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Pioneer House

415 P Street, Sacramento, CA 958149164424906Ownership: For profit - Limited Liability companyCertified beds: 50Avg. daily residents: 47Chain: Cypress Healthcare Group (13 facilities)County: Sacramento
Abuse icon — CMS displays this icon when a facility was cited for abuse that led to resident harm in the past year, or for abuse that could have led to harm in each of the last two years.

The complete public record on Pioneer House, a Medicare & Medicaid–certified nursing home in Sacramento, California, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★★☆☆
CMS’s composite of the three ratings below. California average: 3.2 stars.
Health inspection
★★☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★★★☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★★
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Pioneer House holds a 3-star overall rating, CMS’s middle tier. Its health-inspection rating is lower than its overall rating — the overall score is being lifted by staffing or quality-measure ratings, which draw partly on facility-reported data. Nursing staff turnover of 45% is well above the California average of 37%; high turnover is one of the strongest predictors of inconsistent care. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

4.13 total nurse staff hours per resident per day
below the state average (4.52)
0.64 RN hours per resident per day
about the state average (0.67)
3.66 weekend nurse staff hours per resident per day
44.8% total nursing staff turnover
above the state average (36.7)
33.3% RN turnover
0 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

December 4, 2025 most recent standard health inspection
13 health deficiencies cited in the most recent inspection cycle
below the state average (15.6)
21 health deficiencies in the two prior cycles combined
$0 in federal fines across 0 penalties (last 3 years)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

60 citations on record across recent inspections, 1 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
June 3, 20260686Provide appropriate pressure ulcer care and prevent new ulcers from developing. ComplaintD · Potential for more than minimal harm
February 10, 20260689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintD · Potential for more than minimal harm
December 9, 20250627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. ComplaintD · Potential for more than minimal harm
December 4, 20250658Ensure services provided by the nursing facility meet professional standards of quality.E · Potential for more than minimal harm
December 4, 20250677Provide care and assistance to perform activities of daily living for any resident who is unable.E · Potential for more than minimal harm
December 4, 20250692Provide enough food/fluids to maintain a resident's health.E · Potential for more than minimal harm
December 4, 20250761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all…E · Potential for more than minimal harm
December 4, 20250812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with…E · Potential for more than minimal harm
December 4, 20250880Provide and implement an infection prevention and control program.E · Potential for more than minimal harm
December 4, 20250925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.