Pioneer Care Center
1131 South Mabelle Avenue · Fergus Falls, MN · 56537 · 2189981500
105 certified beds Non profit - Church related
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.46 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.99 | 0.55–0.75 |
| Weekend hours / resident-day | 4.08 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (22 in the current record)
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Potential for harm · D August 6, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected September 3, 2025 · Resident Rights
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Potential for harm · D August 6, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected September 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 6, 2025
Ensure each resident receives an accurate assessment.
Corrected September 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 6, 2025
Provide 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.
Corrected September 3, 2025 · Quality of Life and Care
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Potential for harm · E August 6, 2025
Ensure 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.
Corrected September 3, 2025 · Pharmacy Service
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Potential for harm · E August 6, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 3, 2025 · Nutrition and Dietary
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No harm found · C August 6, 2025
Post nurse staffing information every day.
Corrected September 3, 2025 · Nursing and Physician Services
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Potential for harm · D May 27, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 20, 2025 · Resident Rights
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Potential for harm · D May 27, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 27, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 20, 2025 · Quality of Life and Care
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Potential for harm · D May 16, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 7, 2025 · Quality of Life and Care
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Potential for harm · D July 24, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected August 16, 2024 · Resident Rights
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Potential for harm · D July 24, 2024
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected August 16, 2024 · Quality of Life and Care
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Potential for harm · D July 24, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 16, 2024 · Quality of Life and Care
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Potential for harm · D January 9, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected January 30, 2024 · Pharmacy Service
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Potential for harm · D September 13, 2023
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected October 5, 2023 · Resident Rights
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Potential for harm · D September 13, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected October 5, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 13, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 5, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 13, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected October 5, 2023 · Quality of Life and Care
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Potential for harm · D September 13, 2023
Provide and implement an infection prevention and control program.
Corrected October 5, 2023 · Infection Control
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Potential for harm · D September 13, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected October 5, 2023 · Infection Control
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Potential for harm · D September 13, 2023 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 5, 2023 · Quality of Life and Care
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245463 · certified since April 11, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.