Pioneer House
Nursing home in Sacramento, CA
Medicare & Medicaid certified3★ overall (CMS)CMS abuse icon
Public-record details
- Address
- 415 P Street, Sacramento, CA 95814
- Phone
- (916) 442-4906
- Listed under
- For-profit, No fines in 3 years
- Medicare CCN
- 555542
- Overall star rating
- 3 of 5 ★★★☆☆
- Health inspection rating
- 2 of 5
- Staffing rating
- 4 of 5
- Quality measures rating
- 5 of 5
- Certified beds
- 50
- Average residents per day
- 47
- Ownership
- For-profit, limited Liability company
- Legal business name
- Alister LLC
- Chain
- Cypress Healthcare Group (13 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Apr 1, 1993
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Dec 4, 2025. CMS lists 60 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 21, 2023 to Jun 3, 2026): 20 from complaint inspections, 1 at the “actual harm” level or higher. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.
| Inspection | Citation | Severity |
|---|---|---|
| Jun 3, 2026 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| Feb 10, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| Dec 9, 2025 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D |
| Dec 4, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| Dec 4, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. | E |
| Dec 4, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E |
| Dec 4, 2025 | Provide enough food/fluids to maintain a resident's health. | E |
| Dec 4, 2025 | 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… | E |
| Dec 4, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| Dec 4, 2025 | Provide and implement an infection prevention and control program. | E |
| Dec 4, 2025 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| Nov 24, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
Fines and payment denials
CMS records no fines or payment denials for this facility in the last three years.
Staffing
- Total nurse staffing per resident per day
- 4.13 hours
- Registered nurse (RN) time per resident per day
- 0.64 hours
- Nurse aide time per resident per day
- 2.55 hours
- Total nurse staffing on weekends
- 3.66 hours
- Nursing staff turnover (yearly)
- 45%
- RN turnover (yearly)
- 33%
- Administrators who left in the past year
- 0
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.
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