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Skilled nursing facility · CMS certification number 555542

Pioneer House

Sacramento, California · Medicare and Medicaid · 50 certified beds in Care Compare

Download Pioneer House’s record (CSV, each figure with its worksheet, line and column)

Pioneer House: its citable report, full history — $295 · an email when it changes — $99/month

What stands out

  • Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on June 24, 2025.
  • Net patient revenue rose from $3.7M in fiscal year 2023 to $8.0M in fiscal year 2024.
  • Its result from service to patients: −$2.3M (2022), $190K (2023), $464K (2024).
  • Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
  • Its net patient revenue of $8.0M ranks 831st of the 951 nursing facilities in California whose latest cost report on file is fiscal year 2024.
  • 1 of the 5 nursing facilities in California closest in size to it, whose latest cost report on file is fiscal year 2024, also reports a gain on service to patients.

Pioneer House: Medicare cost reports

Form CMS-2540-10: every report is settled.

Cost reports on form CMS-2540-10, fiscal years 2012 to 2024
Form CMS-2540-102024 · report 14323272023 · report 14407382022 · report 13518142021 · report 13152502020 · report 12893012019 · report 12567872018 · report 12221912017 · report 11891522016 · report 11566202015 · report 11216902014 · report 10892412013 · report 10610202012 · report 1028408
Period beganJanuary 1, 2024June 23, 2023October 1, 2021October 1, 2020October 1, 2019October 1, 2018October 1, 2017October 1, 2016October 1, 2015October 1, 2014October 1, 2013October 1, 2012October 1, 2011
Period endedDecember 31, 2024December 31, 2023September 30, 2022September 30, 2021September 30, 2020September 30, 2019September 30, 2018September 30, 2017September 30, 2016September 30, 2015September 30, 2014September 30, 2013September 30, 2012
Days, where not a full year—191———————————
Processed by CMSJune 24, 2025October 10, 2025June 15, 2023May 3, 2022July 15, 2021June 3, 2020March 29, 2019May 2, 2018May 2, 2017April 20, 2016April 28, 2015May 28, 2014May 1, 2013
Total patient revenue$8,881,741$3,069,413$5,030,381$5,282,130$4,924,509$6,302,188$6,464,044$6,706,678$6,739,620$6,536,638$6,471,407$5,341,026$5,474,599
Contractual allowances and discounts$882,419−$599,503$549,731$489,698$404,044$773,819$572,128$391,531$623,857$647,544$769,216$420,952$365,983
Net patient revenue$7,999,322$3,668,916$4,480,650$4,792,432$4,520,465$5,528,369$5,891,916$6,315,147$6,115,763$5,889,094$5,702,191$4,920,074$5,108,616
Total operating expenses$7,535,125$3,478,989$6,769,877$7,005,213$7,058,460$7,300,311$7,301,371$7,069,664$6,849,267$6,395,709$6,247,593$5,457,714$5,542,413
Net income from service to patients$464,197$189,927−$2,289,227−$2,212,781−$2,537,995−$1,771,942−$1,409,455−$754,517−$733,504−$506,615−$545,402−$537,640−$433,797
Total other income$1,795$9,851$304,697$464,245$1,840,766$598,809$1,005,962$714,661$622,827$634,631$550,586$461,552$539,544
Net income after other income$465,992$199,778−$1,984,530−$1,748,536−$697,229−$1,173,133−$403,493−$39,856−$110,677$128,016$5,184−$76,088$105,747
Net income$464,563$199,778−$1,984,530−$1,748,536−$697,229−$1,173,133−$403,493−$39,856−$110,677$128,016$5,184−$76,088$105,747
Total facility beds, all components4949909090494949494949136138
Bed days available, all components17,934————————————
Medicare (Title XVIII) patient days1,239————————————
Medicaid (Title XIX) patient days1,417————————————
Other-payer patient days13,973————————————
Total patient days, all components16,6297,88514,39916,34721,76939,53844,59944,53815,97415,60815,74914,89515,119
Medicare discharges35————————————
Other-payer discharges130————————————
Total discharges, all components165832038302661384850527049
Average length of stay, Medicare, in days35.447.2111072.2117.33131.55036.6235.1239.0664.4138.2165.46
Average length of stay, Medicaid, in days—838.21,152.57759.73577.251,322.78301.491,070.271,434558.33770.93419.58946.27
Average length of stay, all patients, in days100.7895719.95430.18725.631,520.69731.131,172.05332.79312.16302.87212.79308.55

Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012. Checked against the form’s own arithmetic: what that check shows.

