Pioneer Care and Rehabilitation
Nursing Home · Dillon, MT
CMS certification number275124
Contact & location
200 N Oregon STDillon, MT 59725
Beaverhead County
- Phone
- (406) 683-5105
- ZIP code
- 59725 – all care providers
Facility details
- Certified beds
- 87
- Residents per day
- 71.7 (82% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Sweetwater Dillon Opco, LLC
- Chain
- Sweetwater Care (8 facilities, avg 2.4★)
- Medicare certified since
- August 25, 1988
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.69 (state 4.05 · U.S. 3.86)
- Registered nurses (RN)
- 0.46 (state 0.98 · U.S. 0.69)
- Licensed practical nurses
- 0.65 (state 0.50 · U.S. 0.86)
- Nurse aides
- 2.58 (state 2.57 · U.S. 2.32)
- Weekend total
- 3.20 (state 3.59 · U.S. 3.42)
- Nursing staff turnover
- 85.3 (state 54.8 · U.S. 45.8)%
- RN turnover
- 60.0 (state 48.3 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- June 4, 2026
- Health deficiencies (last cycle)
- 8.0 (state 11.5 · U.S. 9.3)
- From complaints
- 2
- Citations on record (3 years)
- 50 health · 10 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-04 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-06-16 |
| 2026-06-04 | 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. F0585 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-22 |
| 2026-06-04 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-18 |
| 2026-06-04 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-18 |
| 2026-06-04 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-29 |
| 2026-06-04 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-16 |
| 2026-06-04 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. F0711 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-30 |
| 2025-12-31 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-23 |
| 2025-05-08 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2025-05-30 |
| 2025-05-08 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. F0841 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-05-08 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-05-08 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-05-08 | 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. F0578 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-05-08 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-05-08 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-05-08 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-05-08 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. F0627 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-05-08 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-05-08 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-05-08 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-05-08 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-05-08 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-05-08 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-05-08 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-05-08 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-05-08 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-05-08 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. F0943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-02-27 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-04 |
| 2025-02-27 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-04 |
| 2024-12-05 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-01-03 |
| 2024-12-05 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-03 |
| 2024-08-27 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-09-05 |
| 2024-05-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2024-06-28 |
| 2024-05-21 | 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. F0803 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-28 |
| 2024-05-21 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-28 |
| 2024-05-21 | 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-28 |
| 2024-05-21 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-28 |
| 2024-05-21 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-28 |
| 2024-05-21 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-28 |
| 2024-05-21 | Provide medically-related social services to help each resident achieve the highest possible quality of life. F0745 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-28 |
| 2024-05-21 | Provide or get specialized rehabilitative services as required for a resident. F0825 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-28 |
| 2024-05-21 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-28 |
| 2024-05-21 | 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. F0887 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-28 |
| 2024-02-27 | 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. F0622 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-11 |
| 2024-02-27 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-11 |
| 2024-02-27 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. F0626 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-11 |
| 2024-01-04 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-27 |
| 2024-01-04 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-27 |
| 2023-10-25 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-27 |
| 2023-10-25 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-27 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
6 penalties in the last three years, including $138,054 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-02-19 | Fine | $4,784 |
| 2025-05-08 | Fine | $48,464 |
| 2024-12-05 | Fine | $12,529 |
| 2024-08-27 | Fine | $18,850 |
| 2024-05-21 | Fine | $40,641 |
| 2024-01-04 | Fine | $12,786 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Chesley, Aaron (individual) | 5%+ Indirect Ownership Interest | |
| Sweetwater Care Opco LLC (organization) | 5%+ Indirect Ownership Interest | |
| Chesley, Aaron (individual) | Corporate Officer · NOT APPLICABLE | |
| Boesch, Madison (individual) | W-2 Managing Employee · NOT APPLICABLE | |
| Crickmore, Reid (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Pioneer Care and Rehabilitation?
Pioneer Care and Rehabilitation has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in Montana.
How many beds does Pioneer Care and Rehabilitation have?
It has 87 certified beds and cares for about 72 residents per day.
Has Pioneer Care and Rehabilitation been fined?
Yes. CMS lists 6 penalties totaling $138,054 in the last three years.
Who owns Pioneer Care and Rehabilitation?
It is part of Sweetwater Care and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Pioneer Care and Rehabilitation?
(406) 683-5105. The facility is located at 200 N Oregon ST, Dillon, MT 59725.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.