Pioneer Valley Living And Rehab
400 Sergeant Square Drive, Sergeant Bluff, IA 51054
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Follow this homePioneer Valley Living And Rehab is a nursing home in Sergeant Bluff, Iowa. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating1 / 5
- Last standard health inspectionMarch 3, 2026 (8 months ago)
- Health citations since February 15, 202455 (Iowa average 21)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of June 24, 2026
Special Focus Facility
CMS no longer lists this home as a Special Focus Facility candidate.
Health inspection on March 3, 2026
6 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 6 citations
Citation F0804. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS lists it as corrected on March 20, 2026.
Citation F0582. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
CMS lists it as corrected on March 20, 2026.
Citation F0644. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS lists it as corrected on March 20, 2026.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on March 20, 2026.
CMS has cited this home for F0657 3 times since 2025.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on March 20, 2026.
CMS has cited this home for F0684 4 times since 2024.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on March 20, 2026.
CMS has cited this home for F0686 3 times since 2025.
Fire safety inspection on March 3, 2026
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation E0039. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on March 26, 2026.
CMS update of November 20, 2025
Star rating
The CMS staffing star rating changed from 2 / 5 to 4 / 5.
Star rating
The CMS quality measures star rating changed from 4 / 5 to 3 / 5.
CMS update of July 30, 2025
Staffing
Total nurse staffing reported to CMS went from 4.0 to 3.3 hours per resident per day.
CMS update of June 25, 2025
Special Focus Facility
CMS now lists this home as a Special Focus Facility candidate.
Name
CMS lists a new legal business name for this home.
CMS update of April 30, 2025
Star rating
The CMS overall star rating changed from 2 / 5 to 1 / 5.
Star rating
The CMS staffing star rating changed from 3 / 5 to 2 / 5.
Star rating
The CMS quality measures star rating changed from 5 / 5 to 4 / 5.
Staffing
Total nurse staffing reported to CMS went from 4.5 to 4.0 hours per resident per day.
Health inspection on April 3, 2025
13 citationsCMS lists this as a complaint inspection.
Show the 13 citations
Citation F0865. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have a plan that describes the process for conducting QAPI and QAA activities.
CMS lists it as corrected on May 22, 2025.
CMS has cited this home for F0865 3 times since 2024.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on May 22, 2025.
CMS has cited this home for F0550 2 times since 2025.
Citation F0637. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assess the resident when there is a significant change in condition
CMS lists it as corrected on May 22, 2025.
CMS has cited this home for F0637 3 times since 2024.
Citation F0640. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS lists it as corrected on May 22, 2025.
CMS has cited this home for F0640 3 times since 2024.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on May 22, 2025.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on May 22, 2025.
CMS has cited this home for F0658 3 times since 2024.
Citation F0676. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
CMS lists it as corrected on May 22, 2025.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on May 22, 2025.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on May 22, 2025.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on May 22, 2025.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on May 22, 2025.
CMS has cited this home for F0689 2 times since 2025.
Citation F0758. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on May 22, 2025.
CMS has cited this home for F0758 2 times since 2025.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on May 22, 2025.
CMS has cited this home for F0880 3 times since 2024.
March 7, 2025
Payment stoppedCMS stopped payment for new admissions from March 7, 2025, for 76 days.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 1 / 5 to 3 / 5.
Name
CMS lists a new legal business name for this home.
Health inspection on February 6, 2025
21 citationsCMS lists this as a standard inspection and a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
73 of 387 Iowa homes (19%) got a citation at the actual harm level in 2025.
Show the 21 citations
Citation F0686. Severity G: actual harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on May 22, 2025.
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on May 22, 2025.
Citation F0760. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on February 20, 2025.
Citation F0865. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have a plan that describes the process for conducting QAPI and QAA activities.
CMS lists it as corrected on May 22, 2025.
Citation F0625. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on March 6, 2025.
Citation F0640. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS lists it as corrected on May 22, 2025.
Citation F0656. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on March 6, 2025.
CMS has cited this home for F0656 2 times since 2024.
Citation F0657. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on May 22, 2025.
Citation F0755. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on March 6, 2025.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on May 22, 2025.
Citation F0636. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
CMS lists it as corrected on May 22, 2025.
CMS has cited this home for F0636 2 times since 2024.
Citation F0637. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assess the resident when there is a significant change in condition
CMS lists it as corrected on May 22, 2025.
Citation F0638. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assure that each resident’s assessment is updated at least once every 3 months.
CMS lists it as corrected on May 22, 2025.
CMS has cited this home for F0638 2 times since 2024.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on March 6, 2025.
Citation F0655. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on March 6, 2025.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on May 22, 2025.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on May 22, 2025.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on March 6, 2025.
