Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Pioneer Skilled Nursing Center during CMS and state inspections, most recent first.
The facility failed to provide adequate assistance with ADLs and nail care for four residents, leading to unkempt appearances and poor hygiene. Observations showed residents with overgrown nails, dirty clothing, and unclean conditions. Interviews revealed confusion among staff about responsibilities, contributing to the neglect. The facility's policy required routine nail care, but it was not consistently followed, resulting in deficiencies noted by surveyors.
A resident's iPhone and purse, containing credit cards, went missing, and unauthorized purchases were made on the resident's Amazon credit card. Despite being aware of the missing items, the facility staff did not report the incident to the state agency or police, as required by their policy.
A resident reported missing personal items, including a purse and cell phone, and unauthorized charges on their Amazon credit card. Despite the facility's policy requiring immediate investigation, there was a lack of documentation and communication regarding the investigation's outcome. The Social Service Director and current DON were unaware of any completed investigation, leading to a deficiency in handling the misappropriation allegations.
Failure to Provide Adequate ADL Assistance and Nail Care
Penalty
Summary
The facility failed to provide adequate care and assistance with activities of daily living (ADLs) for four residents who were unable to complete these tasks independently. Observations and interviews revealed that these residents did not receive necessary personal hygiene care, including nail care, as outlined in their care plans. For instance, Resident #1, who was cognitively intact and receiving hospice care, had overgrown and dirty fingernails, which the resident attributed to staff being too busy to assist. Similarly, Resident #2, who was dependent on staff for ADLs due to Huntington's disease, had long fingernails and was often found with dirty clothing. Resident #3, who was cognitively impaired and dependent on staff for personal hygiene, was observed with dried debris on their face and clothing, indicating a lack of proper hygiene care. Resident #7, who had multiple sclerosis and was dependent on staff for all ADLs, was found with long fingernails digging into their palms and an unkempt appearance, including an odor of urine and body odor. Interviews with family members and staff highlighted a misunderstanding of responsibilities, with some CNAs believing that nail care was not their task, leading to neglect in this area. The Director of Nursing and the facility's corporate nurse acknowledged the oversight, noting that nail care was not assigned to CNAs in the electronic medical record, which contributed to the deficiency. The facility's policy required routine nail care and personal hygiene maintenance, but these were not consistently provided, resulting in residents being left in unclean conditions. The lack of clarity in task assignments and failure to adhere to care plans were significant factors in the deficiency observed by surveyors.
Failure to Report Misappropriation of Resident Property
Penalty
Summary
The facility failed to report allegations of misappropriation of property for one resident, as required by their policy. The resident, who was cognitively intact, had a green purse, a cell phone, and a charger listed on their inventory. The resident's family member, who is also the power of attorney, noticed the resident's iPhone was missing during a visit and reported it to the Director of Nursing (DON). A few days later, the family member also noticed the resident's purse was missing, which contained several credit cards. Unauthorized purchases were made on the resident's Amazon credit card, totaling almost three hundred dollars, while the resident was too weak and depressed to engage in such activities. Interviews with facility staff, including CNAs and the Social Service Director, revealed that the missing items were known among staff, and a message was sent through the facility's communication app to be on the lookout for them. However, the facility did not report the missing items to the state agency or the police, as required by their policy. The DON and the corporate nurse both acknowledged that the facility should have followed the policy regarding misappropriation and reporting time frames.
Failure to Investigate Misappropriation Allegations
Penalty
Summary
The facility failed to thoroughly investigate allegations of misappropriation made by a resident, leading to a deficiency. The resident, who was cognitively intact, reported missing personal items, including a green purse and a cell phone, which were documented in their inventory list. The resident's family member, who is also the power of attorney, noticed the missing items and reported them to the previous Director of Nursing (DON). The family member also discovered unauthorized charges on the resident's Amazon credit card, totaling almost three hundred dollars, which the resident did not make. Despite these reports, the facility did not provide any outcome of an investigation to the family member, and there was uncertainty about whether an investigation was conducted. The facility's policy on abuse, neglect, and exploitation requires an immediate investigation when such allegations occur, including interviewing all involved persons and documenting the investigation thoroughly. However, the investigation file lacked essential documentation, such as statements from the resident and employees. Interviews with the Social Service Director (SSD) and the current DON revealed that the SSD did not receive any grievance information or conduct an investigation, assuming the previous DON handled it. The corporate nurse also expected a thorough investigation, but it was not completed, leading to a failure in following the facility's policy on misappropriation.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 11 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Marceline
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Life Care Center Of Brookfield | 7.6 mi | ★★★★★ | 0 | 0 |
| Brookfield Health Care Center | 8.8 mi | ★★★★★ | 4 | 0 |
| Brunswick Health Care Center | 21.3 mi | ★★★★★ | 0 | 0 |
| Chariton Park Health Care Center | 21.4 mi | ★★★★★ | 7 | 1 |
| Loch Haven | 25.1 mi | ★★★★★ | 27 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.