Cost reports on form CMS-2540-96, fiscal years 1996 to 2011
Form CMS-2540-962011 · report 4269822010 · report 3976662009 · report 3655922008 · report 3385742007 · report 3062342006 · report 2816432005 · report 2544262004 · report 2170722003 · report 2078962002 · report 1924862001 · report 1599502000 · report 985151999 · report 985131998 · report 985111997 · report 985091996 · report 98508
Period beganOctober 1, 2010October 1, 2009October 1, 2008October 1, 2007December 1, 2006December 1, 2005December 1, 2004December 1, 2003December 1, 2002December 1, 2001December 1, 2000December 1, 1999December 1, 1998December 1, 1997December 1, 1996December 1, 1995
Period endedSeptember 30, 2011September 30, 2010September 30, 2009September 30, 2008September 30, 2007November 30, 2006November 30, 2005November 30, 2004November 30, 2003November 30, 2002November 30, 2001November 30, 2000November 30, 1999November 30, 1998November 30, 1997November 30, 1996
Report statussettledsettledsettledsettledsettledsettledsettledsettledsettledsettledsettledas submittedsettledsettledsettledsettled
Processed by CMSMarch 30, 2012April 20, 2011March 12, 2010May 5, 2009April 23, 2008June 7, 2007June 19, 2006May 17, 2005February 16, 2005September 1, 2004September 16, 2003May 9, 2001April 5, 2001May 7, 2001March 18, 1999July 31, 1998
Net patient revenue$5,463,373$5,089,822$5,296,150$4,791,973$3,617,011$4,261,810$3,904,539$4,087,961$3,964,867———————
Total operating expenses$5,853,488$5,132,199$4,925,418$4,769,085$4,030,973$4,728,160$4,500,715$4,515,278$4,723,596———————
Net income from service to patients−$390,115−$42,377$370,732$22,888−$413,962−$466,350−$596,176−$427,317−$758,729———————
Total other income$1,087,228$263,034$67,017$83,810$822,156$815,773$620,979$401,768$410,596———————
Total other expenses——$8,638$3,167$2,737———————————
Net income$697,113$220,657$429,111$103,531$405,457$349,423$24,803−$25,549−$348,133——−$103,213−$111,997−$63,859$97,936−$21,160
Total facility beds, all components5050138505050505050———————
Total patient days, all components16,11015,34627,37116,68213,88115,48916,65215,31616,625———————
Total discharges, all components836065656477717548———————
Average length of stay, Medicare, in days73.1646.3135.9527.6575.3643.2439.4555.0561.62———————
Average length of stay, Medicaid, in days395.69963.1512.75528.15————————————
Average length of stay, all patients, in days194.1255.77421.09256.65216.89201.16234.54204.21346.35———————

Net income, fiscal years 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2000, 1999, 1998, 1997, 1996. Checked against the form’s own arithmetic: what that check shows.

None of these figures is carried on the report for fiscal years 2002, 2001.

Pioneer House: nurse staffing hours by quarter →

Who owns Pioneer House, as filed with CMS

Care Compare

  • ADP OF THE SNF: ARMAAN, FNU (individual), since 06/24/2023; CHEEMA, CHANDANDEEP (individual), since 01/01/2024; COSTELLO, DANIEL (individual), since 09/09/2024; CYPRESS HEALTHCARE GROUP LLC (organization), since 08/06/2026; FRAMO, FELIPE (individual), since 01/04/2024; JACKSON, MATTHEW (individual), since 06/24/2023; JACKSON, ROBERT (individual), since 06/24/2023; MALA, SANDHYA (individual), since 11/25/2024; SANOFSKY, JACK (individual), since 06/24/2023; SINGSON, RAMON (individual), since 10/15/2024; SMITH, KIMBERLE (individual), since 06/24/2023; WHITE, ZEKAIA (individual), since 10/15/2024
  • OPERATIONAL/MANAGERIAL CONTROL: ARMAAN, FNU (individual), since 06/24/2023; CYPRESS HEALTHCARE GROUP LLC (organization), since 06/24/2023; JACKSON, MATTHEW (individual), since 06/24/2023; JACKSON, ROBERT (individual), since 06/24/2023; SANOFSKY, JACK (individual), since 06/24/2023

Ownership percentage for each: NOT APPLICABLE.

