Deficiency Index

Pioneer Memorial Nursing Home

Viborg, South Dakota · CCN 435120

9 surveys since 2012, 3 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
31
Surveys
9
Harm or worse
3
Immediate jeopardy
2
The record, 2012–2025
’12’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file7/9

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
46
Ownership
Non profit - Corporation
Chain
Independent
County
Turner
Medicare-certified since
2004

CMS ratings

Overall
5
Health inspection
5
Staffing
4
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=3, floor 20).

Last survey on record

Feb 21, 2025

626 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.913.73
Registered-nurse hours per resident day0.50—
Annual nurse turnover52.0%49.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$32,536 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ266.7%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD—E133.3%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 3 of the 31 citations on record.

In the surveyor’s words

From the most serious findings on record at Pioneer Memorial Nursing Home, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF600Oct 31, 2023

    A. Based on observation, interview, record review, and policy review, the provider failed to ensure one of one resident (8) had received the necessary care to meet her psycho-social needs after she made an allegation of sexual assault by resident (28). Findings include: 1. Observation and interview on [DATE] at 10:25 a.m. with resident 8 about her experience in the nursing home revealed: *She alleged that she was raped at that facility and the perpetrator did not complete. *There was a laceration on her left shin and foot that she said she acquired from the alleged perpetrator being on top of her trying to get leverage. *She was able to remember the alleged perpetrator's name and said he was another resident at the nursing home. -That resident was now in a different part of the facility. […]

  • Immediate jeopardy, isolatedF609Oct 31, 2023

    Based on observation, interview, record review, and policy review, the provider failed to ensure an allegation of sexual assault made by resident (8) toward resident (28) was thoroughly investigated and reported to the South Dakota Department of Health (SD DOH). Findings include: 1. Observation and interview on [DATE] at 10:25 a.m. with resident 8 about her experience in the nursing home revealed: *She alleged that she was raped at that facility and the perpetrator did not complete. *There was a laceration on her left shin and foot that she said she acquired from the alleged perpetrator being on top of her trying to get leverage. *She was able to remember the alleged perpetrator's name and said he was another resident at the nursing home. […]

  • No harm, potential for more than minimal, patternF812Feb 21, 2025

    Based on observation, interview, and policy review, the provider failed to ensure outdated food was discarded from inventory. Findings include: 1. Observation on [DATE] of the dry food storage room revealed there were: *Two containers of single serving sized macaroni and cheese with an expiration date of [DATE]. *Five containers of single serving sized macaroni and cheese with an expiration date of [DATE]. *Two five-pound containers of baking powder with an expiration date of [DATE]. -A container of thick and easy pureed bread and dessert mix with an expiration date of [DATE]. -A 12-ounce can of evaporated milk with an expiration date of [DATE]. -Twenty-two 12-ounce cans of evaporated milk with an expiration date of [DATE]. 2. An interview on [DATE] at 12:30 p.m. […]

Read 21 findings in full →The most serious and the most recent: 21 of 31 on record.

Every survey on record

FindingsAt actual harm or above

  • Feb 21, 2025Standard1 finding
  • Oct 31, 2023Standard2 findings · 2 harm
  • Feb 27, 2020Standard9 findings
  • Jan 9, 2019Standard5 findings
  • Oct 12, 2017Standard1 finding
  • Aug 10, 2016Standard4 findings
  • Sep 24, 2014Standard2 findings
  • Nov 20, 2013—5 findings · 1 harm
Show the 1 earlier survey
  • Aug 29, 2012—2 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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