Rushville · 69360
Oglala Sioux Lakota Nursing Home
7835 Elders Drive, State Highway 87
Rushville, NE 69360
Pioneer Manor Nursing Home
Top Rated for Long-Term Care, 2026Is this your home? Get your free badge →
⌖ Hay Springs, NE · Sheridan County
No photos yet
Medicare overall rating 5 of 5 stars
Certified beds57
Medicare / MedicaidMedicare & Medicaid
OwnershipGovernment (city)
About Pioneer Manor Nursing Home
Pioneer Manor Nursing Home is a 57-bed government-run nursing home in Hay Springs, NE. Medicare rates it 5 out of 5 stars overall (much above average); the average in Nebraska is 2.8. At its last full inspection (Dec 2025), inspectors found 3 problems, fewer than the Nebraska average of 7.4. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 4 hr 00 min a day with each resident, about the same as the Nebraska average of 3 hr 59 min. About 45% of its nursing staff left in the past year. It has had no federal fines in the last three years. Its quality ratings are stronger for long-term care than for short-term rehab.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
Is this your home? Tell families what makes it special: add photos, a description, care programs and amenities, and answer anything Medicare’s data flags.
Key details
Facility namePioneer Manor Nursing Home
LocationSheridan County, Nebraska
Phone(308) 638-4483
Address318 N 3rd Street, Hay Springs, NE 69347 · Sheridan County
CMS provider number285212
Ownership typeGovernment (city)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceMay 1, 1997 (29 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
4 strengths and nothing that stands out as a concern in Medicare's inspection, fine and staffing records for this home.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Dec 2025.Strength
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Health citations at last inspection3 (Dec 2025)Nebraska average: 7.4. Most citations are minor and corrected within weeks.Strength
- Registered nurse time per resident59 min a dayNebraska average: 40 minStrength
About average
- Nurse staffing per resident4 hr 00 min a dayNebraska average: 3 hr 59 minAbout average
- Nursing staff turnover45% a yearNebraska average: 49%About average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Nebraska average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Newly given antipsychotic drugs0.0%State average: 2.0%Better than average
Physical therapist time: about 1 minute per resident a day. That is less than the state average of 3 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury2.5%State average: 4.5%Better than average
- Pressure sores (bedsores)2.9%State average: 4.0%Better than average
- Given antipsychotic drugs19.2%State average: 20.7%About average
- Hospital stays per 1,000 resident days0.6State average: 1.8Better than average
Source: Medicare (CMS) quality measures, compared with the Nebraska average. Lower is better for every rate shown.
Who pays, and how full it is
Many residents here pay privately or through insurance. In Nebraska, Medicaid pays for 50% of resident days at a typical home.
- 46% Medicaid
- 7% Medicare
- 47% Private pay, insurance and other
Beds in use, on average77%Nebraska typical: 72%
Cost of care per resident day$310Nebraska typical: $347
Shares of resident days, from the home’s Medicare cost report for the year ending June 2025. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 5 stars now, up from 1 star in January 2019. It has ranged from 1 to 5 stars and changed 12 times.
Overall rating5★
Health inspections4★
Staffing5★
Quality of care4★
Nurse hours per resident per day4.0
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 1 | 1 | 3 | 4 | 3.5 |
| Jan 2020 | 1 | 1 | 3 | 4 | 3.3 |
| Jan 2021 | 2 | 2 | 3 | 4 | 3.7 |
| Jan 2022 | 2 | 2 | 2 | 4 | 3.2 |
| Jan 2023 | 1 | 1 | 2 | 3 | 3.6 |
| Jan 2024 | 2 | 2 | 3 | 3 | 3.5 |
| Feb 2025 | 3 | 3 | 3 | 2 | 3.7 |
| Feb 2026 | 4 | 4 | 4 | 4 | 3.9 |
| Sep 2026 | 5 | 4 | 5 | 4 | 4.0 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
Loading…
Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
Other nursing homes near Hay Springs
Looking at more than one home? Here are other facilities from the directory in Hay Springs and the nearby area.
Gordon · 69343
Gordon Countryside Care
500 East 10th Street
Gordon, NE 69343
Chadron · 69337
Crest View Care Center
420 Gordon Avenue
Chadron, NE 69337
Explore the area
View more homes nearby
Browse nursing homes in Hay Springs and the surrounding area.
See all nearby homes →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.