Medicare enrollment

As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of ALISTER LLC (enrollment ID O20230816002900).

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: CYPRESS HEALTHCARE GROUP LLC (organization), 100.00%, since 06/23/2023
  • 5% OR GREATER INDIRECT OWNERSHIP INTEREST: JACK SANOFSKY (individual), 33.33%, since 06/23/2023; MATTHEW JACKSON (individual), 33.33%, since 06/23/2023; ROBERT JACKSON (individual), 33.33%, since 06/23/2023
  • ADP OF THE SNF: CHANDANDEEP S CHEEMA (individual), since 01/01/2024; CYPRESS HEALTHCARE GROUP LLC (organization), since 08/06/2026; DANIEL COSTELLO (individual), since 09/09/2024; FELIPE FRAMO (individual), since 01/04/2024; FNU ARMAAN (individual), since 06/24/2023; JACK SANOFSKY (individual), since 06/24/2023; KIMBERLE SMITH (individual), since 06/24/2023; MATTHEW JACKSON (individual), since 06/24/2023; RAMON SINGSON (individual), since 10/15/2024; ROBERT JACKSON (individual), since 06/24/2023; SANDHYA MALA (individual), since 11/25/2024; ZEKAIA WHITE (individual), since 10/15/2024
  • OPERATIONAL/MANAGERIAL CONTROL: CYPRESS HEALTHCARE GROUP LLC (organization), since 06/24/2023; FNU ARMAAN (individual), since 06/24/2023; JACK SANOFSKY (individual), since 06/24/2023; MATTHEW JACKSON (individual), since 06/24/2023; ROBERT JACKSON (individual), since 06/24/2023

Paused by CMS: Form CMS-855A, December 11, 2025.

Private equity company, real estate investment trust and holding company: No: CYPRESS HEALTHCARE GROUP LLC; CYPRESS HEALTHCARE GROUP LLC; CYPRESS HEALTHCARE GROUP LLC.

Private equity company, real estate investment trust and holding company: Paused by CMS: JACK SANOFSKY; MATTHEW JACKSON; ROBERT JACKSON; CHANDANDEEP S CHEEMA; DANIEL COSTELLO; FELIPE FRAMO; FNU ARMAAN; JACK SANOFSKY; KIMBERLE SMITH; MATTHEW JACKSON; RAMON SINGSON; ROBERT JACKSON; SANDHYA MALA; ZEKAIA WHITE; FNU ARMAAN; JACK SANOFSKY; MATTHEW JACKSON; ROBERT JACKSON.

