Pioneer Valley Living and Rehab
400 Sergeant Square Drive · Sergeant Bluff, IA · 51054 · 7129432350
66 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 3 citations involved actual harm to residents.
- 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
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.99 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.69 | 0.55–0.75 |
| Weekend hours / resident-day | 3.46 | ≈ weekday level |
| Nursing turnover / year | 46% | median 45% |
| Fines (3-yr window) | 1 · $29,572 |
Inspection citations (63 in the current record)
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Potential for harm · D March 3, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected March 20, 2026 · Resident Rights
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Potential for harm · D March 3, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected March 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 3, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 3, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 20, 2026 · Quality of Life and Care
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Potential for harm · E March 3, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 20, 2026 · Nutrition and Dietary
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Potential for harm · D March 3, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 20, 2026 · Quality of Life and Care
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Potential for harm · D April 3, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 22, 2025 · Resident Rights
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Potential for harm · D April 3, 2025 · found via complaint
Assess the resident when there is a significant change in condition
Corrected May 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 3, 2025 · found via complaint
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected May 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 3, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 3, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 3, 2025 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected May 22, 2025 · Quality of Life and Care
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Potential for harm · D April 3, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 22, 2025 · Quality of Life and Care
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Potential for harm · D April 3, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 22, 2025 · Quality of Life and Care
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Potential for harm · D April 3, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 22, 2025 · Quality of Life and Care
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Potential for harm · D April 3, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 22, 2025 · Quality of Life and Care
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Potential for harm · D April 3, 2025 · found via complaint
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected May 22, 2025 · Pharmacy Service
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Potential for harm · F April 3, 2025 · found via complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected May 22, 2025 · Administration
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Potential for harm · D April 3, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 22, 2025 · Infection Control
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Actual harm · G February 6, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 22, 2025 · Quality of Life and Care
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Actual harm · G February 6, 2025
Ensure that residents are free from significant medication errors.
Corrected February 20, 2025 · Pharmacy Service
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Actual harm · G February 6, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 22, 2025 · Quality of Life and Care
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Potential for harm · E February 6, 2025
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected March 6, 2025 · Resident Rights
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Potential for harm · D February 6, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected May 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 6, 2025
Assess the resident when there is a significant change in condition
Corrected May 22, 2025 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 6, 2025 | Payment Denial | 76 days |
| July 13, 2023 | Fine | $29,572 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165615 · certified since June 21, 2016. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.