Pioneer House: Staffing, Turnover, and Inspection Record
Pioneer House is a 50-bed for-profit nursing home in Sacramento, California, part of Cypress Healthcare Group. In the CMS August 2026 release it reported 2.55 nurse aide hours per resident per day, 4% below the California average of 2.65, and 44.8% nursing staff turnover (California average 36.7%).
Pioneer House
415 P StreetSacramento, CA 95814
Sacramento County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Pioneer House, nurse aides logged 2.55 hours per resident per day, 4% below the California average. With about 47 residents a day, that works out to roughly 120 aide hours a day, or about 15 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | California avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.55 | 2.65 | 2.32 |
| Licensed practical nurses | 0.93 | 1.20 | 0.86 |
| Registered nurses | 0.64 | 0.67 | 0.69 |
| All nursing staff | 4.13 | 4.52 | 3.86 |
| All nursing staff, weekends | 3.66 | 4.09 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
44.8% of nursing staff at Pioneer House left over the year CMS measured, against a California average of 36.7% and a US average of 45.8%. Registered nurse turnover was 33.3%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 4, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 13 health deficiencies (California average 15.7). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Pioneer House holds 3 of 5 overall; the California average is 3.2.
About Pioneer House
- Ownership: For profit - Limited Liability company
- Chain: Cypress Healthcare Group, 13 homes
- Legal name: Alister LLC
- Medicare and Medicaid certified since: Apr 1, 1993
- Councils: resident council
- Area: urban
Nursing homes near Pioneer House
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Mid-Town Oaks Post-Acute Sacramento | 1.6 | 100 | 2.35 | 4.07 | 54.1% | 3 | $15,593 |
| River Bend Nursing Center West Sacramento | 2.2 | 99 | 2.37 | 4.90 | 43.4% | 3 | $21,879 |
| McKinley Park Care Center Sacramento | 2.2 | 86 | 2.30 | 3.81 | 30.9% | 4 | None |
| Saylor Lane Healthcare Center Sacramento | 2.3 | 42 | 2.58 | 4.11 | 20.0% | 4 | None |
| University Post-Acute Rehab Sacramento | 2.5 | 59 | 2.54 | 4.55 | 31.9% | 5 | None |
| Advanced Health Care of Sacramento Sacramento | 2.7 | 40 | 3.10 | 6.06 | 30.2% | 5 | None |
| Cedarwood Post Acute Sacramento · staffing data not validated | 3.2 | 51 | — | — | 37.5% | 3 | None |
| Sherwood Healthcare Center Sacramento | 3.3 | 62 | 2.64 | 3.97 | 30.0% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.