Changes in ownership

  • August 1, 2025, enrollment ownership file; no longer listed: JOHN BAUMAN (CORPORATE DIRECTOR); JEFFREY ROBERT POLLOCK (CORPORATE DIRECTOR); RAYMOND EAST (CORPORATE DIRECTOR); STUART J HARTMAN (CORPORATE OFFICER); DONALD G HART (CORPORATE DIRECTOR); ANDREW R BUNN (CORPORATE DIRECTOR); RETIREMENT HOUSING FOUNDATION (OPERATIONAL/MANAGERIAL CONTROL); DAVID NAPIERSKIE (W-2 MANAGING EMPLOYEE); NORMA DESAEGHER (CORPORATE DIRECTOR); DAVID MOYER (CORPORATE DIRECTOR); first listed: ZEKAIA WHITE (ADP OF THE SNF), associated since October 15, 2024; FNU ARMAAN (ADP OF THE SNF), associated since June 24, 2023; FNU ARMAAN (OPERATIONAL/MANAGERIAL CONTROL), associated since June 24, 2023; JACK SANOFSKY (ADP OF THE SNF), associated since June 24, 2023; JACK SANOFSKY (OPERATIONAL/MANAGERIAL CONTROL), associated since June 24, 2023; JACK SANOFSKY (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since June 23, 2023; ROBERT JACKSON (ADP OF THE SNF), associated since June 24, 2023; ROBERT JACKSON (OPERATIONAL/MANAGERIAL CONTROL), associated since June 24, 2023; ROBERT JACKSON (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since June 23, 2023; DANIEL COSTELLO (ADP OF THE SNF), associated since September 9, 2024; MATTHEW JACKSON (ADP OF THE SNF), associated since June 24, 2023; MATTHEW JACKSON (OPERATIONAL/MANAGERIAL CONTROL), associated since June 24, 2023; MATTHEW JACKSON (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since June 23, 2023; SANDHYA MALA (ADP OF THE SNF), associated since November 25, 2024; RAMON SINGSON (ADP OF THE SNF), associated since October 15, 2024; FELIPE FRAMO (ADP OF THE SNF), associated since January 4, 2024; KIMBERLE SMITH (ADP OF THE SNF), associated since June 24, 2023; CHANDAN S CHEEMA (ADP OF THE SNF), associated since January 1, 2024; CYPRESS HEALTHCARE GROUP LLC (ADP OF THE SNF), associated since June 24, 2023; CYPRESS HEALTHCARE GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since June 24, 2023; CYPRESS HEALTHCARE GROUP LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since June 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • November 30, 2022, enrollment ownership file; no longer listed: DARRELL M SEXTON (DIRECTOR); CHRISTINA POTTER (DIRECTOR); first listed: JEFFREY ROBERT POLLOCK (DIRECTOR), associated since January 1, 2017; DONALD G HART (DIRECTOR), associated since February 25, 2021; ANDREW R BUNN (DIRECTOR), associated since June 1, 2020; NORMA DESAEGHER (DIRECTOR), associated since June 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv

Recent changes on this record

Inspections of Pioneer House

  • Cycle 1: health December 4, 2025 (12 deficiencies), fire safety December 4, 2025 (10)
  • Cycle 2: health November 15, 2024 (13 deficiencies), fire safety November 15, 2024 (12)
  • Cycle 3: health October 12, 2023 (33 deficiencies), fire safety October 12, 2023 (12)

Deficiencies cited at Pioneer House

60 deficiencies on file, by tag, newest citation first

every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 20 cited from a complaint, marked below. Letter after a date: scope and severity grade.

