Pioneer House
Pioneer House – Medicare Certified Since 1993
Pioneer House is a Medicare and Medicaid certified skilled nursing facility located in Sacramento, California. This facility has been serving the community for 33 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.
This facility has 50 certified beds with a current occupancy rate of 90% (averaging 45 residents per day), which is high. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.
Staffing Levels: Based on CMS payroll data, this facility provides approximately 4.12 hours of total nursing care per resident per day (2.58 hours from CNAs, 0.83 hours from LPNs, 0.71 hours from RNs). Physical therapy staffing is 0.01 hours per resident per day. This staffing level meets research-recommended quality thresholds.
Medicare Quality Ratings: According to CMS, Pioneer House has an overall quality rating of 2 out of 5 stars, which is below average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 2 stars, staffing: 3 stars, quality measures: 4 stars.
Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.
Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.
Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.
Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.
Local Comparison Snapshot
How Pioneer House compares to 57 facilities in Sacramento-Roseville-Folsom, CA
Click a measure name to jump to details • Hover over ⓘ for definitions
Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 57 facilities in Sacramento-Roseville-Folsom, CA.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.
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Medicare Star Ratings
Official CMS ratings based on health inspections, staffing, and quality measures
Data as of December 2025
Star Ratings History
Quarterly performance from 2013-2026
How Does This Facility Compare?
Compared to 57 other nursing homes in Sacramento-Roseville-Folsom, CA
Based on CMS Medicare star ratings. Higher ratings indicate better performance.
Staffing Hours per Resident Day
Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.
Staff Turnover Rate
Lower turnover rates generally indicate a more stable workforce and better continuity of care.
Agency/Contract Staff Usage
Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.
Agency Staff Trends
Historical agency/contract staff usage by role
Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.
Direct Care Staffing
Average minutes of direct nursing care per resident per day
Data as of December 2025
Staffing Trends
Direct care minutes per resident per day
Occupancy Rate History
Average daily residents as a percentage of certified beds
Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.
Staff Turnover History
Annual percentage of nursing staff who left the facility
Data as of December 2025
Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.
Average Daily Rate
Average daily charge for care at this facility
Based on CMS Cost Report data (inpatient revenue ÷ total patient days)
Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.
Financial Health
Comprehensive financial indicators from CMS Cost Reports
Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.
Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.
Who Stays Here
Breakdown of residents by payment type
Based on fiscal year 2023 cost report data
Average Length of Stay
How long residents typically stay at this facility
Based on fiscal year 2023 cost report data
Services
Comprehensive skilled nursing services, rehabilitation programs, and medical care in SACRAMENTO
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You need to know before you decide to take your loved ones here. I have noticed most of the REVIEWS here are either, reviews because they work here or the residential area. My Father got admitted on Friday and during weekends NO WATER in the facility like no water at all, if the resident go number 2? Cant flush which we find it disgusting, i have never heard a facility without water, not only that NO AC, that is why they provided ELECTRIC FAN IN EVERY ROOM A VERY DIRTY FAN.. can you imagine..also floors are not maintainely clean, Please do not get confused, i was because I didn’t know the floors yet. This facility is mixed with assisted living other floors and skilled nursing facility which is ONLY IN 6th FLOOR. Other floors are assisted living with different name. This is our experienced base on our Father’s stays from 5-23-2025 to 5-30-2025 at PIONEERS HOUSE 6th floor. The CNA’s some of them just doesn’t care beware of the cna name JOSH, we were told he is lazy , not caring at all, left our father soiled and left the soiled pads on the floor smelly and unsanitary. Other CNA WE ARE MOST ENCOUNTERED WITH LIKE Ms. Arlene, Ms. Elizabeth, Ms. Elena they are compassionate, caring and shows that they care same as For NURSES : Mr. MARK specially you, your the best. AND Ms. Catalina we are so grateful for you all, we can’t thank you enough for taking care of our Father even in such a short period of time. We also thank the wound care nurse, your awesome, THE PT DEPARTMENT thank you so much for being kind and caring to our Father. So before you decide if this is the right facility for your family try to drive around and visit. Also before and after the discharge planning there is a lot of confusion. Make sure to communicate and visit your love ones every day.
Pioneer House is well ran, especially the activities coordinator Norma. She really tries to make it well for the residents. They try to do occasional events and make it special on the holidays. The building is for seniors, and on the top floor, there are more nurses and staff to care for those who have greater physical need. I don't have any family here, but I am part of a group that does community service a few times a month, and the residents are truly appreciative. Feel free to call and ask a lot of questions. Finding a health center, senior home, nursing home for your loved one is not something that should be rushed, but I do believe Pioneer is a solid place for residents- especially those who have a more critical need. There is a small parking lot in the back, and there is usually some street parking on the weekends. Wishing you the best.
This Skilled nursing facility has the most exceptional staff. From the moment you enter the 6th floor, every single person is friendly, goes above and beyond to make the residents feel comfortable and well taken care of. The therapy department is very knowledgeable, compassionate and attentive. They take the time to understand the residents needs, and create a special plan in order to help with the recovery. Also, the facility is clean and very welcoming. High recommend if you are looking for the best care for your family member!
I'm BLOWN AWAY !!! I love downtown Sacramento. Sac-Town. And Pioneer House is the place for Rehabilitation. My family was in the BEST care there... I loved being able to be so close to everything and knowing so many resources were available within walking distance when he transitioned into his senior housing nearby. Thank you to the amazing staff. Great therapy team too. Even the food was good. Here's to Pioneer House !!!
My mother has been living in this facility for several years. I believe the great care she receives keeps her going strong. Many thanks to the entire staff for giving such great care. I would especially like to thank Sandy Mala, the Social Services Manager for keeping me informed with Mother's needs and changes in care or routine.
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