01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-06-03 | 0 | 2026-06-03 | 7 |
| Cycle 2 | 2025-08-06 | 11 | 2025-08-06 | 1 |
| Cycle 3 | 2024-07-24 | 5 | 2024-07-24 | 1 |
CMS CCN 2454632026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Pioneer Care Center
1131 South Mabelle Avenue · Fergus Falls, MN 56537 · Otter Tail County
Certified beds105CMS provider file
Recent citation rows25current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
25 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-03 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has plan of correction · 2026-06-232026-06-03 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has plan of correction · 2026-06-232026-06-03 · FIREK0355Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has plan of correction · 2026-06-242026-06-03 · FIREK0372Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has plan of correction · 2026-06-232026-06-03 · FIREK0761Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has plan of correction · 2026-06-242026-06-03 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has plan of correction · 2026-08-032026-06-03 · FIREK0920Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has plan of correction · 2026-06-232025-08-06 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2025-09-032025-08-06 · HEALTHF0604Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2025-09-032025-08-06 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-09-082025-08-06 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-09-032025-08-06 · HEALTHF0732Severity C · widespread; potential for minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2025-09-032025-08-06 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-09-032025-08-06 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-09-032025-08-06 · FIREK0351Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2025-11-132025-05-27 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2025-06-20 · complaint2025-05-27 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2025-06-20 · complaint2025-05-27 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-06-20 · complaint2025-05-16 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-06-07 · complaint2024-07-24 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2024-08-162024-07-24 · HEALTHF0676Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Correction field: Deficient, Provider has date of correction · 2024-08-162024-07-24 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2024-08-162024-07-24 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-08-302024-01-09 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2024-01-30 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- ACKERSON, JEFFIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/01/2018
- BRENNA, LOWELLIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/01/2021
- DEMUTH, SUZANNEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/01/2020
- ELLIG, JOEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/01/2020
- FREEMAN, JANETIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/01/2019
- JOHNSON, KARIIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/01/2025
- JOHNSON, NATHANIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/03/2009
- MELLUM, KARENIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/01/2025
- MONKE, DEANIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/01/2020
- SETHRE, JOHNIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/02/2020
- SILLERUD, BRANDIIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/01/2018
- ACKERSON, JEFFIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2018
- JOHNSON, NATHANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/03/2009
- BRENNA, LOWELLIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2021
- DEMUTH, SUZANNEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2020
- ELLIG, JOEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2020
- FREEMAN, JANETIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2019
- JOHNSON, KARIIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.55per resident day
RN hours1.04per resident day
Weekend nurse hours4.13per resident day
Staff turnover32.7%CMS reported field
06 / LOCAL RECORDS
Open the Fergus Falls ledger →