Home›Browse›Missouri›Marceline›Pioneer Skilled Nursing Center

Nursing homeFAID #6997

Pioneer Skilled Nursing Center

1500 SOUTH KANSAS AVENUE, MARCELINE, MO, 64658

(660) 376-2001

96 licensed beds

★★★★★3/5CMS Five-Star overall3/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

1500 South Kansas Avenue

Marceline, MO 64658

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Public record summary

What we can show you for free.

Bed capacity

State license

053356

CMS facility ID

265169

Care type

Nursing home

Facility name

Pioneer Skilled Nursing Center

Street address

1500 SOUTH KANSAS AVENUE

City / state / ZIP

Marceline, MO 64658

Phone

(660) 376-2001

State license #

053356

About this facility — Pioneer Skilled Nursing Center

Pioneer Skilled Nursing Center is a Medicare/Medicaid-certified skilled nursing facility in Marceline, Missouri. It is licensed for 96 beds — close to the median for skilled nursing facilities in Missouri (97 beds).

It is one of 3 senior care facilities in Marceline and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Pioneer Skilled Nursing Center 50 times across 7 inspections in the last three years, including 3 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner

Pioneer Nursing, Llc

Parent company

Americare Senior Living

Ownership type

For profit - Corporation

Administrator

Lacey Meissen

Registered owners & officers

Montgomery, Anna

Indirect owner — 50% stake — since 2013

Montgomery, Richard

Indirect owner — 50% stake — since 2003

Americare Systems, Inc.

Operational control — since 2011

Crosson, Clay

Operational control — since 2001

Hatlestad, Steven

Operational control — since 2011

Pioneer Nursing, Llc

Direct owner — since 2003

R H Montgomery Properties, Inc

Direct owner — since 2003

Reiker, James

Officer · Operational control — since 2002

Schade, Kyle

Managing employee · Officer — since 2021

Woods, Matthew J

Managing employee — since 2017

Regulatory standing

Licensed / certified since

1982-06-30

License expires

2028-01-31

CMS overall rating

3 of 5 stars

Health deficiencies

7 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-03-20

Nurse staffing

3.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$265 per day (≈ $8,060/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

56% Medicaid · 12% Medicare · 32% private/other

Occupancy

55% (fiscal year 2023)

Vs. state median

3% above the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds

Licensed as

SNF

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2025-03-20Health inspection7 citations

F-0569

E · No harm found

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2025-05-01

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-05-01

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-05-01

F-0698

D · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-05-01

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-05-01

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-05-01

F-0883

E · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-05-01

2024-12-17Health inspectionComplaint-triggered3 citations

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-01-17

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2025-01-17

F-0677

E · No harm foundFrom a complaint

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-01-17

5 earlier / fire-safety inspections (40 citations)

2023-06-13Health inspection4 citations

F-0584

E · No harm found

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.

Corrected 2023-07-14

F-0684

J · Immediate jeopardy

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-07-14

F-0695

E · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-07-14

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-07-14

2019-10-03Health inspection6 citations

F-0584

D · No harm found

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.

Corrected 2019-11-11

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2019-11-11

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2019-11-11

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2019-11-11

F-0761

D · No harm found

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.

Corrected 2019-11-11

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2019-12-16

2025-03-20Fire-safety inspection4 citations

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-05-01

K-0374

E · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-05-01

K-0711

F · No harm found

Provide a written emergency evacuation plan.

Corrected 2025-05-01

K-0741

E · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-05-01

2023-06-13Fire-safety inspection20 citations

K-0161

F · No harm found

Use approved construction type or materials.

Corrected 2023-12-08

K-0222

F · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-12-08

K-0223

E · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2023-07-14

K-0291

F · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-07-14

K-0311

F · No harm found

Have an enclosure around a vertical opening shaft.

Corrected 2023-07-14

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2023-12-08

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-07-14

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-07-14

K-0355

F · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-07-14

K-0362

E · No harm found

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2023-07-14

K-0363

F · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2023-12-08

K-0372

F · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-12-08

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2023-07-14

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-07-14

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-07-14

K-0912

E · No harm found

Have power receptacles that are properly grounded.

Corrected 2023-07-14

K-0915

F · No harm found

Have proper power supply for life support equipment.

Corrected 2023-07-14

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-07-14

K-0920

F · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2023-07-14

K-0921

F · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-07-14

2019-10-03Fire-safety inspection6 citations

K-0161

D · No harm found

Use approved construction type or materials.

Corrected 2019-11-11

K-0222

D · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2019-11-11

K-0271

E · No harm found

Have exits that are accessible at all times.

Corrected 2019-11-11

K-0362

D · No harm found

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2019-11-11

K-0372

F · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2019-11-11

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2019-11-11

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265169.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 50 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered