73.5/100
Above average
Pioneer Skilled Nursing Center
1500 South Kansas Avenue, Marceline, MO 64658
- Certified beds
- 96
- Occupancy
- 57%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
Nursing staff turnover of 63%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Our read on Pioneer Skilled Nursing Center
Pioneer Skilled Nursing Center runs 96 certified beds in Marceline under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.57 hours per resident day, roughly 7% under the national average, and weekend coverage drops about 18% below what the home staffs on weekdays. Annual turnover of 62.7% is well above the national 45.8%, which matters for how well staff know residents and how consistently care gets delivered. On the inspection side, the home carries 20 deficiencies, including one at the harm or jeopardy level and two tied to abuse. Its last inspection was March 20, 2025, so the record is recent. State surveyors rated health inspections 3 out of 5 and quality measures 4 out of 5, while staffing earned 2 out of 5, the weakest mark of the three.
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
16.5/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →4.14 total nurse hours per resident per day (national median 3.77)
- →0.48 RN hours per resident per day
- →Weekend staffing drops 18% against weekdays
Staff stability
5/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →63% 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: March 20, 2025 (1 year ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of AMERICARE SENIOR LIVING, which operates 23 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
Write a reviewNo family reviews yet for Pioneer Skilled Nursing Center. If you or a relative have experience of this home, other families would find it useful.
Be the first to reviewEvery review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern , that routes you to your state ombudsman, who can actually intervene.
Common questions about Pioneer Skilled Nursing Center
What is the ElderGrade for Pioneer Skilled Nursing Center? +
Pioneer Skilled Nursing Center holds an ElderGrade of B (73.5 out of 100), which we describe as "above average". 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 Skilled Nursing Center? +
Residents receive an average of 3.57 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Pioneer Skilled Nursing Center 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 Skilled Nursing Center accept Medicaid? +
Yes, Pioneer Skilled Nursing Center 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.
- Add another