Emergency information for Pioneer in Marceline, Missouri

Update:  Friday, September 25, 2020


To our families, 

I am pleased to share a relaxing of visitation guidelines by the Missouri Department of Health and Senior Services as advised by the Center for Medicaid and Medicaid Services (CMS).  The new guidelines pertain to outdoor, indoor and “compassionate care” visits and impact residents in our Missouri skilled nursing, assisted living, memory care assisted living, and TigerPlace. 

The attached guidelines spell out the scheduling, health checks and infection control protocols we will ask you to follow to help ensure we keep our residents safe.

To designate your loved one’s indoor visitors and to learn how to schedule your visits, please contact: Angie Niemeier, Social Services Director, 660-376-2001 or pioneer.ss@americareusa.net

Here is what you need to know:

Outdoor Visits:

  • Are now permitted regardless of whether a facility has positive COVID-19 cases.  
  • Outdoor visitation will be allowed for any resident who is COVID negative or asymptomatic and not suspected to have COVID 19; or previously COVID-19 positive but have been release from isolation.


Indoor Visits: 

 Are now permitted providing the facility meets the following criteria:

  • There has been no new onset of COVID-19 cases in the last 14 days
  • Residents will designate up to 5 visitors who may visit indoors and visitors will be limited to 2 at a time per resident. 
  • The facility is not currently conducting “outbreak testing”.   Our skilled communities are required to conduct “routine testing” based on the positivity rate in their county.  Routine testing alone does not preclude a skilled nursing community from opening indoor visits.   
  • For skilled nursing communities if county positivity rate is greater than 10% then visitation would only be allowed indoor for compassionate care.


Indoor Compassionate Care Visits:

  • Compassionate Care Visits can occur regardless of the community COVID status.
  • Compassionate Care includes, but is not limited to:
  • End-of-life situations
  • A resident, who was living with their family before recently being admitted to a nursing home, is struggling with the change in environment and lack of physical family support.
  • A resident who is grieving after a friend or family member recently passed away.
  • A resident who needs cueing and encouragement with eating or drinking, previously provided by family and/or caregiver(s), is experiencing weight loss or dehydration.
  • A resident, who used to talk and interact with others, is experiencing emotional distress, seldom speaking, or crying more frequently (when the resident had rarely cried in the past).

* NOTE: For situations where there is a roommate and the health status of the resident prevents leaving the room, facilities should attempt to enable in-room visitation while adhering to the core principles of COVID-19 infection prevention.

We are as anxious as you are to reunite our residents with their family and friends.  Please take time to read and understand these expanded visitor guidelines so together we can do so safely.




Matthew J. Woods