Pioneer Lodge

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show <0.01 therapist hours per resident per day in 2026Q1 — more than 0% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 25 beds and averages 23.3 residents a day — about 93% occupied, or roughly 2 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.04 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.83 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.65 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.47 hrs/resident/day on weekends vs 3.27 on weekdays — 24% thinner on weekends — a notable drop. RN hours go from 0.94 to 0.56 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 58% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

• Potential for harm · F2025-09-23 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility reported a census of 23 residents. Based on observation, interview and record review, the facility failed to provide Registered Nurse (RN) coverage for at least eight continuous hours daily. Finding includes:- The facility's Daily Census Report, dated 09/21/25, documented 23 residents resided in the facility.Review of nursing schedules for 04/01/24 through 12/31/24 revealed a lack of RN coverage for eight continuous hours on 04/28/24, 05/11/24, 05/25/24, 06/01/24, 06/22/24, 06/23/24, 07/06/24, 07/07/24, 07/20/24, 07/21/24, 08/03/24, 08/04/24, 08/17/24, 08/18/24, 08/31/24, 09/01/24, 09/14/24, 09/15/24, 10/26/24, 10/27/24, 11/23/24, 11/24/24, and 12/21/24.Review of RN payroll documents for 04/01/24 through 12/31/24 revealed a lack of RN coverage for eight continuous hours on 04/28/24, 05/11/24, 05/25/24, 06/01/24, 06/22/24, 06/23/24, 07/06/24, 07/07/24, 07/20/24, 07/21/24, 08/03/24, 08/04/24, 08/17/24, 08/18/24, 08/31/24, 09/01/24, 09/14/24, 09/15/24, 10/26/24, 10/27/24, 11/23/24, 11/24/24, and 12/21/24.On 09/21/25 at 10:30 AM, observation revealed 23 residents resided in…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-09-23 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility reported a census of 23 residents, and one main kitchen. Based on observation, record review and interview the facility failed to prepare and serve food under sanitary conditions to prevent the potential for food borne bacteria. This placed the residents at risk for food borne illnesses.Findings included:- Observation of the kitchen and food storage areas on 09/21/25 at 09:20 AM revealed the following areas of concern:Dry Storage Area:Several storage bins filled with a variety of pasta with no date or label.Free-standing freezer:One bag of French toast sticks with no date or label.Several bags of English muffins with no date.One bag of garlic bread with no date or label.One bag of chicken patties, no date or label.One bag of chicken legs with no date or label.Several bags of ground beef and pork sausage, no date.One bag of pepperoni, no date.One bag of unidentified meat, no date or label.Free-Standing refrigerator:Three opened gallons of milk, no date.One opened bottle of tartar sauce, no date.One opened container of Parmesan cheese, no date.Three-bay Refrigerator:Old…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-09-23 · tag F0947 — failed to train nurse aides adequately — widespread
  Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility reported a census of 23 residents. Five Certified Nurse Aide (CNA) staff who worked in the facility for more than 12 months were reviewed for the required in-service training. Based on interview and record review, the facility failed to develop, implement, and permanently maintain an in-service training program for CNA staff with the required topics and no less than 12 hours per year. Findings included:- Review of CNA personnel files revealed the following:CNA M, who was hired for the facility on 02/26/1997, lacked the total hours calculated for the 12 hours required.CNA N, who was hired 10/24/23, lacked the total hours calculated for the 12 hours required.CNA O, who was hired 08/29/17, lacked Abuse, Neglect, and Exploitation (ANE) and social media training. CNA O's total hours were not calculated for the 12 hours required.During an interview on 09/23/25 at 09:00 AM, Administrative Staff A reported he expected the staff to have the required education and the required 12 hours annually.The facility did not provide a policy for CNA staff required for in-service and annual…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-09-23 · tag F0552 — pattern
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility reported a census of 23 residents; the sample included 14 residents. Based on interview and record review, the facility failed to inform Resident (R) 18, R6, R9, R5 and R15 and/or their representative regarding the risks related to psychotropic (alters mood or thoughts) medications. Findings included:- Review of both Electronic Medical Record (EMR) and paper records revealed the following:R18's July 2025 Medication Administration record (MAR) documented an order for escitalopram oxalate (antidepressant medication used to treat mood disorders) five milligrams (mg) daily, dated 07/29/25 (discontinued on 09/08/25). R18's clinical record lacked evidence of informed consent related to the medication.R6's September 2025 MAR documented orders for divalproex sodium (anticonvulsant used for psychotropic properties to address mood and behavior) 125 mg at bedtime for major depressive disorder (major mood disorder that causes persistent feelings of sadness) dated 02/20/25 and Seroquel (antipsychotic medication) 300 mg at bedtime for psychotic disorder (major mental disorder…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-09-23 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility reported a census of 23 residents. Based on observation, and interview, the facility failed to ensure that meals were served at safe and appetizing temperature. This was evident of a one of one meal observation.Findings included:- During an observation on 09/22/25 at 10:42 AM, Dietary Staff DD prepared three servings of pureed sausage, onions, and peppers that had a cooked temperature of 165 degrees Fahrenheit (F). Dietary Staff DD pureed the food, and the temperature after preparation was 127 degrees F. Dietary Staff DD placed the pureed sausage in three