Pioneers Memorial Skilled Nursing Center

320 Cattle Call Dr. · Brawley, CA · 92227 · 7603445431

99 certified beds Government - Hospital district Chain: Corporate Interface Services Hospital-based

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • 4 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

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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.

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Red flags

2 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

RN staffing in the bottom 10% nationally

0.20 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 28
Serious harm & abuse 20% 76
Staffing 20% 64
Federal penalties 15% 47
Trend 10% 84
Context 5% 75

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: 2 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.313.48 min · 4.1 strong
RN hours / resident-day0.200.55–0.75
Weekend hours / resident-day4.03≈ weekday level
Nursing turnover / year44%median 45%
Fines (3-yr window)1 · $52,435

Inspection citations (67 in the current record)

  • Actual harm · G April 28, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Deficient, Provider has no plan of correction · Quality of Life and Care

  • Actual harm · G April 28, 2026 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Deficient, Provider has no plan of correction · Nursing and Physician Services

  • Potential for harm · D April 28, 2026 · 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.

    Deficient, Provider has no plan of correction · Resident Assessment and Care Planning

  • Potential for harm · D April 28, 2026 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Deficient, Provider has no plan of correction · Resident Assessment and Care Planning

  • Potential for harm · D April 28, 2026 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Deficient, Provider has no plan of correction · Quality of Life and Care

  • Potential for harm · F April 28, 2026 · found via complaint

    Post nurse staffing information every day.

    Deficient, Provider has no plan of correction · Nursing and Physician Services

  • Potential for harm · D April 28, 2026 · found via complaint

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Deficient, Provider has no plan of correction · Administration

  • Potential for harm · D April 28, 2026 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Deficient, Provider has no plan of correction · Resident Assessment and Care Planning

  • Potential for harm · D April 28, 2026 · found via complaint

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Deficient, Provider has no plan of correction · Administration

  • Potential for harm · D April 28, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 16, 2025 · Quality of Life and Care

  • Potential for harm · D April 28, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 16, 2025 · Quality of Life and Care

  • Potential for harm · D January 10, 2025

    Keep residents' personal and medical records private and confidential.

    Corrected February 14, 2025 · Resident Rights

  • Potential for harm · D January 10, 2025

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected February 14, 2025 · Quality of Life and Care

  • Potential for harm · D January 10, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected February 14, 2025 · Quality of Life and Care

  • Potential for harm · D January 10, 2025

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected February 14, 2025 · Quality of Life and Care

  • Potential for harm · D January 10, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected February 14, 2025 · Quality of Life and Care

  • Potential for harm · D January 10, 2025

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected February 14, 2025 · Nursing and Physician Services

  • Potential for harm · D January 10, 2025

    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.

    Corrected February 14, 2025 · Nursing and Physician Services

  • Potential for harm · D January 10, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected February 14, 2025 · Pharmacy Service

  • Potential for harm · D January 10, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected February 14, 2025 · Pharmacy Service

  • Potential for harm · E January 10, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 14, 2025 · Nutrition and Dietary

  • Potential for harm · D January 10, 2025

    Provide and implement an infection prevention and control program.

    Corrected February 14, 2025 · Infection Control

  • No harm found · B January 10, 2025

    Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

    Corrected February 14, 2025 · Environmental

  • No harm found · B January 10, 2025

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected February 14, 2025 · Environmental

  • Potential for harm · D December 18, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected January 15, 2025 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
February 20, 2024Fine$52,435
February 20, 2024Payment Denial51 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555557 · certified since June 15, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.