Nursing home · Marceline, MO
Pioneer Skilled Nursing Center
1500 South Kansas Avenue, Marceline, MO 64658 · 96 certified beds · for profit ownership · part of Americare Senior Living
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Mar 20, 2025, when they cited 7 problems. The most common area was quality of life and care (3 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 7 are marked corrected in the CMS data. At its most recent standard inspection (Mar 20, 2025) it had 7 citations, compared with an average of 10.1 for Chillicothe-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 3.57 hours per resident per day here, 4% more than the Missouri average (3.43) and 8% less than the U.S. average (3.86). Registered nurses account for 0.48 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 63% over the past year, 7 points higher than Missouri (56%) and 17 points higher than the U.S. (46%).
How Pioneer Skilled Nursing Center compares
This home's latest CMS figures next to the averages for Chillicothe-area homes (20), Missouri (487) and the U.S. (14,680).
| This home | Chillicothe area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.57 | 3.28 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.48 | 0.43 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 2.92 | 2.88 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 63% | 56% | 56% | 46% |
| Registered nurse turnover (past year) | 86% | 47% | 48% | 43% |
| Citations at the most recent standard inspection | 7 | 10.1 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 20 of 20 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Mar 20, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Mar 20, 2025 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident rights | E | Deficient, Provider has date of correction |
| Mar 20, 2025 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection control | E | Deficient, Provider has date of correction |
| Mar 20, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | D | Deficient, Provider has date of correction |
| Mar 20, 2025 | Provide enough food/fluids to maintain a resident's health. Quality of life and care | D | Deficient, Provider has date of correction |
| Mar 20, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of life and care | D | Deficient, Provider has date of correction |
| Mar 20, 2025 | Provide and implement an infection prevention and control program. Infection control | F | Deficient, Provider has date of correction |
| Dec 17, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | E | Deficient, Provider has date of correction |
| Dec 17, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Dec 17, 2024 | Respond appropriately to all alleged violations. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Jun 13, 2023 | 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. Resident rights | E | Deficient, Provider has date of correction |
| Jun 13, 2023 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | E | Deficient, Provider has date of correction |
| Jun 13, 2023 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care | J immediate jeopardy | Deficient, Provider has date of correction |
| Jun 13, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Oct 3, 2019 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Oct 3, 2019 | 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. Resident rights | D | Deficient, Provider has date of correction |
| Oct 3, 2019 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Oct 3, 2019 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | D | Deficient, Provider has date of correction |
| Oct 3, 2019 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | D | Deficient, Provider has date of correction |
| Oct 3, 2019 | 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. Pharmacy service | D | Deficient, Provider has date of correction |
Fines and penalties
No federal fines or payment denials reported by CMS in the past three years.
Location
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Reviews
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Questions about Pioneer Skilled Nursing Center
Answers computed from CMS data for this facility.
What is Pioneer Skilled Nursing Center's Medicare rating?
Medicare rates Pioneer Skilled Nursing Center 3 out of 5 stars overall (average). The average for Chillicothe-area nursing homes is 2.0, for Missouri 2.51 and for the U.S. 2.99.
How did Pioneer Skilled Nursing Center do on its last inspection?
Inspectors' most recent visit in the CMS data was on Mar 20, 2025, when they cited 7 problems. The most common area was quality of life and care (3 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 7 are marked corrected in the CMS data. At its most recent standard inspection (Mar 20, 2025) it had 7 citations, compared with an average of 10.1 for Chillicothe-area homes, 11.4 in Missouri and 9.2 nationally.
Has Pioneer Skilled Nursing Center been fined?
CMS reports no federal fines for this facility in the past three years.
Does Pioneer Skilled Nursing Center accept Medicaid?
Pioneer Skilled Nursing Center is certified for both Medicare and Medicaid. Call (660) 376-2001 to ask whether a Medicaid bed is open.
Other nursing homes near Marceline
- 5/5Stonebridge ChillicotheChillicothe · 75 beds
- 4/5Golden Age Nursing HomeBraymer · 83 beds
- 4/5Pearl's Ii Eden for EldersPrinceton · 60 beds
- 3/5Daviess County Nursing and RehabilitationGallatin · 97 beds
- 3/5Life Care Center of CarrolltonCarrollton · 120 beds
- 2/5Carroll HouseCarrollton · 63 beds
Compare all 20 Chillicothe-area nursing homes · · Chillicothe guide
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.