Mission Carmichael Healthcare Center
3630 Mission Avenue · Carmichael, CA · 95608 · 9164881580
135 certified beds For profit - Limited Liability company Chain: David Johnson
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 75 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
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.
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
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.98 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.47 | 0.55–0.75 |
| Weekend hours / resident-day | 3.77 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (54 in the current record)
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Potential for harm · D April 9, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 10, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 16, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected April 16, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 16, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 16, 2025 · Quality of Life and Care
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Potential for harm · E March 27, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 16, 2025 · Pharmacy Service
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Potential for harm · D March 27, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected April 16, 2025 · Pharmacy Service
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Potential for harm · E March 27, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected April 16, 2025 · Pharmacy Service
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Potential for harm · E March 27, 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 April 16, 2025 · Pharmacy Service
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Potential for harm · E March 27, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 16, 2025 · Nutrition and Dietary
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Potential for harm · D March 27, 2025
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected April 16, 2025 · Nutrition and Dietary
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Potential for harm · E March 27, 2025
Provide and implement an infection prevention and control program.
Corrected April 16, 2025 · Infection Control
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Potential for harm · E March 27, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected April 16, 2025 · Environmental
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Potential for harm · D January 24, 2025 · found via complaint
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected February 5, 2025 · Quality of Life and Care
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Potential for harm · D November 8, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 30, 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 September 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 22, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 28, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 21, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 12, 2024 · Resident Rights
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Potential for harm · D March 21, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected April 12, 2024 · Resident Rights
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Potential for harm · D March 21, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected April 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 21, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · E March 21, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 12, 2024 · Quality of Life and Care
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Potential for harm · D March 21, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected April 12, 2024 · Quality of Life and Care
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Potential for harm · D March 21, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 12, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056304 · certified since January 3, 1972. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.