  • F 0686, quality of life and care: June 3, 2026 (D, from a complaint, corrected June 4, 2026).
  • F 0689, quality of life and care: February 10, 2026 (D, from a complaint, corrected February 23, 2026); November 24, 2025 (G, from a complaint, corrected November 25, 2025); September 26, 2023 (D, from a complaint, corrected October 15, 2023).
  • F 0627, resident rights: December 9, 2025 (D, from a complaint, corrected January 12, 2026).
  • F 0658, resident assessment and care planning: December 4, 2025 (E, corrected December 12, 2025); November 29, 2024 (D, from a complaint, corrected December 5, 2024); October 12, 2023 (E, corrected November 7, 2023).
  • F 0677, quality of life and care: December 4, 2025 (E, corrected December 12, 2025); November 29, 2024 (D, from a complaint, corrected December 5, 2024).
  • F 0692, quality of life and care: December 4, 2025 (E, corrected December 12, 2025).
  • F 0755, pharmacy service: December 4, 2025 (D, corrected December 12, 2025); October 12, 2023 (E, corrected November 7, 2023).
  • F 0761, pharmacy service: December 4, 2025 (E, corrected December 12, 2025); November 15, 2024 (E, corrected December 15, 2024); October 12, 2023 (E, corrected November 7, 2023).
  • F 0812, nutrition and dietary: December 4, 2025 (E, corrected December 12, 2025); November 15, 2024 (E, corrected December 15, 2024); October 12, 2023 (F, corrected November 7, 2023).
  • F 0880, infection control: December 4, 2025 (E, corrected December 12, 2025); November 15, 2024 (E, corrected December 15, 2024); October 12, 2023 (E, corrected November 7, 2023).
  • F 0925, environmental: December 4, 2025 (E, corrected December 12, 2025).
  • F 0600, freedom from abuse, neglect, and exploitation: September 5, 2025 (D, from a complaint, corrected September 23, 2025); December 19, 2024 (E, from a complaint, corrected January 12, 2025); February 23, 2024 (D, from a complaint, corrected March 11, 2024); January 17, 2024 (D, from a complaint, corrected February 2, 2024); November 8, 2023 (D, from a complaint, corrected December 11, 2023).
  • F 0808, nutrition and dietary: February 18, 2025 (D, from a complaint, corrected February 25, 2025); October 12, 2023 (D, corrected November 7, 2023).
  • F 0624, resident rights: January 24, 2025 (D, from a complaint, corrected February 26, 2025).
  • F 0557, resident rights: December 26, 2024 (D, from a complaint, corrected January 8, 2025); November 15, 2024 (D, corrected December 15, 2024).
  • F 0609, freedom from abuse, neglect, and exploitation: November 15, 2024 (D, corrected December 15, 2024); November 8, 2023 (D, from a complaint, corrected December 11, 2023).
  • F 0675, quality of life and care: November 15, 2024 (D, corrected December 15, 2024).
  • F 0924, environmental: July 18, 2024 (E, from a complaint, corrected July 26, 2024).
  • F 0919, environmental: April 2, 2024 (D, from a complaint, corrected May 7, 2024); October 12, 2023 (D, corrected November 7, 2023); August 21, 2023 (D, from a complaint, corrected September 21, 2023).
  • F 0745, quality of life and care: November 8, 2023 (D, from a complaint, corrected December 11, 2023).
  • F 0550, resident rights: October 12, 2023 (E, corrected November 7, 2023).
  • F 0552, resident rights: October 12, 2023 (D, corrected November 7, 2023).
  • F 0558, resident rights: October 12, 2023 (E, corrected November 7, 2023).
  • F 0580, resident rights: October 12, 2023 (D, corrected November 7, 2023).
  • F 0623, resident rights: October 12, 2023 (D, corrected November 7, 2023).
  • F 0636, resident assessment and care planning: October 12, 2023 (D, corrected November 7, 2023).
  • F 0637, resident assessment and care planning: October 12, 2023 (D, corrected November 7, 2023).
  • F 0655, resident assessment and care planning: October 12, 2023 (D, corrected November 7, 2023).
  • F 0656, resident assessment and care planning: October 12, 2023 (E, corrected November 7, 2023).
  • F 0657, resident assessment and care planning: October 12, 2023 (D, corrected November 7, 2023).
  • F 0684, quality of life and care: October 12, 2023 (D, corrected November 7, 2023).
  • F 0700, quality of life and care: October 12, 2023 (D, corrected November 7, 2023).
  • F 0756, pharmacy service: October 12, 2023 (D, corrected November 7, 2023).
  • F 0758, pharmacy service: October 12, 2023 (D, corrected November 7, 2023).
  • F 0759, pharmacy service: October 12, 2023 (E, corrected November 7, 2023).
  • F 0802, nutrition and dietary: October 12, 2023 (F, corrected November 7, 2023).
  • F 0803, nutrition and dietary: October 12, 2023 (E, corrected November 7, 2023).
  • F 0814, nutrition and dietary: October 12, 2023 (F, corrected November 7, 2023).
  • F 0921, environmental: October 12, 2023 (D, corrected November 7, 2023).

Pioneer House in Care Compare

  • Ownership Type: For profit - Limited Liability company
  • Legal Business Name: ALISTER LLC
  • Date First Approved to Provide Medicare and Medicaid Services: 1993-04-01
  • Provider Resides in Hospital: N
  • Continuing Care Retirement Community: N
  • Urban: Y
  • County/Parish: Sacramento
  • Telephone Number: 9164424906
  • Chain Name: CYPRESS HEALTHCARE GROUP
  • Chain ID: 175
  • Provider Changed Ownership in Last 12 Months: N
  • With a Resident and Family Council: Resident
  • Automatic Sprinkler Systems in All Required Areas: Yes
  • Average Number of Residents per Day: 44.7
  • Overall Rating: 4
  • Health Inspection Rating: 3
  • QM Rating: 5
  • Long-Stay QM Rating: 5
  • Short-Stay QM Rating: 5

Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.

Nothing on file for Pioneer House: no penalty in Care Compare.

Other nursing facilities in Sacramento

Report a figure on Pioneer House’s record that differs from its CMS file, quoting 555542.