Pioneer Therapy and Living
1506 East Main Street · Melbourne, AR · 72556 · 8703684377
86 certified beds For profit - Individual Chain: Anthony & Bryan Adams
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
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
RN staffing in the bottom 10% nationally
0.23 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
63% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.63 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.23 | 0.55–0.75 |
| Weekend hours / resident-day | 2.76 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (15 in the current record)
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Potential for harm · D October 31, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · E October 31, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 29, 2024 · Nutrition and Dietary
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Potential for harm · E October 26, 2023
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected November 24, 2023 · Resident Rights
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Potential for harm · D October 26, 2023
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected November 24, 2023 · Resident Assessment and Care Planning
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Potential for harm · E October 26, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 24, 2023 · Quality of Life and Care
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Potential for harm · D October 26, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 24, 2023 · Quality of Life and Care
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Potential for harm · E October 26, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected November 24, 2023 · Pharmacy Service
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Potential for harm · E October 26, 2023
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected November 24, 2023 · Administration
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Potential for harm · E October 26, 2023
Provide and implement an infection prevention and control program.
Corrected November 24, 2023 · Infection Control
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Potential for harm · E October 26, 2023
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected November 24, 2023 · Environmental
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Potential for harm · D August 4, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 26, 2022 · Quality of Life and Care
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Potential for harm · F August 4, 2022
Dispose of garbage and refuse properly.
Corrected August 26, 2022 · Nutrition and Dietary
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Potential for harm · E August 4, 2022
Provide and implement an infection prevention and control program.
Corrected August 26, 2022 · Infection Control
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Potential for harm · F August 4, 2022
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected August 26, 2022 · Environmental
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No harm found · C August 4, 2022
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected August 4, 2022 · Resident Rights
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 045322 · certified since May 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.