All states › California › Sacramento › Pioneer House
415 P Street Sacramento, CA 95814 · Sacramento County
All 23 nursing homes in Sacramento, CA (22 take Medicaid)
CMS certification number 555542 · See this home on Medicare Care Compare
Is Pioneer House a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Pioneer House as of October 2026.
CMS rates it 4 out of 5 stars overall, above the California average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.26 hours per resident per day at Pioneer House, about the same as the California median of 4.27 (US median: 3.72). About 0.65 of those hours are from registered nurses. On weekends it falls to 3.79 hours, 11% below its all-week average. 38.9% of nursing staff left within a year (California median 36%).
About this nursing home
Paying for care at Pioneer House: Medicare and Medicaid
Pioneer House is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet California's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on December 4, 2025 and found 8 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 58 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 58 citations at Pioneer House across 18 inspection dates, 18 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on November 24, 2025. The most common areas cited were quality of life and care (10) and resident rights (9). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, November 24, 2025). 7 citations were under CMS's abuse, neglect and exploitation rules.
June 3, 2026 · 1 citation · includes complaint inspection
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
February 10, 2026 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
December 9, 2025 · 1 citation · includes complaint inspection
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
December 4, 2025 · 8 citations
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide enough food/fluids to maintain a resident's health.
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
November 24, 2025 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
September 5, 2025 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
February 18, 2025 · 1 citation · includes complaint inspection
DEnsure 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.
January 24, 2025 · 1 citation · includes complaint inspection
DPrepare residents for a safe transfer or discharge from the nursing home.
December 26, 2024 · 1 citation · includes complaint inspection
DHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
December 19, 2024 · 1 citation · includes complaint inspection
EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
November 29, 2024 · 2 citations · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
November 15, 2024 · 6 citations
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DHonor each resident's preferences, choices, values and beliefs.
July 18, 2024 · 1 citation · includes complaint inspection
EPut firmly secured handrails on each side of hallways.
April 2, 2024 · 1 citation · includes complaint inspection
DMake sure that a working call system is available in each resident's bathroom and bathing area.
February 23, 2024 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
January 17, 2024 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
November 8, 2023 · 3 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DProvide medically-related social services to help each resident achieve the highest possible quality of life.
October 12, 2023 · 26 citations
FProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FDispose of garbage and refuse properly.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EReasonably accommodate the needs and preferences of each resident.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure medication error rates are not 5 percent or greater.
EEnsure 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.
EEnsure 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.
EProvide and implement an infection prevention and control program.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DAssess the resident when there is a significant change in condition
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DTry 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.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DImplement 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.
DEnsure 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.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Questions to ask on a tour of Pioneer House
- Inspectors cited the home at the actual-harm level on November 24, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on September 5, 2025. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 3/5 | 4/5 | 5/5 |
| August 2026 | 3/5 | 2/5 | 4/5 | 5/5 |
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Location
Hospitals near Pioneer House
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
1.7 mi
Sutter General Hospital SacramentoEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 12m for patients treated and sent home
-
2.6 mi
Mercy General Hospital SacramentoEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 50m for patients treated and sent home
- 2.7 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Pioneer House › All nursing homes in Sacramento ›
Compare Pioneer House with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- University Post-Acute Rehab · Sacramento · 5 stars · 2.5 mi
- Advanced Health Care of Sacramento · Sacramento · 5 stars · 2.7 mi
- Sherwood Healthcare Center · Sacramento · 5 stars · 3.3 mi
- Woodside Healthcare Center · Sacramento · 5 stars · 4.9 mi
Other Cypress Healthcare Group nursing homes in California
- Manzanita Healthcare Center · Carmichael · 5 stars
- Oak Ridge Healthcare Center · Roseville · 5 stars
- Woodside Healthcare Center · Sacramento · 5 stars
- Sherwood Healthcare Center · Sacramento · 5 stars
- Gold Country Health Center · Placerville · 4 stars
- College Oak Nursing and Rehabilitation Center · Sacramento · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 13 Cypress Healthcare Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.