Starfile / California

PIONEER HOUSE

415 P STREET, SACRAMENTO, CA 95814 · CCN 555542

Abuse icon

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

CYPRESS HEALTHCARE GROUP

Facilities in chain

13

Chain avg overall

3.50 / 5

Inspection citations (62)1 actual harm

1. DF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2025-12-09 · Health · corrected 2026-01-12

   Potential for more than minimal harm

2. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-24 · Health · corrected 2025-11-25

   Actual harm

3. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-09-05 · Health · corrected 2025-09-23

   Potential for more than minimal harm

4. DF0808Ensure 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.2025-02-18 · Health · corrected 2025-02-25

   Potential for more than minimal harm

5. DF0624Prepare residents for a safe transfer or discharge from the nursing home.2025-01-24 · Health · corrected 2025-02-26

   Potential for more than minimal harm

6. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2024-12-26 · Health · corrected 2025-01-08

   Potential for more than minimal harm

7. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-12-19 · Health · corrected 2025-01-12

   Potential for more than minimal harm

8. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-11-29 · Health · corrected 2024-12-05

   Potential for more than minimal harm

9. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-11-29 · Health · corrected 2024-12-05

   Potential for more than minimal harm

10. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2024-11-15 · Health · corrected 2024-12-15

    Potential for more than minimal harm

11. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-11-15 · Health · corrected 2024-12-15

    Potential for more than minimal harm

12. DF0675Honor each resident's preferences, choices, values and beliefs.2024-11-15 · Health · corrected 2024-12-15

    Potential for more than minimal harm

13. EF0761Ensure 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.2024-11-15 · Health · corrected 2024-12-15

    Potential for more than minimal harm

14. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-15 · Health · corrected 2024-12-15

    Potential for more than minimal harm

15. EF0880Provide and implement an infection prevention and control program.2024-11-15 · Health · corrected 2024-12-15

    Potential for more than minimal harm

16. EF0924Put firmly secured handrails on each side of hallways.2024-07-18 · Health · corrected 2024-07-26

    Potential for more than minimal harm

17. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-04-02 · Health · corrected 2024-05-07

    Potential for more than minimal harm

18. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-02-23 · Health · corrected 2024-03-11

    Potential for more than minimal harm

19. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-01-17 · Health · corrected 2024-02-02

    Potential for more than minimal harm

20. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-11-08 · Health · corrected 2023-12-11

    Potential for more than minimal harm

21. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-11-08 · Health · corrected 2023-12-11

    Potential for more than minimal harm

22. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2023-11-08 · Health · corrected 2023-12-11

    Potential for more than minimal harm

23. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

24. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

25. EF0558Reasonably accommodate the needs and preferences of each resident.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

26. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

27. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

28. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

29. DF0637Assess the resident when there is a significant change in condition2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

30. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

31. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

32. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

33. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

34. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

35. DF0700Try 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.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

36. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

37. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

38. DF0758Implement 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.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

39. EF0759Ensure medication error rates are not 5 percent or greater.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

40. EF0761Ensure 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.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

41. FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

42. EF0803Ensure 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.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

43. DF0808Ensure 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.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

44. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

45. FF0814Dispose of garbage and refuse properly.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

46. EF0880Provide and implement an infection prevention and control program.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

47. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

48. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

49. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-26 · Health · corrected 2023-10-15

    Potential for more than minimal harm

50. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-08-21 · Health · corrected 2023-09-21

    Potential for more than minimal harm

51. EF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2022-11-11 · Health · corrected 2022-12-12

    Potential for more than minimal harm

52. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-11-11 · Health · corrected 2022-12-12

    Potential for more than minimal harm

53. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-11-11 · Health · corrected 2022-12-12

    Potential for more than minimal harm

54. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-11-11 · Health · corrected 2022-12-12

    Potential for more than minimal harm

55. EF0692Provide enough food/fluids to maintain a resident's health.2022-11-11 · Health · corrected 2022-12-12

    Potential for more than minimal harm

56. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-11-11 · Health · corrected 2022-12-12

    Potential for more than minimal harm

57. EF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2022-11-11 · Health · corrected 2022-12-12

    Potential for more than minimal harm

58. FF0761Ensure 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.2022-11-11 · Health · corrected 2022-12-12

    Potential for more than minimal harm

59. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-11-11 · Health · corrected 2022-12-12

    Potential for more than minimal harm

60. DF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2022-11-11 · Health · corrected 2022-12-12

    Potential for more than minimal harm

61. EF0880Provide and implement an infection prevention and control program.2022-11-11 · Health · corrected 2022-12-12

    Potential for more than minimal harm

62. DF0908Keep all essential equipment working safely.2022-11-11 · Health · corrected 2022-12-12

    Potential for more than minimal harm

Ownership

Other facilities in SACRAMENTO

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.