Pioneer Valley Living And Rehab is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2016-06-21. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (712) 943-2350 or your local Medicaid office to verify current eligibility.

Pioneer Valley Living And Rehab holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (4★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 60.7/100, placing it #11842 of 14703 facilities nationally and #305 of 390 in Iowa. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Pioneer Valley Living And Rehab receives a reported average of 4 hours 2 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 43 minutes; Licensed Practical Nurse (LPN) — 21 minutes; Nurse Aide — 2 hours 58 minutes. On weekends, total nurse staffing is 3 hours 24 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 49.1%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $29,572. 24 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $29,572, and 1 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 340.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Pioneer Valley Living And Rehab ranks 11842nd out of 14,703 facilities (composite score: 60.7/100), placing it in the bottom 25% nationwide. Within IA, it ranks 305th out of 390 nursing homes. In Sergeant Bluff, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #4,649 nationally and RN hours rank #4,679 nationally (#155 in IA). Our composite quality score of 60.7/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Sergeant Bluff, visit: https://nursinghomesnearme.org/iowa/sergeant-bluff/