All citations for Pioneers Memorial Skilled Nursing Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Pioneers Memorial Skilled Nursing Center

Last standard health inspection on record

January 10, 2025

Showing 1 to 25 of 33 citations

  1. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of February 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2024).

  2. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2024).

  3. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0676, Quality of Life and Care Deficiencies. Inspection of February 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2024).

  4. No harm, with potential for more than minimal harm

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Widespread (many residents). CMS level F.

    Health citation F-0865, Administration Deficiencies. Inspection of February 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2024).

  5. No harm, with potential for more than minimal harm

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Widespread (many residents). CMS level F.

    Health citation F-0867, Administration Deficiencies. Inspection of February 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2024).

  6. No harm, with potential for more than minimal harm

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Widespread (many residents). CMS level F.

    Health citation F-0868, Administration Deficiencies. Inspection of February 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2024).

  7. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of February 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2024).

  8. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of February 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2024).

  9. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of February 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 6, 2024).

  10. No harm, with potential for more than minimal harm

    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0837, Administration Deficiencies. Inspection of February 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2024).

  11. No harm, with potential for more than minimal harm

    Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0841, Nursing and Physician Services Deficiencies. Inspection of February 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2024).

  12. No harm, with potential for more than minimal harm

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0887, Infection Control Deficiencies. Inspection of February 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2024).

  13. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of April 28, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  14. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of April 28, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  15. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of December 18, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 15, 2025).

  16. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of October 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 11, 2024).

  17. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0578, Resident Rights Deficiencies. Inspection of February 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2024).

  18. No harm, with potential for more than minimal harm

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of February 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2024).

  19. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of February 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2024).

  20. No harm, with potential for more than minimal harm

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of February 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2024).

  21. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of February 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2024).

  22. No harm, with potential for more than minimal harm

    Provide enough food/fluids to maintain a resident's health.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of February 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2024).

  23. No harm, with potential for more than minimal harm

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of February 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2024).

  24. No harm, with potential for more than minimal harm

    Provide safe, appropriate pain management for a resident who requires such services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of February 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2024).

  25. No harm, with potential for more than minimal harm

    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0710, Nursing and Physician Services Deficiencies. Inspection of February 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.