separate, divided dishes and covered the dishes with foil. Dietary Staff DD prepared the pureed potatoes that had a cooked temperature of 186 degrees F. Dietary Staff checked the potatoes' temperature after they were pureed at 135 degrees F. Dietary Staff DD uncovered the three divided dishes and placed the pureed potatoes into the dish, and covered the dishes with foil that remained on the counter in the kitchen until 11:00 AM, when Dietary Staff DD placed the three divided dishes of prepared pureed food in the steam…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-23 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility reported a census of 23 residents; the sample included 14 with two residents reviewed for positioning and mobility. Based on observation, interview, and record review, the facility failed to provide a footboard or footrests for Resident (R) 3 and R9. Findings included:- R3's Electronic Health Record (EHR) revealed diagnoses of dementia (progressive mental disorder characterized by failing memory, confusion), depression (a mood disorder that causes a persistent feeling of sadness and loss of interest), and pain.R3's 04/14/25 Annual Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) of zero, which indicated severely impaired cognition. R3's MDS recorded impairment to one side of R3's lower extremity. The MDS recorded R3 required total dependence of all activities of daily living. The 04/17/25 Cognitive Loss/Dementia Care Area Assessment (CAA) documented R3 did not answer any questions. R3 was sometimes able to communicate nonverbally.R3's Care Plan instructed staff to provide a high-back wheelchair with anti-tip bars and to propel the wheelchair…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-23 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 23 residents; 14 residents were sampled for advanced directives (a written document, which indicates the medical decisions for health care professionals when the person could not make their own decisions). Based on interview and record review, the facility failed to ensure two resident's advanced directives were accurately reflected when Resident (R) 2 had a Do Not Resuscitate (DNR- or no code, a legal document or order that means the person does not desire resuscitative measures) form completed but had an order for a full code. Additionally, R3's DNR lacked a resident/responsible party and witness signature. R14 declined a DNR in 2016, and the facility had a DNR order.Findings included:- Review of R2's Physician Order in the Electronic Medical Record (EMR) recorded an order for Full Code dated [DATE]. R2's Care Plan staff instructed to provide CPR dated [DATE]. Review of R2's EMR revealed a DNR signed by R2 on [DATE] and by a physician on [DATE].R3's Physician Order in the EMR…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-23 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 23 residents. The sample included 14 residents with one resident reviewed for nutrition. Based on observation, record review, and interview, the facility failed to notify the representative of changes in weight for Resident (R) 1. Findings included:- R1's Electronic Medical Record (EMR) listed diagnoses of schizophrenia (a mental disorder characterized by gross distortion of reality, disturbances of language and communication, and fragmentation of thought), dementia (a progressive mental disorder characterized by failing memory and confusion), and heart disease.R1's Quarterly Minimum Data Set (MDS) dated [DATE] documented a Brief Interview for Mental Status (BIMS) score of zero, indicating severe cognitive impairment. The MDS noted R1 weighed 139 pounds, had a mechanically altered diet, and had no chewing or swallowing issues. The MDS noted the resident had a significant weight loss.R1's Care Plan documented R1 had potential nutritional problems related to a history of weight loss,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-23 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility reported a census of 23 residents. The sample included 14 residents with one resident reviewed for hospitalization. Based on interview and record review, the facility failed to provide Resident (R) 1 a written notification of transfer to the resident and/or his representative as soon as practicable. Findings included:- R1's Electronic Medical Record (EMR) revealed a diagnosis of chronic obstructive pulmonary disease (COPD- a progressive and irreversible condition characterized by diminished lung capacity and difficulty or discomfort in breathing), heart failure (a condition where the heart muscle is weakened and cannot pump blood effectively enough to meet the body's needs) schizophrenia (a mental disorder characterized by gross distortion of reality, disturbances of language and communication, and fragmentation of thought), and dementia (a progressive mental disorder characterized by failing memory and confusion).R1's EMR documented a Health Status Note dated 08/24/25 at 07:00 AM that documented R1 was barely responsive with rapid breaths. The provider was notified and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-23 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility reported a census of 23 residents; the sample included three residents reviewed for accidents. Based on observation, interview, and record review, the facility failed to implement interventions to prevent further falls after a fall for Resident (R) 7 and 14.Findings included:- R7's Electronic Medical Records (EMR) documented diagnoses that included anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), hallucination (sensing things while awake that appear to be real, but the mind created), history of falls, and cognitive decline. R7's 07/14/25 Quarterly Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of seven, indicating severe cognitive impairment. The MDS documented R7 had two or more falls within the last quarter.R7's Care Plan documented R7 was at high risk for falls related to confusion, incontinence, being unaware of safety needs, vision and hearing problems, and wandering; initiated on 02/02/24. Staff were to place R7's wheelchair by her bed, and anti-roll back brakes were…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in KS