Izard County, Arkansas · Nursing home
Pioneer Therapy and Living
5 of 5 overall from CMS
1506 East Main Street, Melbourne, AR 72556
At a glance
- Overall rating 5 of 5 Above the state average of 3.4
- Nurse time per resident, per day 3.33 hours Below the state average of 4.02
- Nursing staff who left in a year 59.8% Above the state average of 49.5%
- Health citations, last 3 inspection cycles 10 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 82.7% of 86 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Pioneer Therapy and Living is a 86-bed nursing home in Melbourne, Arkansas (Izard County). CMS rates it 5 of 5 stars overall as of Sep 2026. It reports 3.33 nurse staffing hours per resident per day, below the Arkansas average of 4.02. CMS lists no fines in the past three years.
- Certified beds
- 86
- Residents per day (average)
- 71.1
- Certified since
- 1997 (29 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Anthony & Bryan Adams (38 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Pioneer Therapy and Living
Chosen from this home's public data.
- Nursing staff turnover is 59.8%, above the Arkansas average of 49.5%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 2.61 hours per resident on weekends against 3.33 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- Registered nurse time is 0.20 hours per resident per day; the Arkansas average is 0.41. Is an RN on site overnight?RN staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 5 of 5 Arkansas average 3.4
- Health inspections 5 of 5 Arkansas average 3.2
- Staffing 2 of 5 Arkansas average 3.2
- Quality measures 5 of 5 Arkansas average 3.7
The vertical line marks the Arkansas average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.33 h Arkansas average 4.02
- Nurse aides 2.27 h Arkansas average 2.67
- Licensed practical nurses 0.86 h Arkansas average 0.95
- Registered nurses 0.20 h Arkansas average 0.41
- All staff, weekends 2.61 h Arkansas average 3.45
How much nurse staffing is enough? All bars share one scale, 0 to 7 hours. The vertical line marks the Arkansas average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover59.8%
- Arkansas average49.5%
- Registered nurse turnover62.5%
- Arkansas average44.8%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Arkansas and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Arkansas | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 4.1% | 9.5% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 2.8% | 4.3% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.6% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 1.2% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 1.4% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 4.6% | 3.9% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 95.1% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 4.2% | 10.1% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 4.8% | 21.7% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.6% | 96.1% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 3.0% | 4.2% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 4.5% | 13.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 3.4% | 10.9% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.03 | 2.01 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.20 | 2.13 | 1.78 |
Short-stay residents
| Measure | This home | Arkansas | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 82.0% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.3% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% | 77.7% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 7.6% | 24.1% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 14.0% | 12.5% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 10 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy.
| Standard inspection | Health | Fire safety |
|---|---|---|
| May 21, 2026 | 0 | 2 |
| Oct 31, 2024 | 2 | 4 |
| Oct 26, 2023 | 8 | 0 |
Arkansas homes averaged 2.7 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (10)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Nov 29, 2024)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 29, 2024)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights · Deficient, Provider has date of correction (Nov 24, 2023)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 24, 2023)
-
EPotential for more than minimal harm, pattern
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Nov 24, 2023)
Show 5 more
-
EPotential for more than minimal harm, pattern
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration · Deficient, Provider has date of correction (Nov 24, 2023)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Nov 24, 2023)
-
EPotential for more than minimal harm, pattern
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · Deficient, Provider has date of correction (Nov 24, 2023)
-
DPotential for more than minimal harm, isolated
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 24, 2023)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 24, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Arkansas homes averaged 0.5 fines and $9,209 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Arkansas
- Size172 of 221 by certified beds
- Arkansas average residents per day77.0
- ChainAnthony & Bryan Adams
- Chain average overall rating3.7 of 5
- Resident or family councilResident
- Homes in Izard County2
Common questions
What is the CMS star rating for Pioneer Therapy and Living?
Pioneer Therapy and Living has an overall rating of 5 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 5, staffing is 2 and quality measures is 5.
How many beds does Pioneer Therapy and Living have?
Pioneer Therapy and Living has 86 certified beds. It averages 71.1 residents per day, about 82.7% of its certified beds.
How much nursing care do residents get at Pioneer Therapy and Living?
The home reports 3.33 hours of nurse staffing per resident per day, including 0.20 hours from registered nurses. The Arkansas average is 4.02 hours and 0.41 hours from registered nurses.
Has Pioneer Therapy and Living been fined?
CMS lists no fines for this home in the past three years.
Does Pioneer Therapy and Living accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 White River Healthcare 70beds 67.7%in use –nurse hours a day
- 4 of 5 The Blossoms at Mountain View Rehab & Nursing Cen 97beds 72.2%in use 3.20nurse hours a day
- 5 of 5 Eaglecrest Nursing and Rehab 100beds 69.0%in use 3.89nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Izard County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 045322. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.