Elder Care Record

California › Sacramento County › Carmichael

Manzanita Healthcare Center

5318 Manzanita Avenue, Carmichael, CA 95608

CCN 555083 · For-profit, limited liability company · 99 certified beds · chain Cypress Healthcare Group

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 99 beds, Manzanita Healthcare Center serves Carmichael in Sacramento County, California and has taken Medicare and Medicaid residents since 1978.

CMS gives it 5 of 5 stars overall, above the California median of 3; the health inspection rating is 3, staffing 5 and quality measures 5.

Inspectors recorded 46 health deficiencies across the three most recent survey cycles (8, 14, 24 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 46.5 per 100 beds, about the same as the state median of 51.1.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 4.8 hours per resident per day (0.8 RN), close to the California median of 4.2; nursing staff turnover is 30.6%.

46health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS0 penalties in period
4.8nurse hours per resident per daystate median 4.2
95%occupancy (residents ÷ beds)94 residents a day

Compared with county, state and nation

MeasureThis facilitySacramento Co. medianCalifornia medianUS average
Overall star rating5333.0
Health citations, 3 cycles46504428.7
Citations per 100 beds46.544.151.126.8
Total nurse hours per resident day4.84.24.23.9
RN hours per resident day0.80.60.50.7
Nursing staff turnover30.6%34.8%36.4%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (37 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)8
Cycle 214
Cycle 324

Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 Apr 2026, 6 Feb 2025.

Severity mix: G ×1 D ×26 E ×15 F ×4

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
15 Apr 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey1 May 2026
15 Apr 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey1 May 2026
15 Apr 2026F0880Provide and implement an infection prevention and control program.EStandard survey1 May 2026
15 Apr 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey1 May 2026
15 Apr 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey1 May 2026
15 Apr 2026F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard survey1 May 2026
12 Nov 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint investigation21 Nov 2025
12 Aug 2025F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DComplaint investigation14 Aug 2025
14 Apr 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation17 Apr 2025
6 Feb 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey27 Feb 2025
6 Feb 2025F0759Ensure medication error rates are not 5 percent or greater.EStandard survey27 Feb 2025
6 Feb 2025F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard survey27 Feb 2025
6 Feb 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey27 Feb 2025
6 Feb 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey27 Feb 2025
6 Feb 2025F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.EStandard survey27 Feb 2025
6 Feb 2025F0908Keep all essential equipment working safely.EStandard survey27 Feb 2025
6 Feb 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey27 Feb 2025
6 Feb 2025F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard survey27 Feb 2025
6 Feb 2025F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey27 Feb 2025
6 Feb 2025F0880Provide and implement an infection prevention and control program.DStandard survey27 Feb 2025
19 Dec 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation19 Dec 2024
19 Dec 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint investigation19 Dec 2024
1 Jul 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation25 Jul 2024
1 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation25 Jul 2024
7 Dec 2023F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard survey12 Dec 2023
7 Dec 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey12 Dec 2023
7 Dec 2023F0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.FStandard survey12 Dec 2023
7 Dec 2023F0908Keep all essential equipment working safely.FStandard survey12 Dec 2023
7 Dec 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey12 Dec 2023
7 Dec 2023F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EStandard survey12 Dec 2023
7 Dec 2023F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard survey12 Dec 2023
7 Dec 2023F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey12 Dec 2023
7 Dec 2023F0919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard survey12 Dec 2023
7 Dec 2023F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard survey12 Dec 2023
7 Dec 2023F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey12 Dec 2023
7 Dec 2023F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DStandard survey12 Dec 2023
7 Dec 2023F0637Assess the resident when there is a significant change in conditionDStandard survey12 Dec 2023
7 Dec 2023F0641Ensure each resident receives an accurate assessment.DStandard survey12 Dec 2023
7 Dec 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey12 Dec 2023
7 Dec 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey12 Dec 2023
7 Dec 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey12 Dec 2023
7 Dec 2023F0685Assist a resident in gaining access to vision and hearing services.DStandard survey12 Dec 2023
7 Dec 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey12 Dec 2023
7 Dec 2023F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard survey12 Dec 2023
7 Dec 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey12 Dec 2023
7 Dec 2023F0880Provide and implement an infection prevention and control program.DStandard survey12 Dec 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing4.75 h
Nurse aides2.72 h
LPN1.19 h
RN0.83 h
Weekend total4.31 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 30.6%, RNs 43.8%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityCalifornia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay0.0%8.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.4%1.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.8%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay2.6%8.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.7%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay11.7%9.1%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Baleen Llc. Chain: Cypress Healthcare Group (13 facilities).

No organisations are listed in the CMS ownership record for this facility.

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Sacramento County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Acc Care CenterSacramento995354545.5$24K2 Apr 2026
Advanced Health Care of SacramentoSacramento405452665.0—14 May 2026
City Creek Post AcuteSacramento995423939.4$22K8 May 2025
Sherwood Healthcare CenterSacramento625431321.0—9 May 2025
University Post-Acute RehabSacramento595452644.1—22 May 2025
Woodside Healthcare CenterSacramento585442136.2—22 Nov 2024
American River CenterCarmichael994442424.2—10 Apr 2026
Citrus Heights Post AcuteCitrus Heights1624343421.0—23 Apr 2026

All 37 facilities in Sacramento County

Questions and answers

How many deficiencies has Manzanita Healthcare Center been cited for?

46 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.

Has Manzanita Healthcare Center been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Manzanita Healthcare Center compare?

Reported total nurse staffing is 4.8 hours per resident per day against a California median of 4.2 and a national average of 3.9.

Who operates Manzanita Healthcare Center?

It is part of the Cypress Healthcare Group chain. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.

When was Manzanita Healthcare Center last inspected?

The most recent survey or investigation in the CMS record is dated 15 Apr 2026; the most recent standard health survey was 15 Apr 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.