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Pioneer House
415 P Street, Sacramento, CA 95814
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 50 beds, Pioneer House serves Sacramento in Sacramento County, California and has taken Medicare and Medicaid residents since 1993.
CMS gives it 3 of 5 stars overall, equal to the California median; the health inspection rating is 2, staffing 4 and quality measures 5.
Inspectors recorded 60 health deficiencies across the three most recent survey cycles (13, 12, 35 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 120.0 per 100 beds, more than the state median of 51.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.1 hours per resident per day (0.6 RN), close to the California median of 4.2; nursing staff turnover is 44.8%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Sacramento Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 60 | 50 | 44 | 28.7 |
| Citations per 100 beds | 120.0 | 44.1 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.1 | 4.2 | 4.2 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.5 | 0.7 |
| Nursing staff turnover | 44.8% | 34.8% | 36.4% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (37 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Dec 2025, 15 Nov 2024.
Severity mix: G ×1 D ×35 E ×21 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 3 Jun 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 4 Jun 2026 |
| 10 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 23 Feb 2026 |
| 9 Dec 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 12 Jan 2026 |
| 4 Dec 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 12 Dec 2025 |
| 4 Dec 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 12 Dec 2025 |
| 4 Dec 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 12 Dec 2025 |
| 4 Dec 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 12 Dec 2025 |
| 4 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 12 Dec 2025 |
| 4 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 12 Dec 2025 |
| 4 Dec 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 12 Dec 2025 |
| 4 Dec 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 12 Dec 2025 |
| 24 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 25 Nov 2025 |
| 5 Sep 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 23 Sep 2025 |
| 18 Feb 2025 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Complaint investigation | 25 Feb 2025 |
| 24 Jan 2025 | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Complaint investigation | 26 Feb 2025 |
| 26 Dec 2024 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 8 Jan 2025 |
| 19 Dec 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 12 Jan 2025 |
| 29 Nov 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 5 Dec 2024 |
| 29 Nov 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 5 Dec 2024 |
| 15 Nov 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 15 Dec 2024 |
| 15 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 15 Dec 2024 |
| 15 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 15 Dec 2024 |
| 15 Nov 2024 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | 15 Dec 2024 |
| 15 Nov 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 15 Dec 2024 |
| 15 Nov 2024 | F0675 | Honor each resident's preferences, choices, values and beliefs. | D | Standard survey | 15 Dec 2024 |
| 18 Jul 2024 | F0924 | Put firmly secured handrails on each side of hallways. | E | Complaint investigation | 26 Jul 2024 |
| 2 Apr 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 7 May 2024 |
| 23 Feb 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 11 Mar 2024 |
| 17 Jan 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 2 Feb 2024 |
| 8 Nov 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 11 Dec 2023 |
| 8 Nov 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 11 Dec 2023 |
| 8 Nov 2023 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint investigation | 11 Dec 2023 |
| 12 Oct 2023 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard survey | 7 Nov 2023 |
| 12 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 7 Nov 2023 |
| 12 Oct 2023 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 7 Nov 2023 |
| 12 Oct 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 7 Nov 2023 |
| 12 Oct 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 7 Nov 2023 |
| 12 Oct 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 7 Nov 2023 |
| 12 Oct 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 7 Nov 2023 |
| 12 Oct 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 7 Nov 2023 |
| 12 Oct 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 7 Nov 2023 |
| 12 Oct 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 7 Nov 2023 |
| 12 Oct 2023 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 7 Nov 2023 |
| 12 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 7 Nov 2023 |
| 12 Oct 2023 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 7 Nov 2023 |
| 12 Oct 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 7 Nov 2023 |
| 12 Oct 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 7 Nov 2023 |
| 12 Oct 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 7 Nov 2023 |
| 12 Oct 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 7 Nov 2023 |
| 12 Oct 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 7 Nov 2023 |
| 12 Oct 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 7 Nov 2023 |
| 12 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 7 Nov 2023 |
| 12 Oct 2023 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 7 Nov 2023 |
| 12 Oct 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 7 Nov 2023 |
| 12 Oct 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 7 Nov 2023 |
| 12 Oct 2023 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard survey | 7 Nov 2023 |
| 12 Oct 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 7 Nov 2023 |
| 12 Oct 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 7 Nov 2023 |
| 26 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 15 Oct 2023 |
| 21 Aug 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 21 Sep 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 44.8%, RNs 33.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.3% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.8% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.1% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.0% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.8% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.6% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Alister Llc. Chain: Cypress Healthcare Group (13 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cypress Healthcare Group LLC | Operational/managerial control | NOT APPLICABLE | 06/24/2023 |
| Cypress Healthcare Group LLC | Adp of the snf | NOT APPLICABLE | 06/24/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Sacramento County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Acc Care Center | Sacramento | 99 | 5 | 3 | 5 | 45 | 45.5 | $24K | 2 Apr 2026 |
| Advanced Health Care of Sacramento | Sacramento | 40 | 5 | 4 | 5 | 26 | 65.0 | — | 14 May 2026 |
| City Creek Post Acute | Sacramento | 99 | 5 | 4 | 2 | 39 | 39.4 | $22K | 8 May 2025 |
| Manzanita Healthcare Center | Carmichael | 99 | 5 | 3 | 5 | 46 | 46.5 | — | 15 Apr 2026 |
| Sherwood Healthcare Center | Sacramento | 62 | 5 | 4 | 3 | 13 | 21.0 | — | 9 May 2025 |
| University Post-Acute Rehab | Sacramento | 59 | 5 | 4 | 5 | 26 | 44.1 | — | 22 May 2025 |
| Woodside Healthcare Center | Sacramento | 58 | 5 | 4 | 4 | 21 | 36.2 | — | 22 Nov 2024 |
| American River Center | Carmichael | 99 | 4 | 4 | 4 | 24 | 24.2 | — | 10 Apr 2026 |
All 37 facilities in Sacramento County
Questions and answers
How many deficiencies has Pioneer House been cited for?
60 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Pioneer House been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Pioneer House compare?
Reported total nurse staffing is 4.1 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Pioneer House?
It is part of the Cypress Healthcare Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Cypress Healthcare Group LLC. Individual owners and managers are not listed on this site.
When was Pioneer House last inspected?
The most recent survey or investigation in the CMS record is dated 3 Jun 2026; the most recent standard health survey was 4 Dec 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.