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Data / Nursing homes / Montana / Pioneer Care and Rehabilitation

Pioneer Care and Rehabilitation, Dillon, MT: 3 star rating, fined $138,054 across 6 fines

Pioneer Care and Rehabilitation in Dillon, MT is owned by Sweetwater Care OPCO LLC, is rated 3 of 5 stars by Medicare, and was fined $138,054 across 6 fines in the three years to October 1, 2026. CMS lists 50 health citations from inspections in that time, the latest survey on June 4, 2026, and 4 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Montana
Address
200 N Oregon St, Dillon, MT 59725
Overall rating
3 of 5 stars
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measure rating
5 of 5
Certified beds
87
Residents per day
74 on average
Ownership type
For profit, limited liability company
Legal business name
Sweetwater Dillon OPCO, LLC
Chain
Sweetwater Care, 8 facilities
Fines
$138,054 across 6 fines, three years to October 1, 2026
Payment denials
0
Health citations
50, of which 4 with actual harm or immediate jeopardy
Latest survey
June 4, 2026
CMS Certification Number
275124
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
February 19, 2026Fine$4,784Not listeddata.cms.gov
May 8, 2025Fine$48,464Not listeddata.cms.gov
December 5, 2024Fine$12,529Not listeddata.cms.gov
August 27, 2024Fine$18,850Not listeddata.cms.gov
May 21, 2024Fine$40,641Not listeddata.cms.gov
January 4, 2024Fine$12,786Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
June 4, 2026F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 18, 2026data.cms.gov
June 4, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedJune 16, 2026data.cms.gov
June 4, 2026F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2026data.cms.gov
June 4, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 18, 2026data.cms.gov
June 4, 2026F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedJune 16, 2026data.cms.gov
June 4, 2026F585Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 22, 2026data.cms.gov
June 4, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 29, 2026data.cms.gov
December 31, 2025F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 23, 2026data.cms.gov
May 8, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedMay 30, 2025data.cms.gov
May 8, 2025F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 8, 2025F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 8, 2025F881Implement a program that monitors antibiotic use.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 8, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 8, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 8, 2025F841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 8, 2025F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 8, 2025F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 8, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 8, 2025F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 8, 2025F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 8, 2025F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 8, 2025F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 8, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 8, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 8, 2025F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 8, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 8, 2025F578Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
February 27, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 4, 2025data.cms.gov
February 27, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 4, 2025data.cms.gov
December 5, 2024F760Ensure that residents are free from significant medication errors.G: isolated, actual harmCorrectedJanuary 3, 2025data.cms.gov
December 5, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
August 27, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedSeptember 5, 2024data.cms.gov
May 21, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedJune 28, 2024data.cms.gov
May 21, 2024F887Educate 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 28, 2024data.cms.gov
May 21, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 28, 2024data.cms.gov
May 21, 2024F825Provide or get specialized rehabilitative services as required for a resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 28, 2024data.cms.gov
May 21, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 28, 2024data.cms.gov
May 21, 2024F803Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 28, 2024data.cms.gov
May 21, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 28, 2024data.cms.gov
May 21, 2024F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 28, 2024data.cms.gov
May 21, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 28, 2024data.cms.gov
May 21, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 28, 2024data.cms.gov
May 21, 2024F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 28, 2024data.cms.gov
February 27, 2024F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 11, 2024data.cms.gov
February 27, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 11, 2024data.cms.gov
February 27, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 11, 2024data.cms.gov
January 4, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 27, 2024data.cms.gov
January 4, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 27, 2024data.cms.gov
October 25, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 27, 2023data.cms.gov
October 25, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 27, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 3 individual or personal trusts (2 managers, 1 officers, directors or trustees). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Sweetwater Care OPCO LLCIndirect owner100%December 1, 2017data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.