Pioneer Care And Rehabilitation
200 N Oregon St, Dillon, MT, 59725
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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 - Limited Liability company · Chain: Sweetwater Care
- Certified beds
- 87 · avg 66 residents/day
- Total nursing staff turnover
- 88.2% — higher than most Montana nursing homesMontana avg: 55.6% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 71.4% — higher than most Montana nursing homesMontana avg: 49.3% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Montana averageMontana avg: 0.4 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 6 fines · $140,630 total
Medicare certification
- CMS Certification Number
- 275124
- Certified beds
- 87 beds · avg 66 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Sweetwater Dillon Opco, Llc
- Chain affiliation
- Sweetwater Care
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Sweetwater Care chain — 10 facilities across 3 states. Chain-wide average overall rating 2.5 / 5.
Disclosed owners (7 on record)
- Madison Boesch
W-2 Managing Employee · 100% · since 2022
- Reid Crickmore
W-2 Managing Employee · 100% · since 2020
- Aaron Chesley
5% or Greater Indirect Ownership Interest · 50% · since 2017
- Ajc Healthcare Llc
5% or Greater Indirect Ownership Interest · 50% · since 2017
- James b Gamett
5% or Greater Indirect Ownership Interest · 50% · since 2017
- Jbg Partners Llc
5% or Greater Indirect Ownership Interest · 50% · since 2017
+ 1 additional owner on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 53)
- D0744·Dec 31, 2025Complaint
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- F0865·May 8, 2025Complaint
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
- D0943·May 8, 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- F0882·May 8, 2025
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- E0881·May 8, 2025
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
- D0880·May 8, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0841·May 8, 2025
Nursing and Physician Services Deficiencies
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
- D0761·May 8, 2025
Pharmacy Service Deficiencies
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.
Federal penalties
By year
- 20261 fine · $7,360
- 20251 fine · $48K
- 20244 fines · $85K
Most recent events
- Feb 19, 2026Fine · $7,360
- May 8, 2025Fine · $48K
- Dec 5, 2024Fine · $13K
- Aug 27, 2024Fine · $19K
- May 21, 2024Fine · $41K
- Jan 4, 2024Fine · $13K
Largest single fine on record: $48K.
Fire-safety citations
10 Life-Safety-Code citations on file. Most recent: May 8, 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 Care And Rehabilitationinto 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.