Pioneer Manor Nursing Home
Hay Springs, Nebraska · CCN 285212
26 surveys since 2011, 7 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 131
- Surveys
- 26
- Harm or worse
- 7
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 57
- Ownership
- Government - City
- Chain
- Independent
- County
- Sheridan · rural
- Medicare-certified since
- 1997
CMS ratings
- Overall
- 5
- Health inspection
- 4
- Staffing
- 5
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 31 government-run facilities with fewer than 66 beds in Nebraska.
Last survey on record
Dec 31, 2025
313 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.99 | 4.01 |
| Registered-nurse hours per resident day | 0.99 | — |
| Annual nurse turnover | 44.8% | 44.6% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G111.1% | H— | I— |
| No harm, potential for more than minimal | D666.7% | E111.1% | F111.1% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6573×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F5802×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F6412×
Ensure each resident receives an accurate assessment.
- F6561×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F8801×
Provide and implement an infection prevention and control program.
In the surveyor’s words
From the most serious findings on record at Pioneer Manor Nursing Home, in the surveyor’s own words.
- Actual harm, isolatedF580Sep 14, 2023
Licensure Reference Number 175 NAC ,d+[DATE].04C3a(6) Based on record review and interviews, the facility staff failed to consult with 1 (Resident 44) of 1 sampled resident's physician when there was a significant change in the resident's condition. The facility census was 43. The findings are: A record review of Resident 44's Face Sheet revealed the resident was admitted on [DATE] with a diagnosis of Unspecified Atrial Fibrillation (an irregular, often rapid heart rate that commonly causes poor blood flow). A record review of Resident 44's Minimum Data Set (MDS) dated [DATE], Section G revealed the resident required supervision with set up for transfers and ambulation. […]
- No harm, potential for more than minimal, widespreadF880Sep 14, 2023
Licensure Reference Number 175 NAC 12.006.17D Based on observation, record review, and interview; the facility failed to complete hand hygiene when completing wound dressing changes for 1 (Resident 12) of 1 sampled residents. In addition, the facility failed to implement a Legionnaire policy and test the facility's water supply for Legionella which had the potential to affect all residents within the facility. The facility identified a census of 43. Findings are: An observation of wound care on 9/12/23 at 8:00 AM to Resident #12 revealed LPN (Licensed Practical Nurse) A did not perform hand hygiene prior to starting wound care. LPN-A gathered supplies from a tub in Resident #12's closet. […]
- No harm, potential for more than minimal, widespreadF804Aug 9, 2022
License Reference Number 12-006.11D Based on observation, record review, and interview; the facility staff failed to ensure foods were prepared by methods that conserve the food's nutritive value and were served at palatable temperatures. The facility staff also failed to follow recipes. This had the potential to affect all 43 residents who resided in the facility. The facility identified a census of 43. The sample size was 12. Findings are: A. Observation in the kitchen of meal preparation of breakfast on 8/4/2022 at 8:20 AM, revealed there were three plates of pureed food sitting on the ledge of the stove (they did have foil covering them). Dietary Aide-N revealed Dietary Aide-N had prepared the plates of pureed food at 7:50 AM. […]
- No harm, potential for more than minimal, widespreadF812Aug 9, 2022
Reference Number ,d+[DATE].11E Based on observation, interview, and record review, the facility failed to ensure the kitchen's equipment was kept clean, food was served and stored at temperatures to prevent foodborne illness, and failed to ensure staff performed hand hygiene or change gloves to prevent cross contamination. This had the potential to affect 43 of 43 residents who resided at the facility. The facility identified a census of 43. Sample size was 12. Findings are: A. […]
- No harm, potential for more than minimal, widespreadF880Aug 9, 2022
License Reference Number 175 NAC 12.006.17B Based on observations, interviews, and record review, the facility staff failed to prevent the potential spread of COVID 19 (2019 Novel Coronavirus) by not screening Daycare staff and by staff not wearing personal protective equipment (PPE) as indicated. This had the potential to affect all 43 residents who resided in the facility. The facility Identified a census of 43 residents at the time of survey. The sample size was 12. Findings are: Observation in the nursing hallway (Golden Rod) on 8/2/2022 at 2:55 PM, revealed NA-K (Nurse Aide) exiting a resident's room with a surgical mask down under NA-K's nose and only covering the mouth. […]
Read 26 findings in full →The most serious and the most recent: 26 of 131 on record.
Every survey on record
FindingsAt actual harm or above
- Dec 31, 2025Standard3 findings
- Sep 26, 2024Standard3 findings
- Sep 14, 2023Standard3 findings · 1 harm
- Aug 9, 2022Standard10 findings
- Mar 22, 2022Complaint2 findings
- Mar 30, 2021Standard7 findings
- Dec 21, 2020Infection control1 finding
- Dec 19, 2019Standard10 findings
Show the 18 earlier surveys
- Jul 24, 2019Complaint4 findings
- Apr 17, 2019Complaint1 finding
- Feb 13, 2019Complaint4 findings · 1 harm
- Nov 6, 2018Standard12 findings
- Aug 7, 2018Complaint3 findings · 2 harm
- Dec 13, 2017Standard8 findings
- Sep 7, 2017Complaint4 findings
- Jun 13, 2017Complaint1 finding
- Jan 9, 2017Complaint1 finding
- Oct 5, 2016Standard9 findings
- Feb 22, 2016Complaint1 finding
- Jul 29, 2015Standard4 findings
- Jul 17, 2014Standard5 findings
- May 19, 2014Complaint2 findings · 2 harm
- Sep 16, 2013—2 findings · 1 harm
- Jun 3, 2013—8 findings
- Jun 20, 2012—7 findings
- May 26, 2011—16 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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