PlainNursing
CMS Nursing Home Compare · August 2026

Pioneer Manor Nursing Home

318 N 3rd Street, Hay Springs, NE 69347

Pioneer Manor Nursing Home, a 57-bed government - city nursing facility in Hay Springs, NE, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #16 of 178 rated homes in NE on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 3086384483

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5 / 5
Much above average · CMS overall · nat'l 3.0
#16 of 178
In-state rank among rated NE homes
3.99
About average · nurse hrs/day · nat'l 3.86
9
Inspection findings · 1 serious

The verdict

Pioneer Manor Nursing Home, a 57-bed government - city nursing facility in Hay Springs, NE, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #16 of 178 rated homes in NE on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

5 / 5
CMS overall · national 3.0
#16 of 178
In-state rank among rated NE homes
3.99
Nurse hrs/resident-day · national 3.86
9
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 180 NE nursing homes split by ownership sector

This facility is recorded as Government - City. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

4/5

Staffing

5/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
285212
Ownership
Government - City
Provider Type
Medicare and Medicaid
Beds
57
Residents
39
In Hospital
No
County
Sheridan
Last Inspection
Dec 31, 2025

Staffing Data

How the 3.99 total nursing hours per resident-day are staffed:

RN Hours
0.99 (nat'l avg: 0.69)
LPN Hours
0.61
CNA Hours
2.39
Total Nursing Hours
3.99 (nat'l avg: 3.86)
PT Hours
0.01
Nursing Turnover
44.8%
RN Turnover
12.5%

What the CMS Record Reveals About Pioneer Manor Nursing Home

According to CMS Nursing Home Compare, Pioneer Manor Nursing Home ranks #16 of 178 rated nursing homes in NE on overall stars (tie-broken by health+staffing+quality, then fewer fines). Pioneer Manor Nursing Home operates 57 certified beds in Hay Springs, NE with approximately 39 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 4★ · staffing 5★ · quality 4★).

The inspection file contains 9 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Staffing is reported at 3.99 total nursing hours per resident day (national average 3.86), with RN coverage at 0.99 per resident day.

Classified as "Government - City" ownership and operating as a "Medicare and Medicaid" provider, Pioneer Manor Nursing Home falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 44.8% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (9 most recent)

D - Isolated - Minimal harm Dec 31, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 21, 2026

D - Isolated - Minimal harm Dec 31, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 2, 2026

D - Isolated - Minimal harm Dec 31, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 5, 2026

D - Isolated - Minimal harm Sep 26, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 23, 2024

D - Isolated - Minimal harm Sep 26, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Oct 23, 2024

E - Pattern - Minimal harm Sep 26, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 23, 2024

D - Isolated - Minimal harm Sep 14, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 6, 2023

F - Widespread - Minimal harm Sep 14, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 6, 2023

G - Isolated - Actual harm Sep 14, 2023 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Oct 6, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 11.9% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 3.1% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 14.2% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 2.9% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 19.2% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.9% No
Percentage of long-stay residents who have depressive symptoms Long Stay 1.2% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.4% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 13.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 22.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 82.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Pioneer Manor Nursing Home, both outside NE so the neighborhoods are not the same-state geography list below.

What the CMS records show for Pioneer Manor Nursing Home

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The NE registry aggregates state averages and the highest-rated homes in this cohort. View NE registry
  • Peer homes near 57 beds show how CMS stars vary at a similar scale in NE. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Pioneer Manor Nursing Home?
Pioneer Manor Nursing Home has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (5★), and quality measures (4★).
Where does Pioneer Manor Nursing Home rank among nursing homes in NE?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Pioneer Manor Nursing Home ranks 16th among 178 rated nursing homes in NE (#16 of 178). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Pioneer Manor Nursing Home?
Pioneer Manor Nursing Home reports 3.99 total nursing hours per resident day (national average: 3.86). RN hours are 0.99 per resident day (national average: 0.69). Nursing staff turnover is 44.8%.
How many beds does Pioneer Manor Nursing Home have?
Pioneer Manor Nursing Home has 57 certified beds with approximately 39 residents. The facility is located at 318 N 3rd Street, Hay Springs, NE 69347.
Does Pioneer Manor Nursing Home have any deficiencies on record?
Yes, Pioneer Manor Nursing Home has 9 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Pioneer Manor Nursing Home received any fines or penalties?
No, Pioneer Manor Nursing Home has no fines or penalties on record.
Who owns Pioneer Manor Nursing Home?
Pioneer Manor Nursing Home is classified as "Government - City" ownership. The facility type is "Medicare and Medicaid".
When was Pioneer Manor Nursing Home last inspected?
The most recent health inspection for Pioneer Manor Nursing Home was on Dec 31, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Pioneer Manor Nursing Home?
Pioneer Manor Nursing Home is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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