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	11.0%	18.8% 7.8 pts better	14.9% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 35.0% · Q2 10.0% · Q3 0.0% · Q4 0.0% · 4Q avg 11.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.8% 1.8 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.0%	3.1% 2.1 pts better	1.7% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 4.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	18.4%	23.2% 4.8 pts better	19.8% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 31.8% · Q3 14.6% · Q4 14.8% · 4Q avg 18.4%
Percentage of long-stay residents with pressure ulcers	10.6%	4.6% 6 pts worse	5.1% 5.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 11.6% · Q3 15.4% · Q4 9.4% · 4Q avg 10.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-23 · Fire 2025-09-23

14 health deficiencies

Top issue: Resident Rights (5 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2023-12-14 · Fire 2023-12-14

7 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

9 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2022-01-27 · Fire 2022-01-27

2 health deficiencies

Top issue: Resident Rights (2 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-23

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2026-01-13

F · Potential for more than minimal harm 2025-09-23

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2026-01-28

F · Potential for more than minimal harm 2025-09-23

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2026-01-13

F · Potential for more than minimal harm 2025-09-23

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2026-01-13

F · Potential for more than minimal harm 2025-09-23

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2026-01-13

F · Potential for more than minimal harm 2025-09-23

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2026-01-13

F · Potential for more than minimal harm 2025-09-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2026-01-05

F · Potential for more than minimal harm 2025-09-23

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2026-01-13

F · Potential for more than minimal harm 2025-09-23

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2026-01-13

F · Potential for more than minimal harm 2023-12-14

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-03-19

F · Potential for more than minimal harm 2023-12-14

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-03-19

F · Potential for more than minimal harm 2023-12-14

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-03-19

F · Potential for more than minimal harm 2023-12-14

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-03-19

F · Potential for more than minimal harm 2023-12-14

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2024-03-19

F · Potential for more than minimal harm 2023-12-14

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-01-24

E · Potential for more than minimal harm 2023-12-14

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2024-03-19

E · Potential for more than minimal harm 2023-12-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-03-19

E · Potential for more than minimal harm 2023-12-14

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-03-19

F · Potential for more than minimal harm 2022-01-27

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-02-25

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-09-23

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2025-11-05

F · Potential for more than minimal harm 2025-09-23

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-11-05

F · Potential for more than minimal harm 2025-09-23

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2025-11-05

E · Potential for more than minimal harm 2025-09-23

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-11-05

E · Potential for more than minimal harm 2025-09-23

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-11-05

D · Potential for more than minimal harm 2025-09-23

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-11-05

D · Potential for more than minimal harm 2025-09-23

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-11-05

D · Potential for more than minimal harm 2025-09-23

F580 · Resident Rights Deficiencies

Health

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

Corrected 2025-11-05

D · Potential for more than minimal harm 2025-09-23

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-11-05

D · Potential for more than minimal harm 2025-09-23

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-11-05

D · Potential for more than minimal harm 2025-09-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-11-05

D · Potential for more than minimal harm 2025-09-23

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-11-05

C · Minimal harm 2025-09-23

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-11-05

C · Minimal harm 2025-09-23

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2025-11-05

F · Potential for more than minimal harm 2023-12-14

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-01-26

F · Potential for more than minimal harm 2023-12-14

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2024-01-26

F · Potential for more than minimal harm 2023-12-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-26

F · Potential for more than minimal harm 2023-12-14

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2024-01-26

D · Potential for more than minimal harm 2023-12-14

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-01-26

D · Potential for more than minimal harm 2023-12-14

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-01-26

D · Potential for more than minimal harm 2023-12-14

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-01-26

D · Potential for more than minimal harm 2022-01-27

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2022-02-25

D · Potential for more than minimal harm 2022-01-27

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2022-02-25

Penalties and ownership