Nursing HomeInspections

Pioneer House

Nursing home in Sacramento, CA

Medicare & Medicaid certified3★ overall (CMS)CMS abuse icon

Call (916) 442-4906Send a messageMap ↗

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

CMS certification number 555542. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

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.

InspectionCitationSeverity
Jun 3, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Feb 10, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 9, 2025Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 4, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Dec 4, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning
E
Potential for more than minimal harm, pattern
Dec 4, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care
E
Potential for more than minimal harm, pattern
Dec 4, 2025Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care
E
Potential for more than minimal harm, pattern
Dec 4, 2025Ensure 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…
Pharmacy Service
E
Potential for more than minimal harm, pattern
Dec 4, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
Dec 4, 2025Provide and implement an infection prevention and control program.
Infection Control
E
Potential for more than minimal harm, pattern
Dec 4, 2025Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental
E
Potential for more than minimal harm, pattern
Nov 24, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
G
Actual harm, isolated

Showing the 12 most recent of 60. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

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

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

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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