Nursing home
Pioneer House
415 P Street, Sacramento, CA 95814 · Map
For profit - Limited Liability company · Part of Cypress Healthcare Group (13 facilities) · 50 certified beds
Pioneer House is a Medicare-certified nursing home in Sacramento, California. CMS rates it 2 out of 5 stars overall (3/5 for staffing, 2/5 for health inspections). Nurse staffing is 4.10 hours per resident per day, below the California average of 4.51. Its most recent inspection on Nov 15, 2024 cited 9 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Pioneer House compares
This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | California avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.10 | 4.51 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.69 | 0.65 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.56 | 2.64 | 2.34 | below avg |
| Nursing staff turnover | 43.4% | 38.1% | 46.4% | above avg |
| Deficiencies cited, last inspection | 9.0 | 15.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Pioneer House
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 10, 2026 · Full report (PDF) - Potential for harm
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies · Dec 9, 2025 · Full report (PDF) - Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Dec 4, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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.
Pharmacy Service Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Dec 4, 2025 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 24, 2025 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 5, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 415 P Street
Sacramento, CA 95814 - CMS certification #
- 555542
- Ownership
- For profit - Limited Liability company
- Certified beds
- 50
- Avg residents/day
- 46.2
- Provider type
- Medicare and Medicaid
- First certified
- 1993-04-01
- Chain
- Cypress Healthcare Group (13 facilities)
- Setting
- Urban
Part of Cypress Healthcare Group
Cypress Healthcare Group operates 13 nursing facilities across the United States. View all Cypress Healthcare Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Pioneer House using Google Maps.
Other public records
- Kitchen 9 inspections by Sacramento County Environmental Management Department since 2023; latest PASS (October 2026)
- Workplace safety 1 OSHA workplace safety inspection since 2018, 1 violation cited
Full public records, with dates and sources
Kitchen inspections
The local health department inspects the kitchen that serves residents. Results are in the agency's own words.
Sacramento County Environmental Management Department: Pioneer House-lhcf
- Oct 2, 2026 (follow-up): PASS. No violations listed. Report
- Sep 18, 2026 (routine): PASS. No violations listed. Report
- Dec 17, 2025 (follow-up): PASS. No violations listed. Report
- Dec 2, 2025 (routine): PASS. No violations listed. Report
- Sep 18, 2025 (routine): PASS. Report
1 violation
- WAREWASHING AND SANITIZING PROCEDURES
- Jan 15, 2025 (routine): PASS. No violations listed. Report
- Oct 21, 2024 (routine): PASS. Report
1 violation
- WAREWASHING AND SANITIZING PROCEDURES [Corrected at time of Inspection]
- Feb 15, 2024 (routine): PASS. No violations listed. Report
- Oct 31, 2023 (routine): PASS. Report
1 violation
- WAREWASHING AND SANITIZING PROCEDURES
Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. Pass (green): No major violations, or they were corrected during the inspection. Conditional Pass (yellow): Major violations found; a follow-up inspection is required. Closed (red): Closed for an imminent health hazard.
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Jul 6, 2018: accident investigation inspection, partial (safety). Case closed Feb 10, 2021. 1 violation cited (1 other). Penalties: $1,125 proposed, $1,125 now. OSHA record. OSHA recorded the employer as Retirment Housing Foundation. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Other than serious: Cited rule 3944(B). Penalty $1,125 proposed, $1,125 now. To be fixed by Jan 20, 2021. Contested by the employer.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Sutter Medical Center, Sacramento, Sacramento. 1.6 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Mid-town Oaks Post-acute, Sacramento. 1.6 miles away, straight line.
- Nearest home health agency office
- Blossom Ridge Home Health Agency, Sacramento. 0.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Kaiser Downtown Commons Pharmacy. 0.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 95814 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Alhambra Dialysis Center, Sacramento, 1.9 miles away, straight line (CMS rating 2 of 5 stars)
Dci University Dialysis Clinic, Sacramento, 1.9 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Davita North Sacramento Dialysis, Sacramento, 2.6 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 27 Medicare hospices tell CMS they serve ZIP code 95814.
Blossom Ridge Hospice, office in Sacramento, 0.8 miles away, straight line (CMS family survey rating 3 of 5 stars)
Ahc Home Care Of Sacramento, office in North Sacramento, 2.8 miles away, straight line
Vitas Healthcare Corporation Of California, office in Sacramento, 3.1 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Amy Delellis, MD, Sacramento. 1.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone X: Area protected by a levee from the 1% annual chance flood (moderate risk). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: inland flooding relatively low, tornado very low, heat wave very low, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Sacramento County Environmental Management Department kitchen inspections | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Pioneer House a good nursing home?
CMS gives Pioneer House an overall rating of 2 out of 5 stars, including 3/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Pioneer House staffed?
Pioneer House reports 4.10 total nurse hours per resident per day, compared with the California average of 4.51.
Has Pioneer House had inspection problems?
Its most recent CMS inspection cited 9 deficiencies.
How many beds does Pioneer House have?
Pioneer House is certified for 50 beds.