The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Pioneer House Health Center
Registered name: PIONEER HOUSE
SACRAMENTO, CA · Medicare-certified · 50 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
3 of 5 overall
Pioneer House Health Center in Sacramento has a 3-star overall rating, with stronger staffing (4 stars) and quality measures (5 stars) but a weaker health inspection rating (2 stars). Reported nurse staffing is 4.13 hours per resident per day, just above the federal benchmark of 4.1, with no fines in the last 24 months and a recent abuse citation.
Facility ratings
Health inspections
Staffing
4.1276 hrs/resident/day
Quality measures
Last inspection: February 10, 2026Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1276.
Staffing detail
- Registered nurses
- 0.64
- Licensed practical nurses
- 0.93
- Nurse aides
- 2.55
- Weekend nursing
- 3.66
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—5%—
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
2%2.2%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
8.3%3.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17.4%4.3%Improving
Residents whose ability to walk got worse
—17%—
Long-stay residents on antianxiety or sleep medication
7.1%21.4%Worsening
Short-stay residents newly given an antipsychotic
5.6%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
16%13.3%Improving
Residents with depressive symptoms
0%30%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—93.8%—
Short-stay residents given the pneumonia vaccine
95.2%97.3%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide enough support staff to safely and effectively run food and nutrition services. Cited October 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 802 — 42 CFR §483.60 — S/S: F
The home failed to properly dispose of garbage and other waste. Cited October 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 814 — 42 CFR §483.60 — S/S: F
The nursing home failed to provide services that met professional standards of quality. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Jun 23, 2023
Now operated by Alister LLC, previously Cathedral Pioneer Church Homes No Two.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CYPRESS HEALTHCARE GROUP · 13 homes · 3.8 stars avg
- Occupancy
- 46.9 residents on an average day (94% of 50 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.