PIONEER HOUSE

The information listed below provides an in-depth look into the type and quality of care offered at Pioneer House. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

PIONEER HOUSE
415 P STREET
SACRAMENTO, CA 95814
(916) 442-4906

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

84%

Number of Residents and Certified Beds

  • Residents: 42
  • Certified Beds: 50

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Church Related
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Pioneer House. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-103.7%
Total Percent:3.7%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-166.6%
ADL Index Range: 6-106.6%
ADL Index Range: 0-513.5%
Total Percent:26.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1610.2%
ADL Index Range: 6-1015.2%
ADL Index Range: 0-519.7%
Total Percent:45.1%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-55.7%
Total Percent:5.7%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-165.7%
Total Percent:5.7%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Isolation for active infectious disease
5.7%
Total Percent:5.7%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
1.2%
ADL Index Range: 6-10
- No Signs of depression
5.7%
Total Percent:7.0%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 11-14
- Less restorative nursing
0.4%
Total Percent:0.4%
 

Rating Details For Pioneer House

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours24 Minutes51 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours60 Minutes34 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 25 Minutes2 Hours and 24 Minutes
Total Licensed Nurse Hours1 Hour and 24 Minutes1 Hour and 26 Minutes
Total Nurse Hours3 Hours and 49 Minutes3 Hours and 50 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for California are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityCalifornia Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90%86%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%8%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious12%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%4%
Percent of Long-Stay Residents Who Lose Too Much Weight8%7%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse18%10%
Percent of Long-Stay Residents Who Were Physically Restrained1%7%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased16%11%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder81%58%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection8%8%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores9%12%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination80%81%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain22%23%
Percent of Short-Stay Residents Who Have Pressure Sores10%17%
Percent of Short-Stay Residents Who Have Delirium2%2%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 10/08/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Train All Employees on What to Do in an Emergency.
  • Inspection Date: 07/24/2008
  • Correction Date: 08/18/2008
Post Nurse Staffing Information.
  • Inspection Date: 08/20/2009
  • Correction Date: 09/14/2009
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 08/20/2009
  • Correction Date: 09/14/2009
Hire Nurse Aides Who Have Shown That They Are Skilled and Care for Residents Safely On-The-Job.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/16/2010
Get Proof That a Nurse Aide Has the Training and Skills That the State Requires.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/16/2010
Get Services Outside the Nursing Home That Meet Professional Standards.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/16/2010
Have a Detailed, Written Plan for Disasters and Emergencies.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/16/2010
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/16/2010

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/24/2008
  • Correction Date: 08/18/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 08/20/2009
  • Correction Date: 09/14/2009
Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public.
  • Inspection Date: 08/20/2009
  • Correction Date: 09/14/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 08/20/2009
  • Correction Date: 09/14/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/16/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/16/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/16/2010
Put Firmly Secured Handrails on Each Side of Hallways.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/16/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 07/24/2008
  • Correction Date: 08/18/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 08/20/2009
  • Correction Date: 09/14/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 08/20/2009
  • Correction Date: 09/14/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/16/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/24/2008
  • Correction Date: 08/18/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/20/2009
  • Correction Date: 09/14/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/16/2010

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 07/24/2008
  • Correction Date: 08/18/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 07/24/2008
  • Correction Date: 08/18/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 08/20/2009
  • Correction Date: 09/14/2009
Give or Get Dental Care for Each Resident.
  • Inspection Date: 08/20/2009
  • Correction Date: 09/14/2009

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/16/2010
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/16/2010
Make Sure That All Needed Doctor Visits Are Made Personally by a Doctor, As Required.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/16/2010

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 07/24/2008
  • Correction Date: 08/18/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 07/24/2008
  • Correction Date: 08/18/2008
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/16/2010
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
  • Inspection Date: 10/08/2010
  • Correction Date: 11/16/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Pioneer House, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 07/14/2008
  • Correction Date: 11/01/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Pioneer House had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 10/12/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 07/29/2008
  • Correction Date: 08/14/2008
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 07/29/2008
  • Correction Date: 08/14/2008

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 07/29/2008
  • Correction Date: 08/14/2008
Approved Construction Type or Materials.
  • Inspection Date: 08/28/2009
  • Correction Date: 09/22/2009
Approved Construction Type or Materials.
  • Inspection Date: 10/12/2010
  • Correction Date: 11/04/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 07/29/2008
  • Correction Date: 08/14/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 10/12/2010
  • Correction Date: 11/04/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 07/29/2008
  • Correction Date: 08/14/2008
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 08/28/2009
  • Correction Date: 09/22/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 08/28/2009
  • Correction Date: 09/22/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 10/12/2010
  • Correction Date: 11/04/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 08/28/2009
  • Correction Date: 09/22/2009
Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 10/12/2010
  • Correction Date: 11/04/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 07/29/2008
  • Correction Date: 08/14/2008
An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 07/29/2008
  • Correction Date: 08/14/2008
A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 08/28/2009
  • Correction Date: 09/22/2009
A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 10/12/2010
  • Correction Date: 11/04/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 10/12/2010
  • Correction Date: 11/04/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 10/12/2010
  • Correction Date: 11/04/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 10/12/2010
  • Correction Date: 11/04/2010
Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 10/12/2010
  • Correction Date: 11/04/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 08/28/2009
  • Correction Date: 09/22/2009
Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 10/12/2010
  • Correction Date: 11/04/2010
Source: Medicare Nursing Home Compare; Department of Health Services of California - Licensing and Certification Program - Retrieved 2011