PIONEER HOUSE
415 P STREET, Sacramento, CA 95814
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
CMS Abuse/Neglect Flag
This facility has been flagged by CMS for abuse or neglect concerns. Please research carefully and contact the facility for current information.
Vetting This Facility? Get Answers They Don't Volunteer
Free guide: the exact questions to ask PIONEER HOUSE, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
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Care Quality Indicators
Lower is better
Lower is better
How PIONEER HOUSE Compares
PIONEER HOUSE is a 50-bed for-profit nursing facility in Sacramento, California. It holds an overall CMS rating of 2 out of 5 stars, below the California average of 3.2 stars. Its strongest area is staffing (4 stars), while health inspections (2 stars) is its weakest. Its rate of falls resulting in major injury (0.0%) is below the California average of 1.6%, a favorable sign for resident care. With 50 certified beds, it operates near capacity at roughly 93% occupied.
Among the 23 nursing facilities ElderVoice tracks in Sacramento, 4 hold a 5-star rating and the local average is 3.5 stars.
By the numbers vs. California average
- Long-stay antipsychotic medication use: 15.9% — worse than the California average of 11.6% (36% higher).
- Falls with major injury: 0.0% — better than the California average of 1.6% (100% lower).
- High-risk pressure ulcers: 2.1% — better than the California average of 4.5% (54% lower).
- Short-stay rehospitalization: 0.0% — better than the California average of 23.1% (100% lower).
CMS has flagged this facility with an abuse icon, indicating a recent citation involving abuse, neglect, or misappropriation of resident property. This is an important point to raise directly during any tour or call.
Comparisons use CMS Care Compare data (updated June 5, 2026) measured against California averages across 1164 facilities tracked by ElderVoice.
Questions to Ask PIONEER HOUSE
Use these facility-specific questions when calling admissions, touring the building, or comparing PIONEER HOUSE with other nursing homes in Sacramento.
What incident led to the CMS abuse icon for PIONEER HOUSE, and what changed afterward?
Ask for the citation date, plan of correction, staff retraining steps, and how leadership monitors for repeat issues.
How is PIONEER HOUSE addressing its health inspections rating?
CMS currently rates this category 2 out of 5 stars, so ask what specific improvements are underway and when the next survey update is expected.
What is PIONEER HOUSE doing to reduce long-stay antipsychotic medication use?
Long-stay antipsychotic medication use is 15.9% here versus 11.6% across California. Lower is generally better for this CMS measure.
What practices help PIONEER HOUSE keep falls with major injury below the state average?
Falls with major injury is 0.0% here versus 1.6% across California. Lower is generally better for this CMS measure.
How does PIONEER HOUSE maintain staffing when occupancy is high?
The facility reports roughly 93% occupancy across 50 certified beds, so ask how staffing is adjusted during full census periods.
How can a new family connect with existing councils at PIONEER HOUSE?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
The Senior Community Around Sacramento
Sacramento sits in Sacramento County, where adults 65 and older make up about 14.1% of the population — a share of seniors in line with California as a whole (14.3% statewide). The area's median household income is lower than the state average, reflecting a more affordable area.
- Residents 65+
- 216,519 (14.1%)
- Median age
- 36.4 years
- Median household income
- $70,684
- Median home value
- $373,000
Demographics for Sacramento County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Sacramento.
Facility Details
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