Citation F0758. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on May 22, 2025.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on March 6, 2025.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on May 22, 2025.
Fire safety inspection on February 6, 2025
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on February 12, 2025.
CMS update of December 20, 2024
Star rating
The CMS staffing star rating changed from 4 / 5 to 1 / 5.
CMS update of October 30, 2024
Star rating
The CMS overall star rating changed from 1 / 5 to 2 / 5.
Star rating
The CMS quality measures star rating changed from 3 / 5 to 5 / 5.
CMS update of August 29, 2024
CMS abuse icon
CMS removed its abuse icon from this home.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 3 / 5 to 4 / 5. CMS changed how it scores this rating for many homes at once.
CMS update of March 28, 2024
Fine
CMS changed the fine from July 13, 2023 from $45,495 to $29,572.
Health inspection on February 15, 2024
15 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 15 citations
Citation F0802. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
CMS lists it as corrected on March 15, 2024.
Citation F0838. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on March 15, 2024.
Citation F0865. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have a plan that describes the process for conducting QAPI and QAA activities.
CMS lists it as corrected on March 15, 2024.
Citation F0867. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS lists it as corrected on March 15, 2024.
Citation F0880. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on March 15, 2024.
Citation F0895. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have a Compliance and Ethics Program.
CMS lists it as corrected on March 15, 2024.
Citation F0636. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
CMS lists it as corrected on March 15, 2024.
Citation F0637. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Assess the resident when there is a significant change in condition
CMS lists it as corrected on March 15, 2024.
Citation F0638. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Assure that each resident’s assessment is updated at least once every 3 months.
CMS lists it as corrected on March 15, 2024.
Citation F0640. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS lists it as corrected on March 15, 2024.
Citation F0692. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on March 15, 2024.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on March 15, 2024.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on March 15, 2024.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on March 15, 2024.
Citation F0812. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on March 15, 2024.
Fire safety inspection on February 15, 2024
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on March 21, 2024.
Citation K0922. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet requirements for the use and maintenance of medical gas equipment.
CMS lists it as corrected on March 8, 2024.
CMS update of January 31, 2024
Star rating
The CMS staffing star rating changed from 2 / 5 to 3 / 5.
CMS star ratings
- 1 / 5CMS overall star rating
- 1 / 5CMS health inspection star rating
- 4 / 5CMS staffing star rating
- 3 / 5CMS quality measures star rating
Ratings over time
Compared with Iowa and the US
Pioneer Valley Living And Rehab's overall rating is 1 / 5. It is 68% lower than the Iowa average (3.1 / 5) and 67% lower than the US average (3.1 / 5).
- This home
- Iowa average
- US average
Overall
Health inspections
Staffing
Quality measures
Show the numbers behind this chart
| Rating | This home | Iowa average | US average |
|---|---|---|---|
| Overall | 1 / 5 | 3.1 / 5 | 3.1 / 5 |
| Health inspections | 1 / 5 | 2.8 / 5 | 2.8 / 5 |
| Staffing | 4 / 5 | 3.8 / 5 | 3 / 5 |
| Quality measures | 3 / 5 | 3.4 / 5 | 3.7 / 5 |
Facts from CMS
- Phone
- (712) 943-2350
- Last standard health inspection
- March 3, 2026 (8 months ago)
- Certified beds
- 66
- Residents per day, on average
- 52.6
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Jp Senior Healthcare LLC
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
More health citations than the Iowa average (55 vs 21).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- AMICK, STEPHANIEDirect ownership interest · not applicable · since 01/01/2018
- DEWITT, JOSEPHDirect ownership interest · not applicable · since 01/01/2018
- HENGGELER, PATRICKDirect ownership interest · not applicable · since 01/01/2018
- JP SENIOR MANAGEMENT LLCOperational/managerial control · not applicable · since 03/01/2016
- AMICK, STEPHANIEOperational/managerial control · not applicable · since 05/22/2024
Show 3 more
- DEWITT, JOSEPHOperational/managerial control · not applicable · since 01/01/2022
- HENGGELER, PATRICKOperational/managerial control · not applicable · since 01/01/2016
- NIELSEN, TIMOperational/managerial control · not applicable · since 04/05/2021
Questions
When was Pioneer Valley Living And Rehab last inspected?
CMS lists March 3, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Pioneer Valley Living And Rehab have?
CMS lists 55 health citations since February 15, 2024. CMS also calls these deficiencies.
Has Pioneer Valley Living And Rehab been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Pioneer Valley Living And Rehab?
Its CMS overall star rating is 1 / 5.
Is Pioneer Valley Living And Rehab a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.