Nursing HomeInspections

Pioneer Care and Rehabilitation

Nursing home in Dillon, MT

Medicare & Medicaid certified2★ overall (CMS)

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Public-record details

Address
200 N Oregon St, Dillon, MT 59725
Phone
(406) 683-5105
Listed under
For-profit
Medicare CCN
275124
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
87
Average residents per day
72
Ownership
For-profit, limited Liability company
Legal business name
Sweetwater Dillon Opco, LLC
Chain
Sweetwater Care (8 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 25, 1988
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 275124. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 4, 2026. CMS lists 50 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 25, 2023 to Jun 4, 2026): 15 from complaint inspections, 4 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 4, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 4, 2026PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jun 4, 2026Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Nursing and Physician Services		D
Potential for more than minimal harm, isolated
Jun 4, 2026Honor 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.
Resident Rights		E
Potential for more than minimal harm, pattern
Jun 4, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Jun 4, 2026Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Jun 4, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Dec 31, 2025Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
May 8, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
May 8, 2025Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights		D
Potential for more than minimal harm, isolated
May 8, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		D
Potential for more than minimal harm, isolated
May 8, 2025Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 50. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 6 fines totalling $138,054 in the last three years.

Feb 19, 2026Fine: $4,784
May 8, 2025Fine: $48,464
Dec 5, 2024Fine: $12,529
Aug 27, 2024Fine: $18,850
May 21, 2024Fine: $40,641
Jan 4, 2024Fine: $12,786

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.69 hours
Registered nurse (RN) time per resident per day
0.46 hours
Nurse aide time per resident per day
2.58 hours
Total nurse staffing on weekends
3.20 hours
Nursing staff turnover (yearly)
85%
RN turnover (yearly)
60%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.