Federal inspection record · CMS data as of October 1, 2026
Pioneer Nursing Home
1060 D Street West, Vale, OR · (541) 473-3131
- Certified beds
- 33
- Residents per day
- 14
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 13, 2010
1
How this home got 4 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Oregon.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Oregon homes
Pioneer Nursing Home carries 36.25 inspection points. That is fewer than 72% of Oregon's 126 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Oregon: 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★ 0–14 pts
- 4★ 14–41 pts
- 3★ 41–65 pts
- 2★ 65–95.25 pts
- 1★ over 95.25 pts
Bars show every rated home in Oregon 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
9 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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.
Harm and immediate-jeopardy citations (2)
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J
Ensure services provided by the nursing facility meet professional standards of quality.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care2D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service2D
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure medication error rates are not 5 percent or greater.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Administration1D
- D
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Nursing and Physician Services1D
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspection history
2026-04-23
1 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2025-01-30
0 health deficiencies · 1 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2023-10-19
8 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 7 h 15 min of nursing staff time a day, 1 h 44 min of it from a registered nurse.
This home
7 h 15 min
Oregon average
5 h 8 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$114,520 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2023-10-19 | Fine | $114,520 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.3 pts worse | 95.0% | 95.3% | 93.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.4 pts better | 0.0% | 2.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.8 pts better | 3.1% | 4.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.3 pts worse | 7.9% | 4.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication18.6 pts worse | 30.8% | 12.2% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.5 pts worse | 18.8% | 14.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.6 pts better | 8.6% | 14.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder20 pts worse | 21.3% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2 pts better | 0.0% | 2.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence24.6 pts worse | 45.4% | 20.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.9 pts worse | 9.5% | 5.6% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.2 pts better | 100.0% | 85.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit8.1 pts better | 7.9% | 16.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better | 0.7% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.1 pts better | 93.0% | 80.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.4 pts worse | 24.3% | 21.9% | 23.4% |
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Who owns and runs it
29 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Browning, Alexis | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Browning, Alexis | Adp Of The SNF · Individual | 0% | 1 facilities |
| Buttice, Dennis | Corporate Director · Individual | 0% | 1 facilities |
| Buttice, Dennis | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Crismon, Corey | Corporate Officer · Individual | 0% | 1 facilities |
| Crismon, Corey | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Crismon, Corey | Adp Of The SNF · Individual | 0% | 1 facilities |
| Estes, Monica | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Estes, Monica | Adp Of The SNF · Individual | 0% | 1 facilities |
| Gillespie, Christy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gillespie, Christy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hines, Debra | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hines, Debra | Adp Of The SNF · Individual | 0% | 1 facilities |
| Keller, Karlene | Corporate Director · Individual | 0% | 1 facilities |
| Keller, Karlene | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Monihan, Kerrisue | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Monihan, Kerrisue | Adp Of The SNF · Individual | 0% | 1 facilities |
| Nalivka, John | Corporate Director · Individual | 0% | 1 facilities |
| Nalivka, John | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Phillips, John | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Phillips, John | Adp Of The SNF · Individual | 0% | 1 facilities |
| Rollf, Jessica | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rollf, Jessica | Adp Of The SNF · Individual | 0% | 1 facilities |
| Skerjanec, Lukas | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Skerjanec, Lukas | Adp Of The SNF · Individual | 0% | 1 facilities |
| Smith, Brandon | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Smith, Brandon | Adp Of The SNF · Individual | 0% | 1 facilities |
| Stewart - Kelso, Krystal | Corporate Director · Individual | 0% | 1 facilities |
| Stewart - Kelso, Krystal | Operational/Managerial Control · Individual | 0% | 1 facilities |
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Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Smoke2F
- D
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Construction1F
- F
Meet requirements for sections of health care facilities separated by fire resistive construction.
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Other homes nearby
-
Payette Healthcare of Cascadia
Payette, ID · Cascadia Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 33 min
- Fines
- $0
-
Weiser Care of Cascadia
Weiser, ID · Cascadia Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 24 min
- Fines
- $0
-
Owyhee Health & Rehabilitation Center
Homedale, ID · The Ensign Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 50 min
- Fines
- $0