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.
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 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
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-day | 4.31 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.20 | 0.55–0.75 |
| Weekend hours / resident-day | 4.03 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | 1 · $52,435 |
Inspection citations (67 in the current record)
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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
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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
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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
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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
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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
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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
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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
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Potential for harm · D January 10, 2025
Keep residents' personal and medical records private and confidential.
Corrected February 14, 2025 · Resident Rights
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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
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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
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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
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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
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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
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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
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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
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Potential for harm · D January 10, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected February 14, 2025 · Pharmacy Service
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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
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Potential for harm · D January 10, 2025
Provide and implement an infection prevention and control program.
Corrected February 14, 2025 · Infection Control
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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
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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
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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
| Date | Type | Amount / length |
|---|---|---|
| February 20, 2024 | Fine | $52,435 |
| February 20, 2024 | Payment Denial | 51 days |
Better-scoring options nearby
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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.