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Nursing homeFAID #13671

Pioneer House

415 P STREET, SACRAMENTO, CA, 95814
(916) 442-4906
50 licensed beds

CMS rates Pioneer House 4 out of 5 overall. Federal inspectors issued 92 citations across 21 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall3/5 health inspections4/5 staffing5/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
50
CMS facility ID
555542
Care type
Nursing home
County
Sacramento
Facility name
Pioneer House
Street address
415 P STREET
City / state / ZIP
Sacramento, CA 95814
Phone
(916) 442-4906

Pioneer House is a Medicare/Medicaid-certified skilled nursing facility in Sacramento, California. It is licensed for 50 beds — below the median for skilled nursing facilities in California (98 beds).

It is one of 317 senior care facilities in Sacramento and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Cypress Healthcare Group, a group of 13 facilities on this site.

Federal inspectors have cited Pioneer House 92 times across 21 inspections in the last three years, including 8 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Cypress Healthcare Group
Ownership type
For profit - Limited Liability company

Registered owners & officers

Armaan, Fnu
Operational control · Additional disclosable party — since 2023
Cheema, Chandandeep
Additional disclosable party — since 2024
Costello, Daniel
Additional disclosable party — since 2024
Cypress Healthcare Group Llc
Operational control · Additional disclosable party — since 2023
Framo, Felipe
Additional disclosable party — since 2024
Jackson, Matthew
Operational control · Additional disclosable party — since 2023
Jackson, Robert
Operational control · Additional disclosable party — since 2023
Mala, Sandhya
Additional disclosable party — since 2024
Sanofsky, Jack
Operational control · Additional disclosable party — since 2023
Singson, Ramon
Additional disclosable party — since 2024
Smith, Kimberle
Additional disclosable party — since 2023
White, Zekaia
Additional disclosable party — since 2024

Regulatory standing

Licensed / certified since
1993-04-01
CMS overall rating
4 of 5 stars
Health deficiencies
12 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-12-04
Nurse staffing
4.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$315 per day (≈ $9,580/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
57% Medicaid · 2% Medicare · 42% private/other
Occupancy
41% (fiscal year 2023)
Vs. state median
39% below the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds
50
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 8 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-03Health inspectionComplaint-triggered1 citation
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-06-04
2026-02-10Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-02-23
19 earlier / fire-safety inspections (90 citations)
2025-12-09Health inspectionComplaint-triggered1 citation
F-0627
D · No harm foundFrom a complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2026-01-12
2025-12-04Health inspection8 citations
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-12-12
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-12-12
F-0692
E · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-12-12
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-12-12
F-0761
E · No harm found
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.
Corrected 2025-12-12
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-12-12
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-12-12
F-0925
E · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-12-12
2025-11-24Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-11-25
2025-09-05Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-09-23
2025-02-18Health inspectionComplaint-triggered1 citation
F-0808
D · No harm foundFood safetyFrom a complaint
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.
Corrected 2025-02-25
2025-01-24Health inspectionComplaint-triggered1 citation
F-0624
D · No harm foundFrom a complaint
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2025-02-26
2024-12-26Health inspectionComplaint-triggered1 citation
F-0557
D · No harm foundFrom a complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-01-08
2024-12-19Health inspectionComplaint-triggered1 citation
F-0600
E · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-01-12
2024-11-29Health inspectionComplaint-triggered2 citations
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-12-05
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-12-05
2024-11-15Health inspection6 citations
F-0557
D · No harm found
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-12-15
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-12-15
F-0675
D · No harm found
Honor each resident's preferences, choices, values and beliefs.
Corrected 2024-12-15
F-0761
E · No harm found
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.
Corrected 2024-12-15
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-15
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-12-15
2024-07-18Health inspectionComplaint-triggered1 citation
F-0924
E · No harm foundFrom a complaint
Put firmly secured handrails on each side of hallways.
Corrected 2024-07-26
2024-04-02Health inspectionComplaint-triggered1 citation
F-0919
D · No harm foundFrom a complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-05-07
2024-02-23Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-03-11
2024-01-17Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-02-02
2023-11-08Health inspectionComplaint-triggered3 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-12-11
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-12-11
F-0745
D · No harm foundFrom a complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2023-12-11
2023-10-12Health inspection26 citations
F-0550
E · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-11-07
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-11-07
F-0558
E · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-11-07
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-11-07
F-0623
D · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-11-07
F-0636
D · No harm found
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-11-07
F-0637
D · No harm found
Assess the resident when there is a significant change in condition
Corrected 2023-11-07
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-11-07
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-07
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-11-07
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-11-07
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-07
F-0700
D · No harm found
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2023-11-07
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-11-07
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-11-07
F-0758
D · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-11-07
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-11-07
F-0761
E · No harm found
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.
Corrected 2023-11-07
F-0802
F · No harm foundFood safety
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2023-11-07
F-0803
E · No harm foundFood safety
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2023-11-07
F-0808
D · No harm foundFood safety
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.
Corrected 2023-11-07
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-07
F-0814
F · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2023-11-07
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-11-07
F-0919
D · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-11-07
F-0921
D · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-11-07
2025-12-04Fire-safety inspection10 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2026-02-04
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-12-24
K-0342
C · No harm found
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2026-04-30
K-0343
C · No harm found
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2026-04-30
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-04-30
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-04-30
K-0531
F · No harm found
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-12-30
K-0918
C · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-02-06
K-0919
D · No harm found
Meet requirements for the use of electrical equipment.
Corrected 2025-12-30
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-12-30
2024-11-15Fire-safety inspection12 citations
E-0006
C · No harm found
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-12-06
K-0291
C · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-12-02
K-0293
E · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2024-12-02
K-0343
F · No harm found
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2024-12-06
K-0344
F · No harm found
Have an alternate power supply for its alarm system.
Corrected 2024-12-06
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-12-15
K-0352
F · No harm found
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2024-12-06
K-0353
C · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-15
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-11-25
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-12-04
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-04
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-11-20
2023-10-12Fire-safety inspection12 citations
E-0041
F · No harm found
Implement emergency and standby power systems.
Corrected 2023-11-15
K-0293
F · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2023-11-15
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-11-15
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-11-15
K-0347
F · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-11-15
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-15
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-11-15
K-0711
D · No harm found
Provide a written emergency evacuation plan.
Corrected 2023-11-15
K-0712
E · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-11-15
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-15
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2023-11-15
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2023-11-15
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 555542.
How it compares in California.
Inspection citations, 3 years
92
More than 80% of nursing homes in the state
State median: 65
Federal fines, 3 years
$0
No federal fines on record
State median: $0
Nurse staffing, hours per resident per day
4.3
Higher than 49% of nursing homes in the state
State median: 4.3
Nursing staff turnover, annual
39%
Higher than 59% of nursing homes in the state
State median: 36%

