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Medicare-certifiedSkilled Nursing

Pioneer Care and Rehabilitation

(406) 683-5105

About Pioneer Care and Rehabilitation

Pioneer Care and Rehabilitation brings comprehensive skilled nursing and rehabilitation services to Dillon, Montana families navigating recovery and healing. Our team provides personalized medical care and therapy in a supportive environment where every resident's progress matters.

Community at a glance

Capacity

87 residents

Location

Dillon, MT

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

200 N OREGON ST, Dillon, Montana 59725

(406) 683-5105

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on June 4, 2026, state inspectors cited 8 health deficiencies (the Montana average is 11.1).

Nurses and nurse aides spend 3 hours 42 minutes with each resident a day, below the Montana average of 4 hours 3 minutes.

Medicare fined Pioneer Care and Rehabilitation 6 times in the last three years, $138,054 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 42 minutesBelow the Montana average
Registered nurse time per resident, per day27 minutesBelow the Montana average
Nursing staff who left in the past year85%Above the Montana average

1 administrator has left the home in the past year.

Inspections

48 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

June 4, 2026 · Standard inspection · 7 citations

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Jun 16, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jun 18, 2026
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jun 18, 2026
  • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jun 22, 2026
  • PASARR screening for Mental disorders or Intellectual Disabilities

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 16, 2026
  • Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Jun 30, 2026
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 29, 2026

December 31, 2025 · Complaint investigation · 1 citation

  • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 23, 2026
May 8, 2025 · Standard inspection · 19 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareCorrected May 30, 2025
  • Have a plan that describes the process for conducting QAPI and QAA activities.

    Risk of harm, no one hurt, widespread (level F)AdministrationFrom a complaintCorrected May 30, 2025
  • Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected May 30, 2025
  • Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

    Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected May 30, 2025
  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected May 30, 2025
  • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected May 30, 2025
  • Implement a program that monitors antibiotic use.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected May 30, 2025
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 30, 2025
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 30, 2025
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 30, 2025
  • Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected May 30, 2025
  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 30, 2025
  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected May 30, 2025
  • Provide safe, appropriate pain management for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 30, 2025
  • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 30, 2025
  • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected May 30, 2025
  • Provide enough food/fluids to maintain a resident's health.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 30, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected May 30, 2025
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected May 30, 2025
February 27, 2025 · Complaint investigation · 2 citations+
  • Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Risk of harm, no one hurt, a pattern (level E)AdministrationFrom a complaintCorrected Apr 4, 2025
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Apr 4, 2025
December 5, 2024 · Complaint investigation · 2 citations+
  • Ensure that residents are free from significant medication errors.

    Residents were harmed, a few residents (level G)Pharmacy ServiceFrom a complaintCorrected Jan 3, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jan 3, 2025
August 27, 2024 · Complaint investigation · 1 citation+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Sep 5, 2024
May 21, 2024 · Standard inspection · 11 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Jun 28, 2024
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jun 28, 2024
  • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jun 28, 2024
  • Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 28, 2024
  • Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 28, 2024
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 28, 2024
  • Provide or get specialized rehabilitative services as required for a resident.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 28, 2024
  • Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jun 28, 2024
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 28, 2024
  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jun 28, 2024
  • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 28, 2024
February 27, 2024 · Complaint investigation · 3 citations+
  • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Mar 11, 2024
  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Mar 11, 2024
  • Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Mar 11, 2024
January 4, 2024 · Complaint investigation · 2 citations+
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 27, 2024
  • Protect each resident from the wrongful use of the resident's belongings or money.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 27, 2024

Fines and payment denials

6 fines totaling $138,054 in the last three years.

  • February 19, 2026Fine: $4,784
  • May 8, 2025Fine: $48,464
  • December 5, 2024Fine: $12,529
  • August 27, 2024Fine: $18,850
  • May 21, 2024Fine: $40,641
  • January 4, 2024Fine: $12,786

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
Sweetwater Dillon Opco, LLC
Medicare-certified beds
87
Average residents per day
72
Accepts
Medicare and Medicaid
First certified
August 25, 1988
Part of a chain
Sweetwater Care, 8 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
275124

Location

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200 N OREGON STDillon, MT 59725

3 other communities within 10 miles

Senior living near Dillon

Questions about Pioneer Care and Rehabilitation

How did Pioneer Care and Rehabilitation do on its last inspection?+

State inspectors visited on June 4, 2026 and cited 8 health deficiencies, 2 of them from complaint investigations. The Montana average is 11.1.

How much nursing care does each resident get at Pioneer Care and Rehabilitation?+

Nurses and aides spend 3 hours 42 minutes with each resident per day, including 27 minutes from registered nurses. 85% of nursing staff left over the past year.

Has Pioneer Care and Rehabilitation been fined by Medicare?+

Yes. Medicare fined Pioneer Care and Rehabilitation 6 times in the last three years, totaling $138,054.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Dillon Skilled Nursing in Montana Skilled Nursing guide Information last updated October 2026