Starfile / Montana

PIONEER CARE AND REHABILITATION

200 N OREGON ST, DILLON, MT 59725 · CCN 275124

Inspection history vs Montana & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$158,103

Number of fines

6

Number of penalties

6

Payment denials

0

Chain

Chain

SWEETWATER CARE

Facilities in chain

9

Chain avg overall

2.80 / 5

Inspection citations (53)5 actual harm

1. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2025-12-31 · Health · corrected 2026-01-23

   Potential for more than minimal harm

2. EF0578Honor 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.2025-05-08 · Health · corrected 2025-05-30

   Potential for more than minimal harm

3. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-05-08 · Health · corrected 2025-05-30

   Potential for more than minimal harm

4. DF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2025-05-08 · Health · corrected 2025-05-30

   Potential for more than minimal harm

5. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-05-08 · Health · corrected 2025-05-30

   Potential for more than minimal harm

6. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-05-08 · Health · corrected 2025-05-30

   Potential for more than minimal harm

7. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-05-08 · Health · corrected 2025-05-30

   Potential for more than minimal harm

8. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-08 · Health · corrected 2025-05-30

   Actual harm

9. DF0692Provide enough food/fluids to maintain a resident's health.2025-05-08 · Health · corrected 2025-05-30

   Potential for more than minimal harm

10. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-05-08 · Health · corrected 2025-05-30

    Potential for more than minimal harm

11. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-05-08 · Health · corrected 2025-05-30

    Potential for more than minimal harm

12. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-05-08 · Health · corrected 2025-05-30

    Potential for more than minimal harm

13. DF0760Ensure that residents are free from significant medication errors.2025-05-08 · Health · corrected 2025-05-30

    Potential for more than minimal harm

14. DF0761Ensure 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.2025-05-08 · Health · corrected 2025-05-30

    Potential for more than minimal harm

15. FF0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.2025-05-08 · Health · corrected 2025-05-30

    Potential for more than minimal harm

16. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-05-08 · Health · corrected 2025-05-30

    Potential for more than minimal harm

17. DF0880Provide and implement an infection prevention and control program.2025-05-08 · Health · corrected 2025-05-30

    Potential for more than minimal harm

18. EF0881Implement a program that monitors antibiotic use.2025-05-08 · Health · corrected 2025-05-30

    Potential for more than minimal harm

19. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2025-05-08 · Health · corrected 2025-05-30

    Potential for more than minimal harm

20. DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2025-05-08 · Health · corrected 2025-05-30

    Potential for more than minimal harm

21. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-02-27 · Health · corrected 2025-04-04

    Potential for more than minimal harm

22. EF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-02-27 · Health · corrected 2025-04-04

    Potential for more than minimal harm

23. GF0760Ensure that residents are free from significant medication errors.2024-12-05 · Health · corrected 2025-01-03

    Actual harm

24. DF0880Provide and implement an infection prevention and control program.2024-12-05 · Health · corrected 2025-01-03

    Potential for more than minimal harm

25. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-27 · Health · corrected 2024-09-05

    Actual harm

26. DF0584Honor 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.2024-05-21 · Health · corrected 2024-06-28

    Potential for more than minimal harm

27. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-05-21 · Health · corrected 2024-06-28

    Potential for more than minimal harm

28. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-05-21 · Health · corrected 2024-06-28

    Potential for more than minimal harm

29. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-21 · Health · corrected 2024-06-28

    Actual harm

30. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-05-21 · Health · corrected 2024-06-28

    Potential for more than minimal harm

31. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-05-21 · Health · corrected 2024-06-28

    Potential for more than minimal harm

32. EF0803Ensure 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.2024-05-21 · Health · corrected 2024-06-28

    Potential for more than minimal harm

33. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-21 · Health · corrected 2024-06-28

    Potential for more than minimal harm

34. DF0825Provide or get specialized rehabilitative services as required for a resident.2024-05-21 · Health · corrected 2024-06-28

    Potential for more than minimal harm

35. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-05-21 · Health · corrected 2024-06-28

    Potential for more than minimal harm

36. DF0887Educate 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.2024-05-21 · Health · corrected 2024-06-28

    Potential for more than minimal harm

37. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-02-27 · Health · corrected 2024-03-11

    Potential for more than minimal harm

38. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-02-27 · Health · corrected 2024-03-11

    Potential for more than minimal harm

39. DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2024-02-27 · Health · corrected 2024-03-11

    Potential for more than minimal harm

40. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-01-04 · Health · corrected 2024-02-27

    Potential for more than minimal harm

41. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-01-04 · Health · corrected 2024-02-27

    Potential for more than minimal harm

42. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-10-25 · Health · corrected 2023-11-27

    Potential for more than minimal harm

43. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-10-25 · Health · corrected 2023-11-27

    Potential for more than minimal harm

44. CF0575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.2023-05-11 · Health · corrected 2023-06-07

    Potential for minimal harm

45. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-11 · Health · corrected 2023-06-07

    Potential for more than minimal harm

46. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-05-11 · Health · corrected 2023-06-07

    Potential for more than minimal harm

47. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-05-11 · Health · corrected 2023-06-07

    Potential for more than minimal harm

48. GF0692Provide enough food/fluids to maintain a resident's health.2023-05-11 · Health · corrected 2023-06-07

    Actual harm

49. EF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2023-05-11 · Health · corrected 2023-06-07

    Potential for more than minimal harm

50. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-05-11 · Health · corrected 2023-06-07

    Potential for more than minimal harm

51. EF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-05-11 · Health · corrected 2023-06-07

    Potential for more than minimal harm

52. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2023-05-11 · Health · corrected 2023-06-07

    Potential for more than minimal harm

53. FF0880Provide and implement an infection prevention and control program.2023-05-11 · Health · corrected 2023-06-07

    Potential for more than minimal harm

Ownership

Other facilities in DILLON

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.