Skilled Nursing

Pioneer Valley Living And Rehab

400 Sergeant Square Drive, Sergeant Bluff, IA 51054

66beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

3.5h

Hrs/resident · weekday

Expected: 4.8h

4.2h

Hrs/resident · weekend

vs 3.5h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
50%
LPNs
CNAs
46%

Administrator turnover: 1 in the past year

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0689Severity JJul 13, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected: Aug 18, 2023

SeriousImmediate Jeopardy0600Severity JJul 13, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected: Aug 18, 2023

61 standard deficiencies in the last 3 years

View all
0804Severity EMar 3, 2026

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0686Severity DMar 3, 2026

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0684Severity DMar 3, 2026

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0657Severity DMar 3, 2026

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

0644Severity DMar 3, 2026

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0582Severity DMar 3, 2026

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0880Severity DApr 3, 2025

Provide and implement an infection prevention and control program.

0865Severity FApr 3, 2025

Have a plan that describes the process for conducting QAPI and QAA activities.

0758Severity DApr 3, 2025

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0689Severity DApr 3, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0686Severity DApr 3, 2025

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0684Severity DApr 3, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0677Severity DApr 3, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

0676Severity DApr 3, 2025

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0658Severity DApr 3, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

0657Severity DApr 3, 2025

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

0640Severity DApr 3, 2025

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0637Severity DApr 3, 2025

Assess the resident when there is a significant change in condition

0550Severity DApr 3, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0880Severity DFeb 6, 2025

Provide and implement an infection prevention and control program.

0865Severity FFeb 6, 2025

Have a plan that describes the process for conducting QAPI and QAA activities.

0842Severity DFeb 6, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0760Severity GFeb 6, 2025

Ensure that residents are free from significant medication errors.

0758Severity DFeb 6, 2025

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0755Severity EFeb 6, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0695Severity DFeb 6, 2025

Provide safe and appropriate respiratory care for a resident when needed.

0689Severity GFeb 6, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0686Severity GFeb 6, 2025

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0684Severity DFeb 6, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0658Severity DFeb 6, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

0657Severity EFeb 6, 2025

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

0656Severity EFeb 6, 2025

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

0655Severity DFeb 6, 2025

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0641Severity DFeb 6, 2025

Ensure each resident receives an accurate assessment.

0640Severity EFeb 6, 2025

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0638Severity DFeb 6, 2025

Assure that each resident’s assessment is updated at least once every 3 months.

0637Severity DFeb 6, 2025

Assess the resident when there is a significant change in condition

0636Severity DFeb 6, 2025

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0625Severity EFeb 6, 2025

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

0550Severity DFeb 6, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0895Severity FFeb 15, 2024

Have a Compliance and Ethics Program.

0880Severity FFeb 15, 2024

Provide and implement an infection prevention and control program.

0867Severity FFeb 15, 2024

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0865Severity FFeb 15, 2024

Have a plan that describes the process for conducting QAPI and QAA activities.

0838Severity FFeb 15, 2024

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

0812Severity DFeb 15, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0802Severity FFeb 15, 2024

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0692Severity EFeb 15, 2024

Provide enough food/fluids to maintain a resident's health.

0684Severity DFeb 15, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0658Severity DFeb 15, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

0656Severity DFeb 15, 2024

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

0640Severity EFeb 15, 2024

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0638Severity EFeb 15, 2024

Assure that each resident’s assessment is updated at least once every 3 months.

0637Severity EFeb 15, 2024

Assess the resident when there is a significant change in condition

0636Severity EFeb 15, 2024

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0880Severity EJul 13, 2023

Provide and implement an infection prevention and control program.

0761Severity DJul 13, 2023

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.

0755Severity EJul 13, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0726Severity DJul 13, 2023

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0658Severity DJul 13, 2023

Ensure services provided by the nursing facility meet professional standards of quality.

0602Severity DJul 13, 2023

Protect each resident from the wrongful use of the resident's belongings or money.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

JP SENIOR HEALTHCARE LLC· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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