Nursing Care Index

Pioneer Care Center

Fergus Falls, Otter Tail County, Minnesota · CCN 245463 · Non-profit (Corporation) · not part of a chain

CMS rates Pioneer Care Center 5 of 5 overall as of August 2026. 105 certified beds, 91 residents a day on average. 16 citations on record from the current inspection cycles; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★★ 5 of 5
Health inspections★★★★☆ 4 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay4 / 4 of 5

Staffing

Total nurse staffing4.55008 hours per resident per day
Registered nurses1.04232 hours per resident per day
Weekend total4.12875 hours per resident per day
Nursing staff turnover32.7% (registered nurses 21.1%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2025-08-06 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-09-03
2025-08-06 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-09-03
2025-08-06 Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · tag F0554
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-03
2025-08-06 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-03
2025-08-06 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-08
2025-08-06 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · tag F0688
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-03
2025-08-06 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · tag F0732
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2025-09-03
2025-05-27
complaint survey
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-20
2025-05-27
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-20
2025-05-27
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-20
2025-05-16
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-07
2024-07-24 Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · tag F0554
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-16
2024-07-24 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · tag F0676
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-16
2024-07-24 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-16
2024-01-09
complaint survey
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-30
2023-09-13
complaint survey
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-05

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Aegis Therapies, Inc.
Organization
adp of the snf2021-06-01
Johnson, Nathan
Individual
adp of the snf2009-11-03
Lacey, Tyler
Individual
adp of the snf2024-11-01
Lee, Linda
Individual
adp of the snf1982-11-22
Nelson, Lori
Individual
adp of the snf2023-02-07
Nowacki, Julia
Individual
adp of the snf2024-04-08
Watkins, Sara
Individual
adp of the snf2009-11-02
Ackerson, Jeff
Individual
corporate director2018-04-01
Johnson, Nathan
Individual
corporate director2009-11-03
Brenna, Lowell
Individual
corporate officer2021-04-01
Demuth, Suzanne
Individual
corporate officer2020-04-01
Ellig, Joe
Individual
corporate officer2020-04-01
Freeman, Janet
Individual
corporate officer2019-04-01
Johnson, Kari
Individual
corporate officer2025-04-01
Mellum, Karen
Individual
corporate officer2025-04-01
Monke, Dean
Individual
corporate officer2020-04-01
Nelson, Lori
Individual
corporate officer2023-02-07
Sethre, John
Individual
corporate officer2020-04-02
Sillerud, Brandi
Individual
corporate officer2018-04-01
Ackerson, Jeff
Individual
managing control - governing body2018-04-01
Brenna, Lowell
Individual
managing control - governing body2021-04-01
Demuth, Suzanne
Individual
managing control - governing body2020-04-01
Ellig, Joe
Individual
managing control - governing body2020-04-01
Freeman, Janet
Individual
managing control - governing body2019-04-01
Johnson, Kari
Individual
managing control - governing body2025-04-01
Johnson, Nathan
Individual
managing control - governing body2009-11-03
Mellum, Karen
Individual
managing control - governing body2025-04-01
Monke, Dean
Individual
managing control - governing body2020-04-01
Sethre, John
Individual
managing control - governing body2020-04-02
Sillerud, Brandi
Individual
managing control - governing body2018-04-01
Bushinger, Brad
Individual
operational/managerial control1996-01-02
Hocum, April
Individual
operational/managerial control2025-12-01
Hunter, Katie
Individual
operational/managerial control2012-10-24
Johnson, Nathan
Individual
operational/managerial control2009-11-03
Lacey, Tyler
Individual
operational/managerial control2024-11-01
Lee, Linda
Individual
operational/managerial control1982-11-22
Nowacki, Julia
Individual
operational/managerial control2024-04-08
Pederson, Elizabeth
Individual
operational/managerial control2021-09-17
Schmidt, Holly
Individual
operational/managerial control2018-07-02
Walz, Catherine
Individual
operational/managerial control2023-02-06
Watkins, Sara
Individual
operational/managerial control2009-11-02

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Otter Tail County.