515 P St, Sacramento, CA 95814
Independent LivingActive Adult Living
Affordable senior housingIndependent livingAge 62+ community
Call for pricing
Prices not published
About Pioneer House
Pioneer House delivers compassionate skilled nursing and rehabilitation care in Sacramento, California, where experienced medical teams focus on your loved one's recovery and comfort. Our dedicated staff provides personalized treatment plans and supportive services designed to help residents regain strength and independence.
Community at a glance
Capacity
50 residents
Location
Sacramento, CA
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
415 P STREET, Sacramento, California 95814
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
- Medicare flags Pioneer House for a citation related to abuse of residents in its recent inspections.
At its most recent standard inspection, on December 4, 2025, state inspectors cited 13 health deficiencies (the California average is 15.5).
Nurses and nurse aides spend 4 hours 8 minutes with each resident a day, below the California average of 4 hours 31 minutes.
Medicare has not fined Pioneer House in the last three years.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 4 hours 8 minutesBelow the California average |
| Registered nurse time per resident, per day | 39 minutes |
| Nursing staff who left in the past year | 45%Above the California average |
Inspections
32 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 3, 2026 · Complaint investigation · 1 citation
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 4, 2026
February 10, 2026 · Complaint investigation · 1 citation
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 23, 2026
December 9, 2025 · Complaint investigation · 1 citation+
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jan 12, 2026
December 4, 2025 · Standard inspection · 8 citations+
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Dec 12, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Dec 12, 2025Provide enough food/fluids to maintain a resident's health.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Dec 12, 2025Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalCorrected Dec 12, 2025Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Dec 12, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Dec 12, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Dec 12, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Dec 12, 2025
November 24, 2025 · Complaint investigation · 1 citation+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Nov 25, 2025
September 5, 2025 · Complaint investigation · 1 citation+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Sep 23, 2025
February 18, 2025 · Complaint investigation · 1 citation+
Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Feb 25, 2025
January 24, 2025 · Complaint investigation · 1 citation+
Prepare residents for a safe transfer or discharge from the nursing home.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 26, 2025
December 26, 2024 · Complaint investigation · 1 citation+
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jan 8, 2025
December 19, 2024 · Complaint investigation · 1 citation+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jan 12, 2025
November 29, 2024 · Complaint investigation · 2 citations+
Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Dec 5, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Dec 5, 2024
November 15, 2024 · Standard inspection · 6 citations+
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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Dec 15, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Dec 15, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Dec 15, 2024Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Dec 15, 2024Honor each resident's preferences, choices, values and beliefs.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 15, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Dec 15, 2024
July 18, 2024 · Complaint investigation · 1 citation+
Put firmly secured handrails on each side of hallways.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Jul 26, 2024
April 2, 2024 · Complaint investigation · 1 citation+
Make sure that a working call system is available in each resident's bathroom and bathing area.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected May 7, 2024
February 23, 2024 · Complaint investigation · 1 citation+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 11, 2024
January 17, 2024 · Complaint investigation · 1 citation+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 2, 2024
November 8, 2023 · Complaint investigation · 3 citations+
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Dec 11, 2023Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Dec 11, 2023Provide medically-related social services to help each resident achieve the highest possible quality of life.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Dec 11, 2023
Fines and payment denials
No fines or Medicare payment denials in the last three years.
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Alister LLC
- Medicare-certified beds
- 50
- Average residents per day
- 47
- Accepts
- Medicare and Medicaid
- First certified
- April 1, 1993
- Part of a chain
- Cypress Healthcare Group, 13 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 555542
Location
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415 P STREETSacramento, CA 95814
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Questions about Pioneer House
How did Pioneer House do on its last inspection?+
State inspectors visited on December 4, 2025 and cited 13 health deficiencies, 5 of them from complaint investigations. The California average is 15.5.
How much nursing care does each resident get at Pioneer House?+
Nurses and aides spend 4 hours 8 minutes with each resident per day, including 39 minutes from registered nurses. 45% of nursing staff left over the past year.
Has Pioneer House been fined by Medicare?+
Medicare's records show no fines against Pioneer House in the last three years.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.