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Pioneer House

Nursing Home Facility

415 P Street, Sacramento, CA 95814

Nursing Home Care Senior Living
Pioneer House

Pioneer House is a senior care community located in Sacramento, CA. It provides nursing home care and senior living for older adults in the Sacramento area. To learn more or schedule a tour, call (916) 442-4906.

Operated by Cypress Healthcare Group, which runs 12 communities in our directory.

With 50 beds, Pioneer House is one of the larger communities in the area, senior care communities in Sacramento average about 17 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 94% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place.

Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 4 stars for staffing against 2 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in December 2025 and recorded 13 deficiencies.

Residents receive about 4.1 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Nursing staff turnover over the past year was about 45%.

The community is located in Sacramento County, CA.

Medicare five-star ratings

  • Overall ★★★★★ 3/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 4/5
  • Quality measures ★★★★★ 5/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 60 problems at Pioneer House. 1 finding involved harm to a resident. 20 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Caused harm to a resident, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected November 2025, after a complaint. Corrected by November 25, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Inspected June 2026, after a complaint. Corrected by June 4, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected February 2026, after a complaint. Corrected by February 23, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Inspected December 2025, after a complaint. Corrected by January 12, 2026.

  • Could cause more than minimal harm, a pattern Environmental

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Inspected December 2025. Corrected by December 12, 2025.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Inspected December 2025. Corrected by December 12, 2025.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Inspected December 2025. Corrected by December 12, 2025.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide enough food/fluids to maintain a resident's health.

    Inspected December 2025. Corrected by December 12, 2025.

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  • Could cause more than minimal harm, a pattern Pharmacy Service

    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.

    Inspected December 2025. Corrected by December 12, 2025.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected December 2025. Corrected by December 12, 2025.

  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected December 2025. Corrected by December 12, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected December 2025. Corrected by December 12, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Inspected September 2025, after a complaint. Corrected by September 23, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Pioneer House offers nursing home care and senior living.

Facility details

  • Organization type Non profit - Church related
  • Beds / units 50
  • Religious affiliation Church Based
  • Occupancy 94%
  • Nursing hours per resident/day 4.1
  • Annual staff turnover 45%
  • Last health inspection December 2025

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