Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Pioneer Manor Nursing Home during CMS and state inspections, most recent first.
The facility failed to accurately code the MDS for a resident's ADLs and two residents' medication use. A resident's MDS inaccurately showed independence in ADLs despite needing total assistance, while two residents were incorrectly coded for aspirin use as an anticoagulant instead of an antiplatelet. These errors were confirmed by staff interviews.
A resident with Congestive Heart Failure and chronic respiratory failure experienced a significant decline in condition, with oxygen saturation dropping to 73%. Despite facility policy requiring physician notification within one hour of such changes, the physician was not informed. The resident was later found deceased, and while family and other parties were notified, the physician was not.
The facility failed to update the comprehensive care plans for two residents to include hospice services, despite policy requirements. Resident 33, with multiple health conditions, and Resident 30, admitted to hospice care, both lacked documentation of hospice services in their care plans. The ADON confirmed these omissions, which were contrary to the facility's care plan policy.
Inaccurate MDS Coding for ADLs and Medication Use
Penalty
Summary
The facility failed to ensure the accuracy of the Minimum Data Sets (MDS) for three residents, affecting their care planning. Resident 16's MDS inaccurately reflected their need for assistance with activities of daily living (ADLs). Despite progress notes indicating that Resident 16 required total assistance with dressing, grooming, oral care, and toileting, and extensive assistance with eating, the MDS inaccurately recorded the resident as independent in these areas. This discrepancy was confirmed by the MDS Coordinator during an interview. Additionally, the facility incorrectly coded the use of aspirin for two residents, Residents 10 and 27, in their MDS. The MDS inaccurately categorized aspirin as an anticoagulant instead of an antiplatelet, as per the guidelines in the MDS 3.0 Resident Assessment Instrument (RAI) User's Manual. Interviews with the MDS nurse confirmed the coding errors, and it was noted that the facility lacked an MDS policy, relying solely on the RAI manual for MDS accuracy.
Failure to Notify Physician of Resident's Decline
Penalty
Summary
The facility failed to notify the physician of a significant decline in the condition of a resident, identified as Resident 45, who was admitted with Congestive Heart Failure and chronic respiratory failure. The facility's policy required informing the resident's physician within one hour of a significant change in condition. However, during a review of Resident 45's records, it was found that the physician was not notified of the resident's decline, which was documented in the progress notes. The notes indicated that the resident's oxygen saturation had dropped to 73%, prompting an increase in oxygen flow by the LPN, but no notification to the physician was recorded. Interviews conducted with the LPN and the Assistant Director of Nursing confirmed that the physician was not informed of the resident's condition change. The resident was found deceased later that evening, and while the family, funeral home, and other relevant parties were notified, the physician was not. This oversight was a clear violation of the facility's policy on notifying physicians of significant changes in a resident's condition.
Failure to Update Care Plans with Hospice Services
Penalty
Summary
The facility failed to ensure that comprehensive care plans were updated to include hospice care services for two residents, Resident 30 and Resident 33, out of a sample of 12 residents. The facility's policy, last reviewed in March 2023, mandates that services provided or arranged by the facility should be included in the comprehensive care plan. However, record reviews revealed that Resident 33, who was admitted to hospice services on August 6, 2024, with conditions such as abnormal weight loss, multiple myeloma, pressure ulcer, chronic pain, and atrial fibrillation, did not have hospice services documented in their care plan. This was confirmed by an interview with the Assistant Director of Nursing (ADON), who acknowledged the oversight. Similarly, Resident 30, admitted to the facility on February 21, 2023, and to hospice care as noted in a progress note dated September 5, 2024, also had no mention of hospice services in their comprehensive care plan. The ADON confirmed in an interview that Resident 30's care plan had not been revised to reflect the hospice care admission, which was a requirement according to the facility's care plan policy. These deficiencies highlight a failure to integrate hospice care into the residents' care plans as required by the facility's agreements and policies.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Hay Springs
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Oglala Sioux Lakota Nursing Home | 11.9 mi | — | 9 | 0 |
| Crest View Care Center | 19.1 mi | — | 19 | 0 |
| Gordon Countryside Care | 26.4 mi | — | 8 | 0 |
| Hemingford Care Center | 32.2 mi | — | 23 | 0 |
| Ponderosa Villa | 37.1 mi | — | 9 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.