Imperial County, California · Nursing home
Pioneers Memorial Skilled Nursing Center
1 of 5 overall from CMS
320 Cattle Call Dr., Brawley, CA 92227
At a glance
- Overall rating 1 of 5 Below the state average of 3.2
- Nurse time per resident, per day 4.32 hours Below the state average of 4.52
- Nursing staff who left in a year 39.0% Above the state average of 36.7%
- Health citations, last 3 inspection cycles 65 4 at the harm level or above
- Fines in 3 years $105,430 4 fines
- Certified beds in use 69.1% of 99 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.
Pioneers Memorial Skilled Nursing Center is a 99-bed nursing home in Brawley, California (Imperial County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 4.32 nurse staffing hours per resident per day, below the California average of 4.52. CMS lists 4 fines totaling $105,430 in the past three years.
- Certified beds
- 99
- Residents per day (average)
- 68.4
- Certified since
- 1993 (33 yrs)
Government - Hospital district Participates in Medicare and MedicaidPart of Corporate Interface Services (40 homes)Located in a hospital
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 Pioneers Memorial Skilled Nursing Center
Chosen from this home's public data.
- CMS lists 4 fines totaling $105,430 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 22 health deficiencies in the latest inspection cycle (the standard inspection on Jan 10, 2025 plus complaint and infection-control inspections); the California average is 15.6. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 39.0%, above the California average of 36.7%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 California average 3.2
- Health inspections 1 of 5 California average 2.8
- Staffing 3 of 5 California average 3.3
- Quality measures 2 of 5 California average 4.1
The vertical line marks the California 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 4.32 h California average 4.52
- Nurse aides 2.47 h California average 2.65
- Licensed practical nurses 1.35 h California average 1.20
- Registered nurses 0.49 h California average 0.67
- All staff, weekends 3.88 h California average 4.09
How much nurse staffing is enough? All bars share one scale, 0 to 12 hours. The vertical line marks the California average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover39.0%
- California average36.7%
- Registered nurse turnover85.7%
- California average38.1%
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the California 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 | California | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 11.9% | 10.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 8.8% | 4.0% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.4% | 0.8% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.2% | 1.2% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 7.3% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.4% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 3.6% | 1.6% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% | 98.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 20.9% | 9.8% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 33.6% | 13.7% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 98.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.5% | 4.3% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.8% | 10.2% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 6.9% | 12.0% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.61 | 2.25 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 7.16 | 1.57 | 1.78 |
Short-stay residents
| Measure | This home | California | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.0% | 94.4% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 2.2% | 1.5% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% | 93.2% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.6% | 23.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 21.8% | 11.2% | 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 65 health deficiencies in the three most recent inspection cycles. Of these, 4 involved actual harm; the rest were graded as no actual harm. 13 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Apr 28, 2026: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jan 10, 2025 | 22 | 12 |
| Feb 20, 2024 | 33 | 9 |
| Dec 15, 2022 | 10 | 9 |
California homes averaged 15.6 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 (65)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 22, 2026)
-
GActual harm, isolated
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (May 22, 2026)
-
FPotential for more than minimal harm, widespread
Post nurse staffing information every day.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (May 22, 2026)
-
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.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 22, 2026)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 22, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 22, 2026)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Administration · Deficient, Provider has date of correction (May 22, 2026)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 22, 2026)
-
DPotential for more than minimal harm, isolated
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Complaint investigation · Administration · Deficient, Provider has date of correction (May 22, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 16, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 16, 2025)
-
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 (Feb 14, 2025)
-
DPotential for more than minimal harm, isolated
Keep residents' personal and medical records private and confidential.
Resident Rights · Deficient, Provider has date of correction (Feb 14, 2025)
-
DPotential for more than minimal harm, isolated
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 14, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 14, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 14, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 14, 2025)
-
DPotential for more than minimal harm, isolated
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.
Nursing and Physician Services · Deficient, Provider has date of correction (Feb 14, 2025)
-
DPotential for more than minimal harm, isolated
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services · Deficient, Provider has date of correction (Feb 14, 2025)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Feb 14, 2025)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Feb 14, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Feb 14, 2025)
-
BPotential for minimal harm, pattern
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Environmental · Deficient, Provider has date of correction (Feb 14, 2025)
-
BPotential for minimal harm, pattern
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental · Deficient, Provider has date of correction (Feb 14, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 15, 2025)
-
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.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 11, 2024)
-
GActual harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 11, 2024)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 11, 2024)
-
FPotential for more than minimal harm, widespread
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 11, 2024)
-
FPotential for more than minimal harm, widespread
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration · Deficient, Provider has date of correction (Apr 11, 2024)
Showing the 30 most recent of 65.
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
| Date | Type | Amount |
|---|---|---|
| Apr 28, 2026 | Fine | $17,665 |
| Apr 28, 2026 | Fine | $17,665 |
| Apr 28, 2026 | Fine | $17,665 |
| Feb 20, 2024 | Fine | $52,435 |
| Feb 20, 2024 | Payment Denial | 51 days |
California homes averaged 0.8 fines and $23,986 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 California
- Size549 of 1161 by certified beds
- California average residents per day87.9
- ChainCorporate Interface Services
- Chain average overall rating2.5 of 5
- Resident or family councilResident
- Homes in Imperial County3
Common questions
What is the CMS star rating for Pioneers Memorial Skilled Nursing Center?
Pioneers Memorial Skilled Nursing Center has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 3 and quality measures is 2.
How many beds does Pioneers Memorial Skilled Nursing Center have?
Pioneers Memorial Skilled Nursing Center has 99 certified beds. It averages 68.4 residents per day, about 69.1% of its certified beds.
How much nursing care do residents get at Pioneers Memorial Skilled Nursing Center?
The home reports 4.32 hours of nurse staffing per resident per day, including 0.49 hours from registered nurses. The California average is 4.52 hours and 0.67 hours from registered nurses.
Has Pioneers Memorial Skilled Nursing Center been fined?
Yes. CMS lists 4 fines totaling $105,430 in the past three years. It also lists 1 payment denial.
Does Pioneers Memorial Skilled Nursing Center 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
- 4 of 5 Imperial Manor 31beds 83.5%in use 3.84nurse hours a day
- 3 of 5 El Centro Post-Acute Care 123beds 91.0%in use 3.99nurse hours a day
- 5 of 5 Welbrook Yuma Opco LLC 41beds 90.5%in use 4.77nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Imperial County
Who to call in California
These offices serve residents of every nursing home in California.
- Long-term care ombudsman Statewide Ombudsman Hotline 1-800-231-4024 (24 hours a day, 7 days a week) An advocate for residents and their families.
- File a complaint about a nursing home Licensing and Certification district offices The state agency that inspects nursing homes.
California staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 555557. 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.