California › Sacramento County › Carmichael
Whitney Oaks Care Center
3529 Walnut Avenue, Carmichael, CA 95608
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.
Whitney Oaks Care Center, in Carmichael, California, is certified for 126 beds under for-profit, corporation ownership and belongs to the Pacs Group chain.
CMS gives it 3 of 5 stars overall, equal to the California median; the health inspection rating is 2, staffing 3 and quality measures 5.
Inspectors recorded 60 health deficiencies across the three most recent survey cycles (22, 23, 15 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 47.6 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 4.0 hours per resident per day (0.4 RN), close to the California median of 4.2; nursing staff turnover is 29.8%.
Compared with county, state and nation
| Measure | This facility | Sacramento Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 60 | 50 | 44 | 28.7 |
| Citations per 100 beds | 47.6 | 44.1 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.0 | 4.2 | 4.2 | 3.9 |
| RN hours per resident day | 0.4 | 0.6 | 0.5 | 0.7 |
| Nursing staff turnover | 29.8% | 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
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 23 May 2025, 21 Jun 2024.
Severity mix: G ×1 D ×37 E ×20 F ×2
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 28 May 2026 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 16 Jun 2026 |
| 23 Dec 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 16 Jan 2026 |
| 16 Dec 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 1 Jan 2026 |
| 10 Dec 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 29 Dec 2025 |
| 23 Sep 2025 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Complaint investigation | 30 Sep 2025 |
| 23 Sep 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 30 Sep 2025 |
| 8 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 21 Aug 2025 |
| 15 Jul 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Complaint investigation | 22 Jul 2025 |
| 12 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 1 Jul 2025 |
| 23 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 11 Jun 2025 |
| 23 May 2025 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 11 Jun 2025 |
| 23 May 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 11 Jun 2025 |
| 23 May 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 11 Jun 2025 |
| 23 May 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 11 Jun 2025 |
| 23 May 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 11 Jun 2025 |
| 23 May 2025 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 11 Jun 2025 |
| 23 May 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 11 Jun 2025 |
| 23 May 2025 | F0687 | Provide appropriate foot care. | D | Standard survey | 11 Jun 2025 |
| 23 May 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 11 Jun 2025 |
| 23 May 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 11 Jun 2025 |
| 23 May 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 11 Jun 2025 |
| 23 May 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 11 Jun 2025 |
| 23 May 2025 | F0761 | Ensure 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. | D | Standard survey | 11 Jun 2025 |
| 23 May 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 11 Jun 2025 |
| 8 Aug 2024 | F0584 | Honor 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. | E | Complaint investigation | 10 Aug 2024 |
| 18 Jul 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 30 Jul 2024 |
| 18 Jul 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 30 Jul 2024 |
| 12 Jul 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 23 Jul 2024 |
| 21 Jun 2024 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 12 Jul 2024 |
| 21 Jun 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 12 Jul 2024 |
| 21 Jun 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 12 Jul 2024 |
| 21 Jun 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 12 Jul 2024 |
| 21 Jun 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 12 Jul 2024 |
| 21 Jun 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 12 Jul 2024 |
| 21 Jun 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 12 Jul 2024 |
| 21 Jun 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 12 Jul 2024 |
| 21 Jun 2024 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 12 Jul 2024 |
| 21 Jun 2024 | F0761 | Ensure 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. | E | Standard survey | 12 Jul 2024 |
| 21 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 12 Jul 2024 |
| 21 Jun 2024 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Standard survey | 12 Jul 2024 |
| 21 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 12 Jul 2024 |
| 21 Jun 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 12 Jul 2024 |
| 21 Jun 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 12 Jul 2024 |
| 21 Jun 2024 | F0687 | Provide appropriate foot care. | D | Standard survey | 12 Jul 2024 |
| 21 Jun 2024 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 12 Jul 2024 |
| 21 Jun 2024 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Standard survey | 12 Jul 2024 |
| 21 Jun 2024 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Standard survey | 12 Jul 2024 |
| 21 Jun 2024 | F0758 | Implement 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. | D | Standard survey | 12 Jul 2024 |
| 4 Dec 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 21 Dec 2023 |
| 4 Dec 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 21 Dec 2023 |
| 4 Dec 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 21 Dec 2023 |
| 6 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 15 Nov 2023 |
| 9 Oct 2023 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Complaint investigation | 30 Oct 2023 |
| 23 Sep 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 3 Nov 2023 |
| 22 Jul 2022 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 15 Aug 2022 |
| 22 Jul 2022 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard survey | 15 Aug 2022 |
| 22 Jul 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 15 Aug 2022 |
| 22 Jul 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 15 Aug 2022 |
| 22 Jul 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 15 Aug 2022 |
| 22 Jul 2022 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 15 Aug 2022 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 29.8%, RNs 53.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 4.6% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.1% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.9% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.4% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.2% | 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, corporation. Legal business name: Queen Ann'S Lace Holdings, Llc. Chain: Pacs Group (274 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Capital SNF Holding Company, LLC | 5% or greater direct ownership interest | 100% | 06/30/2023 |
| Providence Group Nh, LLC | 5% or greater indirect ownership interest | 100% | 06/30/2023 |
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
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Acc Care Center | Sacramento | 99 | 5 | 3 | 5 | 45 | 45.5 | $24K | 2 Apr 2026 |
| Advanced Health Care of Sacramento | Sacramento | 40 | 5 | 4 | 5 | 26 | 65.0 | — | 14 May 2026 |
| City Creek Post Acute | Sacramento | 99 | 5 | 4 | 2 | 39 | 39.4 | $22K | 8 May 2025 |
| Manzanita Healthcare Center | Carmichael | 99 | 5 | 3 | 5 | 46 | 46.5 | — | 15 Apr 2026 |
| Sherwood Healthcare Center | Sacramento | 62 | 5 | 4 | 3 | 13 | 21.0 | — | 9 May 2025 |
| University Post-Acute Rehab | Sacramento | 59 | 5 | 4 | 5 | 26 | 44.1 | — | 22 May 2025 |
| Woodside Healthcare Center | Sacramento | 58 | 5 | 4 | 4 | 21 | 36.2 | — | 22 Nov 2024 |
| American River Center | Carmichael | 99 | 4 | 4 | 4 | 24 | 24.2 | — | 10 Apr 2026 |
All 37 facilities in Sacramento County
Questions and answers
How many deficiencies has Whitney Oaks Care Center been cited for?
60 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 Whitney Oaks Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Whitney Oaks Care Center compare?
Reported total nurse staffing is 4.0 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Whitney Oaks Care Center?
It is part of the Pacs Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Capital SNF Holding Company, LLC and Providence Group Nh, LLC. Individual owners and managers are not listed on this site.
When was Whitney Oaks Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 28 May 2026; the most recent standard health survey was 23 May 2025.
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.