Nursing homeActive
Pioneer Nursing Home
1060 D Street West, Vale, OR 97918541473313133 certified beds · 14 residentsGovernment - Hospital districtMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
9
● 0● 7● 2
Penalties · 3 yrs
$114,520
1 fine
Last survey
2026-04-23
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Oregon Department of Human Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-23 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2025-01-30 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2023-12-10 | Complaint | 022 | CMS-2567 (Care Compare) | — |
| 2023-10-19 | Standard | 040 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Oregon Department of Human Services 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.
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-15Record 385273-20260423-F605
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity JHarm
Care planningRecords
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-01-28Record 385273-20231210-F658
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-01-28Record 385273-20231210-F689
F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-28Record 385273-20231210-F838
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-28Record 385273-20231210-F947
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 2023-11-06Record 385273-20231019-F684
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-06Record 385273-20231019-F698
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-06Record 385273-20231019-F756
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-06Record 385273-20231019-F759
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2023-10-19 | Civil money penalty | $114,520 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.76
Facility
Oregon
National
Oregon 0.72 · National 0.69
Total nurse hours per resident day6.96
Facility
Oregon
National
Oregon 5.03 · National 3.86
Weekend total nurse hours6.13
Facility
Oregon
National
Oregon 4.51 · National 3.42
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Oregon | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 13.7% | 5.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.0% | 2.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 21.9% | 13.9% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 2.0% | 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 | 8.3% | 14.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.4% | 4.7% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 32.5% | 12.4% | 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)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Browning, Alexis Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Buttice, Dennis Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Crismon, Corey Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Estes, Monica Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gillespie, Christy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hines, Debra Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Keller, Karlene Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Monihan, Kerrisue Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Nalivka, John Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Phillips, John Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rollf, Jessica Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Skerjanec, Lukas Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Smith, Brandon Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Stewart - Kelso, Krystal Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Browning, Alexis Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Buttice, Dennis Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Crismon, Corey Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Crismon, Corey Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Estes, Monica Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gillespie, Christy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hines, Debra Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Keller, Karlene Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Monihan, Kerrisue Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nalivka, John Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Phillips, John Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rollf, Jessica Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Skerjanec, Lukas Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Smith, Brandon Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Stewart - Kelso, Krystal Individual | CORPORATE DIRECTOR | NOT 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 Oregon.
No county cost figures on file for Malheur.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Payette Healthcare of Cascadia Payette | 17.1 mi | 2025-09-12 | 0180 |
| Weiser Care of Cascadia Weiser | 23.2 mi | 2026-02-20 | 0220 |
| Owyhee Health & Rehabilitation Center Homedale | 29.4 mi | 2025-08-21 | 080 |
| Caldwell Care of Cascadia Caldwell | 34.8 mi | 2026-03-06 | 1300 |
| Canyon West of Cascadia Caldwell | 37.0 mi | 2026-04-16 | 0160 |
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
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |