86/100
Excellent
Pioneer Manor Nursing Home
318 N 3Rd Street, Hay Springs, NE 69347
- Certified beds
- 57
- Occupancy
- 69%
- Ownership
- Government
- Accepts
- Medicare + Medicaid
Our read on Pioneer Manor Nursing Home
Pioneer Manor runs on city government ownership in a small Sheridan County town, and the numbers mostly hold up. Nurse staffing sits at 3.99 hours per resident day, a touch above the national average, and the weekend-to-weekday gap of roughly 15% is worth asking about directly, that's when families tend to notice less coverage. Staff turnover at 44.8% lands right around the national figure, so this isn't a home bleeding workers faster than everyone else. Nine deficiencies on record, one serious enough to involve harm, none tied to abuse, with an inspection completed at the end of 2025. That single harm-level finding is the one item I'd want explained before deciding.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
22/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →4.16 total nurse hours per resident per day (national median 3.77)
- →0.99 RN hours per resident per day
- →Weekend staffing drops 15% against weekdays
Staff stability
12/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →45% of nursing staff left in the last year
Resident outcomes
12/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →4 of 5 stars on the CMS quality-measure rating
Enforcement history
10/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →No federal fines on record
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: December 31, 2025 (10 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
What families say
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Common questions about Pioneer Manor Nursing Home
What is the ElderGrade for Pioneer Manor Nursing Home? +
Pioneer Manor Nursing Home holds an ElderGrade of A (86 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Pioneer Manor Nursing Home? +
Residents receive an average of 3.99 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Pioneer Manor Nursing Home been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Pioneer Manor Nursing Home accept Medicaid? +
Yes, Pioneer Manor Nursing Home is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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