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Complaint Investigation

Pioneers Memorial Skilled Nursing Center

April 28, 2026 · Brawley, CA · 320 Cattle Call Dr.
Citations 9
CMS Rating 1/5
Beds 99
Provider ID 555557
Healthcare Facility
Pioneers Memorial Skilled Nursing Center
Brawley, CA  ·  View full profile →
Inspection Summary

PIONEERS MEMORIAL SKILLED NURSING CENTER in BRAWLEY, CA — inspection on April 28, 2026.

Found 9 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0657
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited PIONEERS MEMORIAL SKILLED NURSING CENTER in BRAWLEY, CA for a deficiency under regulatory tag F-F0657 during a complaint investigation conducted on 2026-04-28.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of PIONEERS MEMORIAL SKILLED NURSING CENTER.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited PIONEERS MEMORIAL SKILLED NURSING CENTER in BRAWLEY, CA for a deficiency under regulatory tag F-F0658 during a complaint investigation conducted on 2026-04-28.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of PIONEERS MEMORIAL SKILLED NURSING CENTER.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited PIONEERS MEMORIAL SKILLED NURSING CENTER in BRAWLEY, CA for a deficiency under regulatory tag F-F0689 during a complaint investigation conducted on 2026-04-28.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level G: isolated, actual harm that is not immediate jeopardy.

Actual harm to residents was documented as a result of this deficiency.

This was one of 9 deficiencies cited during this inspection of PIONEERS MEMORIAL SKILLED NURSING CENTER.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited PIONEERS MEMORIAL SKILLED NURSING CENTER in BRAWLEY, CA for a deficiency under regulatory tag F-F0697 during a complaint investigation conducted on 2026-04-28.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe, appropriate pain management for a resident who requires such services.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of PIONEERS MEMORIAL SKILLED NURSING CENTER.

Correction Status: Deficient, Provider has no plan of correction.

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Federal health inspectors cited PIONEERS MEMORIAL SKILLED NURSING CENTER in BRAWLEY, CA for a deficiency under regulatory tag F-F0725 during a complaint investigation conducted on 2026-04-28.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Scope/Severity Level G: isolated, actual harm that is not immediate jeopardy.

Actual harm to residents was documented as a result of this deficiency.

This was one of 9 deficiencies cited during this inspection of PIONEERS MEMORIAL SKILLED NURSING CENTER.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited PIONEERS MEMORIAL SKILLED NURSING CENTER in BRAWLEY, CA for a deficiency under regulatory tag F-F0732 during a complaint investigation conducted on 2026-04-28.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Post nurse staffing information every day.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of PIONEERS MEMORIAL SKILLED NURSING CENTER.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited PIONEERS MEMORIAL SKILLED NURSING CENTER in BRAWLEY, CA for a deficiency under regulatory tag F-F0838 during a complaint investigation conducted on 2026-04-28.

Category: Administration Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of PIONEERS MEMORIAL SKILLED NURSING CENTER.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited PIONEERS MEMORIAL SKILLED NURSING CENTER in BRAWLEY, CA for a deficiency under regulatory tag F-F0842 during a complaint investigation conducted on 2026-04-28.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of PIONEERS MEMORIAL SKILLED NURSING CENTER.

Correction Status: Deficient, Provider has no plan of correction.

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Federal health inspectors cited PIONEERS MEMORIAL SKILLED NURSING CENTER in BRAWLEY, CA for a deficiency under regulatory tag F-F0867 during a complaint investigation conducted on 2026-04-28.

Category: Administration Deficiencies

The facility was found deficient in the following area: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of PIONEERS MEMORIAL SKILLED NURSING CENTER.

Correction Status: Deficient, Provider has no plan of correction.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BRAWLEY, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from PIONEERS MEMORIAL SKILLED NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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