Nursing homeActive

Pioneer Care Center

1131 South Mabelle Avenue, Fergus Falls, MN 565372189981500105 certified beds · 91 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
7
since 2023
Deficiencies
16
1150
Penalties · 3 yrs
none on file
Last survey
2026-06-03
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 5
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Minnesota Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-06-03Standard000CMS-2567 (Care Compare)
2025-08-06Standard160CMS-2567 (Care Compare)
2025-05-27Complaint030CMS-2567 (Care Compare)
2025-05-16Complaint010CMS-2567 (Care Compare)
2024-07-24Standard030CMS-2567 (Care Compare)
2024-01-09Complaint010CMS-2567 (Care Compare)
2023-09-13Complaint010CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Minnesota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-08-06Standard survey · 7 deficienciesOfficial report
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-03Record 245463-20250806-F554
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-03Record 245463-20250806-F604
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-08Record 245463-20250806-F641
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-03Record 245463-20250806-F688
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-03Record 245463-20250806-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-03Record 245463-20250806-F812
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2025-09-03Record 245463-20250806-F732
2025-05-27Complaint survey · 3 deficienciesOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-20Record 245463-20250527-F580
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-20Record 245463-20250527-F610
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-20Record 245463-20250527-F684
2025-05-16Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-07Record 245463-20250516-F689
2024-07-24Standard survey · 3 deficienciesOfficial report
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-16Record 245463-20240724-F554
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-16Record 245463-20240724-F676
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-16Record 245463-20240724-F686
2024-01-09Complaint survey · 1 deficiencyOfficial report
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-30Record 245463-20240109-F760
2023-09-13Complaint survey · 1 deficiencyOfficial report
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-05Record 245463-20230913-F677

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day1.04
Facility
Minnesota
National
Minnesota 1.06 · National 0.69
Total nurse hours per resident day4.55
Facility
Minnesota
National
Minnesota 4.19 · National 3.86
Weekend total nurse hours4.13
Facility
Minnesota
National
Minnesota 3.71 · National 3.42
Total nursing staff turnover33%
Facility
Minnesota
National
Minnesota 42% · National 46%
Registered nurse turnover21%
Facility
Minnesota
National
Minnesota 39% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityMinnesotaNational
Percentage of long-stay residents with pressure ulcers
lower is better
1.2%5.2%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.6%4.0%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
21.2%17.1%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
3.3%2.6%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
13.5%18.2%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
2.4%4.1%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
17.6%12.5%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Bushinger, Brad
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hocum, April
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hunter, Katie
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Johnson, Nathan
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Lacey, Tyler
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Lee, Linda
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Nowacki, Julia
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Pederson, Elizabeth
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Schmidt, Holly
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Walz, Catherine
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Watkins, Sara
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ackerson, Jeff
Individual
CORPORATE DIRECTORNOT APPLICABLE
Ackerson, Jeff
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Aegis Therapies, Inc.
Organization
ADP OF THE SNFNOT APPLICABLE
Brenna, Lowell
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Brenna, Lowell
Individual
CORPORATE OFFICERNOT APPLICABLE
Demuth, Suzanne
Individual
CORPORATE OFFICERNOT APPLICABLE
Demuth, Suzanne
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Ellig, Joe
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Ellig, Joe
Individual
CORPORATE OFFICERNOT APPLICABLE
Freeman, Janet
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Freeman, Janet
Individual
CORPORATE OFFICERNOT APPLICABLE
Johnson, Kari
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Johnson, Kari
Individual
CORPORATE OFFICERNOT APPLICABLE
Johnson, Nathan
Individual
CORPORATE DIRECTORNOT APPLICABLE
Johnson, Nathan
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Johnson, Nathan
Individual
ADP OF THE SNFNOT APPLICABLE
Lacey, Tyler
Individual
ADP OF THE SNFNOT APPLICABLE
Lee, Linda
Individual
ADP OF THE SNFNOT APPLICABLE
Mellum, Karen
Individual
CORPORATE OFFICERNOT APPLICABLE
Mellum, Karen
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Monke, Dean
Individual
CORPORATE OFFICERNOT APPLICABLE
Monke, Dean
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Nelson, Lori
Individual
ADP OF THE SNFNOT APPLICABLE
Nelson, Lori
Individual
CORPORATE OFFICERNOT APPLICABLE
Nowacki, Julia
Individual
ADP OF THE SNFNOT APPLICABLE
Sethre, John
Individual
CORPORATE OFFICERNOT APPLICABLE
Sethre, John
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Sillerud, Brandi
Individual
CORPORATE OFFICERNOT APPLICABLE
Sillerud, Brandi
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Watkins, Sara
Individual
ADP OF THE SNFNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Minnesota.

No county cost figures on file for Otter Tail.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Lb Broen Home
Fergus Falls
0.3 mi2026-06-040101
Mn Veterans Home-Fergus Falls
Fergus Falls
2.1 mi2026-05-06032
Pelican Valley Health Center
Pelican Rapids
20.5 mi2026-03-25070
Good Samaritan Society - Battle Lake
Battle Lake
16.4 mi2025-11-19040
Barrett Care Center Inc
Barrett
26.6 mi2025-06-25040
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01