Pioneer Skilled Nursing Center
1500 South Kansas Avenue, Marceline, MO, 64658
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Americare Senior Living
- Certified beds
- 96 · avg 56 residents/day
- Total nursing staff turnover
- 58.5% — near the Missouri averageMissouri avg: 56.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 77.8% — higher than most Missouri nursing homesMissouri avg: 50.2% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Missouri averageMissouri avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Medicare certification
- CMS Certification Number
- 265169
- Certified beds
- 96 beds · avg 56 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Pioneer Nursing, Llc
- Chain affiliation
- Americare Senior Living
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Americare Senior Living chain — 23 facilities across 2 states. Chain-wide average overall rating 3.5 / 5.
Disclosed owners (10 on record)
- Kyle Schade
Contracted Managing Employee · since 2021
- Matthew j Woods
W-2 Managing Employee · 100% · since 2017
- Anna c Montgomery
5% or Greater Indirect Ownership Interest · 50% · since 2013
- Americare Systems, Inc.
Operational/managerial Control · 100% · since 2011
- Steven p Hatlestad
Operational/managerial Control · 100% · since 2011
- Richard Henley Montgomery
5% or Greater Indirect Ownership Interest · 50% · since 2003
+ 4 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 20)
- F0880·Mar 20, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0812·Mar 20, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0698·Mar 20, 2025
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D0692·Mar 20, 2025
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
- D0689·Mar 20, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0569·Mar 20, 2025
Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- E0883·Mar 20, 2025
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E0677·Dec 17, 2024Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Fire-safety citations
30 Life-Safety-Code citations on file. Most recent: Mar 20, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Pioneer Skilled Nursing Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.