Pioneer House - Sacramento Nursing Home
General Information
UPDATEFederal Provider Number
555542
Provider Name
PIONEER HOUSE
Provider Address
415 P STREET
SACRAMENTO, CA 95814
SACRAMENTO, CA 95814
Provider Phone Number
(916) 442-4906
Provider SSA County
440
Provider County Name
Sacramento
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CATHEDRAL PIONEER CHURCH HOMES NO TWO
Date First Approved to Provide Medicare and Medicaid services
1993-04-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.22692
Reported LPN Staffing Hours per Resident per Day
0.82821
Reported RN Staffing Hours per Resident per Day
1.00256
Reported Licensed Staffing Hours per Resident per Day
1.83077
Reported Total Nurse Staffing Hours per Resident per Day
5.05769
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02692
Expected CNA Staffing Hours per Resident per Day
2.17962
Expected LPN Staffing Hours per Resident per Day
0.58902
Expected RN Staffing Hours per Resident per Day
0.88252
Expected Total Nurse Staffing Hours per Resident per Day
3.65115
Adjusted CNA Staffing Hours per Resident per Day
3.63270
Adjusted LPN Staffing Hours per Resident per Day
1.16706
Adjusted RN Staffing Hours per Resident per Day
0.84884
Adjusted Total Nurse Staffing Hours per Resident per Day
5.58373
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-12-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
48.00000
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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