Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Pioneer Nursing Home during CMS and state inspections, most recent first.
A resident with depression, anxiety, and hospice services received PRN lorazepam without an end date on the order, and the PRN use continued beyond 14 days without documented physician rationale. The resident’s care plan called for review of PRN anti-anxiety medication by day 14, but the MAR showed repeated use over multiple days, and staff documented ongoing anxiety and a later scheduled anxiolytic order.
PRN Psychotropic Orders Lacked End Date and Required Rationale
Penalty
Summary
The facility failed to ensure PRN psychotropic medication orders had an end date and failed to obtain a clinical rationale to extend PRN psychotropic use beyond 14 days for one resident. The resident was admitted with diagnoses including adult failure to thrive, depression, and anxiety, had a BIMS score of 14 indicating cognitive intactness, and received hospice services. The care plan for anti-anxiety medication, initiated on 2/24/26, stated that PRN medication use was to be reviewed by day 14 and that the physician would be notified for a face-to-face visit to address renewal of the PRN order. A physician order dated 2/20/26 for lorazepam oral concentrate 2 mg/ml, 0.25 ml every four hours PRN for anxiety and agitation, did not include an end date, and a later 4/7/26 order for the same medication also lacked an end date. The resident received PRN lorazepam for five days in February, 29 days in March including 24 consecutive days, and ten days in April. A progress note on 3/13/26 documented continued anxiety despite non-pharmacological interventions and PRN lorazepam, and a new order for clonazepam 0.25 mg BID was entered the same day. Staff stated they communicated with the hospice physician about the need for evaluation after 14 days for the PRN lorazepam, but there was no documentation of an end date for the PRN order or a clinical rationale from the physician for continued PRN psychotropic use.
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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.
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Nursing homes near Vale
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Payette Healthcare Of Cascadia | 17.1 mi | ★★★★★ | 10 | 0 |
| Weiser Care Of Cascadia | 23.2 mi | ★★★★★ | 12 | 0 |
| Owyhee Health & Rehabilitation Center | 29.4 mi | ★★★★★ | 0 | 0 |
| Caldwell Care Of Cascadia | 34.8 mi | ★★★★★ | 18 | 0 |
| Canyon West Of Cascadia | 37 mi | ★★★★★ | 13 | 0 |
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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 August 2026) and official state health department websites.