Resident outcomes

On 19 federal quality measures, this facility does better than the California average on 8 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased3.2%10.2%13.5%Better than state
Lose too much weight4.2%4.1%5.1%Near state average
With a catheter inserted and left in their bladder0.0%0.7%0.7%Better than state
With a urinary tract infection1.5%1.2%1.5%Worse than state
Have depressive symptoms16.5%7.6%13.5%Worse than state
Were physically restrained0.0%0.3%0.1%Better than state
Experiencing one or more falls with major injury0.0%1.6%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine100.0%98.7%93.7%Near state average
Ability to walk independently worsened13.7%8.9%12.7%Worse than state
Received an antianxiety or hypnotic medication12.6%13.7%19.5%Near state average
Assessed and appropriately given the seasonal influenza vaccine100.0%97.9%95.3%Near state average
With pressure ulcers2.3%4.3%4.5%Better than state
With new or worsened bowel or bladder incontinence11.0%9.8%18.3%Worse than state
Received an antipsychotic medication8.6%12.3%15.4%Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine98.6%94.6%82.3%Near state average
Newly received an antipsychotic medication0.5%1.3%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine98.2%93.1%80.1%Near state average
Were rehospitalized after a nursing home admission11.3%22.6%23.4%Better than state
Had an outpatient emergency department visit19.4%11.1%11.8%Worse than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0600 5 inspections. Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  • F-0658 3 inspections. Ensure services provided by the nursing facility meet professional standards of quality.
  • F-0761 3 inspections. 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.
  • F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • F-0880 3 inspections. Provide and implement an infection prevention and control program.
  • K-0345 3 inspections. Have approved installation, maintenance and testing program for fire alarm systems.
Where to check, and what's nearby.

Who to contact in California

  • Licensing: California Department of Public Health, Center for Health Care Quality, Licensing and Certification
  • File a complaint: 844-538-8766 · Online
  • Long-Term Care Ombudsman: 800-231-4024. A free advocate for residents and families.
  • Adult Protective Services: 833-401-0832. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Sutter Medical Center, Sacramento, about 1.6 miles. CMS rating 4 of 5.
  • Mercy General Hospital, about 2.5 miles. CMS rating 3 of 5.
  • University of California Davis Medical Center, about 2.8 miles. CMS rating 4 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 92 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered