Pioneer House
415 P Street, Sacramento CA 95814 · (916) 442-4906 · 77.55% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Pioneer House is a small non-profit facility in Sacramento, California. This facility was given an A- overall, which is one of the most impressive ratings we offer. A score of this caliber requires first-rate marks across the board. Even in a city with 22 nursing homes, this facility stood out. This nursing home's impressive profile was highlighted by its nursing grade, which is addressed in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 49 Beds
CCRC :
Non profit - Church related
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Nurse Quality
We also would like to note that this nursing home excelled in our nursing rating. We awarded them an A+ in this category. There are numerous criteria included in this category. Most of the datapoints are tied to staffing levels. With 4.4 hours of nursing care per resident per day, this nursing home surpassed the vast majority of nursing homes. Lastly, this place also excelled in the quality-based metrics we looked at. For example, it fared as well as any facility California in terms of minimizing its residents' major falls and pressure ulcers. We look at these datapoints as predictive measures of the quality of nursing care provided.
Facility Inspections
This facility also received a nearly flawless government inspection. As a result, it received one of our highest scores in that area with an A+. This was one of the few nursing homes to receive multiple A+ category grades. We weigh several aspects of a nursing home's inspection report in determining our inspection scores. One critical factor is health deficiencies. It should be noted that the severity of the deficiencies is usually more meaningful than the quantity of deficiencies, as some deficiencies can be relatively insignificant. This facility was hit with 2 deficiencies on its inspection report, but fortunately none were considered to be major deficiencies. This indicates that the inspectors didn't deem any of the deficiencies an imminent threat to patient health or safety. A couple relatively minor deficiencies aren't necessarily something to panic about.
Short-term Care Quality
The next area we looked at was short-term care. This facility was given a favorable short-term care grade, with a grade of B+ in this category. Our short-term care grade is commonly used to measure a facility's rehabilitation services To offer high-end rehabilitation services, nursing homes generally need to feature higher levels of skilled nursing. These types of services include registered nurses, physical therapists, occupational therapists and other licensed professionals. Fortunately, this nursing home offers both physical therapists and registered nurses. Not all facilities offer both. Finally, we considered the number of residents who returned home from this facility. We found that 0 percent of this nursing home's patients returned home.
Long-term Care Quality
The final area we assessed is long-term care. We gave this nursing home an acceptable grade in this category, with a B-. Even though this is not on par with many of this nursing home's other grades, it is still a middle of the pack score. Our long-term care grades are meaningful for patients in need of non-healthcare services such as personal care. After considering the quantity of care provided by aids and other staff, we turned to the facility's vaccination record. This nursing home vaccinated 93.589745 percent of its patients for pneumonia, which is somewhat less than we anticipated but still a reasonably acceptable figure. Nevertheless, this nursing home keeps its residents out of the hospital. It had just 1.06 hospitalizations per one thousand long-term resident days, which is a substantially better hospitalization rate than most nursing homes.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Pioneer House Quality Metrics
Minimizes Pressure Ulcers
This datapoint tells you the percent of long-term stay residents that are suffering from pressure ulcers. We find that pressure ulcers are a great barometer of the quality of nursing care a nursing home provides.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This indicates the percentage of patients who have had a fall resulting in serious injury.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is a measure of the percent of long-term residents who have had urinary tract infections. While a higher rate of these infections could reflect poorly on a nursing home's cleanliness, it can be problematic to compare between nursing homes due to nursing homes having inconsistent reporting standards.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This metric gauges the percent of long-term patients which were administered antipsychotic medication. Increased usage of these drugs may mean a facility is using these drugs to subdue residents in situations where such medications aren't medically required. However, some facilities may need to rely more on these drugs due to an increased number of residents with Alzheimer's or other dementias.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This tells you the percentage of residents who were prescribed antianxiety medications. Antianxiety medications are administered to patients experiencing depression and anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This tells you the percent of patients showing signs of depression. High rates of depression could reveal a lower level of care.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This is the percent of patients that were administered the flu and pneumonia vaccines. High vaccination rates should be demanded by residents.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This datapoint measures the percent of long-term residents who required increased assistance with activities of daily living over time. Activities of daily living include activities such as moving around and taking a bath. Some believe that this is a reliable measure of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This tells you the percentage of patients that maintained mobility over time. Optimizing mobility can be a great sign for residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This is a measure of the number of times residents are hospitalized per 1,000 days of patient care. Avoiding the hospital is important to maintaining the physical well-being of nursing home patients.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This tells you the number of times residents are rehospitalized per 1,000 days of short-term care.
Percentage of Residents Rehospitalized
Lower is Better