Manzanita Healthcare Center

5318 Manzanita Avenue · Carmichael, CA · 95608 · 9163318513

99 certified beds For profit - Limited Liability company Chain: Cypress Healthcare Group

  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 79 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 50
Serious harm & abuse 20% 94
Staffing 20% 88
Federal penalties 15% 100
Trend 10% 73
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.843.48 min · 4.1 strong
RN hours / resident-day0.780.55–0.75
Weekend hours / resident-day4.39≈ weekday level
Nursing turnover / year35%median 45%
Fines (3-yr window)none

Inspection citations (47 in the current record)

  • Potential for harm · D April 15, 2026

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 1, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 15, 2026

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected May 1, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D April 15, 2026

    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.

    Corrected May 1, 2026 · Pharmacy Service

  • Potential for harm · E April 15, 2026

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected May 1, 2026 · Nutrition and Dietary

  • Potential for harm · E April 15, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 1, 2026 · Nutrition and Dietary

  • Potential for harm · E April 15, 2026

    Provide and implement an infection prevention and control program.

    Corrected May 1, 2026 · Infection Control

  • Actual harm · G November 13, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected November 21, 2025 · Quality of Life and Care

  • Potential for harm · D August 12, 2025 · found via complaint

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected August 14, 2025 · Environmental

  • Potential for harm · D April 14, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 17, 2025 · Quality of Life and Care

  • Potential for harm · D February 6, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected February 27, 2025 · Resident Rights

  • Potential for harm · D February 6, 2025

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected February 27, 2025 · Quality of Life and Care

  • Potential for harm · E February 6, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected February 27, 2025 · Pharmacy Service

  • Potential for harm · D February 6, 2025

    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.

    Corrected February 27, 2025 · Pharmacy Service

  • Potential for harm · E February 6, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected February 27, 2025 · Pharmacy Service

  • Potential for harm · E February 6, 2025

    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.

    Corrected February 27, 2025 · Pharmacy Service

  • Potential for harm · E February 6, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected February 27, 2025 · Nutrition and Dietary

  • Potential for harm · E February 6, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 27, 2025 · Nutrition and Dietary

  • Potential for harm · E February 6, 2025

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Corrected February 27, 2025 · Nutrition and Dietary

  • Potential for harm · D February 6, 2025

    Provide and implement an infection prevention and control program.

    Corrected February 27, 2025 · Infection Control

  • Potential for harm · E February 6, 2025

    Keep all essential equipment working safely.

    Corrected February 27, 2025 · Environmental

  • Potential for harm · D December 19, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected December 19, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 19, 2024 · found via complaint

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected December 19, 2024 · Environmental

  • Potential for harm · D July 1, 2024 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected July 25, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 1, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 25, 2024 · Quality of Life and Care

  • Potential for harm · D December 7, 2023

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected December 12, 2023 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555083 · certified since March 2, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.