78/100
Above average
Pioneer Valley Living And Rehab
400 Sergeant Square Drive, Sergeant Bluff, IA 51054
- Certified beds
- 66
- Occupancy
- 74%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
Our read on Pioneer Valley Living And Rehab
Pioneer Valley Living and Rehab runs 66 beds in Sergeant Bluff under for-profit LLC ownership, and its inspection record is the part that stands out: 63 deficiencies on file, five of them serious enough to reach harm or jeopardy, plus two tied to abuse. The last inspection was recent, March 2026, so this isn't stale history. Nurse staffing sits at 3.72 hours per resident day, roughly 4% under the national average, and weekends run about 14% thinner than weekdays. Annual turnover of 46.6% is essentially the national rate, meaning the staff you meet may not be there in a year. Worth asking the administrator directly what changed since that inspection.
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.
- →4.49 total nurse hours per resident per day (national median 3.77)
- →0.56 RN hours per resident per day
- →Weekend staffing drops 14% against weekdays
Staff stability
9/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →47% of nursing staff left in the last year
Resident outcomes
9/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →3 of 5 stars on the CMS quality-measure rating
Enforcement history
8/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →No federal fines on record
- →-2 for 1 denial(s) of Medicare payment for new admissions
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 3, 2026 (8 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 Valley Living And Rehab
What is the ElderGrade for Pioneer Valley Living And Rehab? +
Pioneer Valley Living And Rehab holds an ElderGrade of B (78 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 Valley Living And Rehab? +
Residents receive an average of 3.72 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Pioneer Valley Living And Rehab 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 Valley Living And Rehab accept Medicaid? +
Yes, Pioneer Valley Living And Rehab 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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