Mountain Manor Senior Residence
6101 Fair Oaks Boulevard · Carmichael, CA · 95608 · 9164887211
47 certified beds For profit - Corporation
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $26,685 in fines in the last 24 months.
- Staffing hours comfortably above national benchmarks.
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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.71 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.84 | 0.55–0.75 |
| Weekend hours / resident-day | 4.18 | ≈ weekday level |
| Nursing turnover / year | 34% | median 45% |
| Fines (3-yr window) | 3 · $38,855 |
Inspection citations (53 in the current record)
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Potential for harm · D March 10, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 3, 2026 · Resident Assessment and Care Planning
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Potential for harm · D August 26, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 7, 2025 · Quality of Life and Care
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Potential for harm · D July 16, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 7, 2025 · Quality of Life and Care
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Potential for harm · D July 16, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected August 7, 2025 · Pharmacy Service
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Potential for harm · D July 16, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 7, 2025 · Infection Control
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Potential for harm · D April 24, 2025
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.
Corrected May 22, 2025 · Resident Rights
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Potential for harm · D April 24, 2025
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.
Corrected May 22, 2025 · Resident Rights
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Potential for harm · D April 24, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 24, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 24, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 24, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected May 22, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 22, 2025 · Quality of Life and Care
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Potential for harm · E April 24, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 22, 2025 · Pharmacy Service
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Potential for harm · E April 24, 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 May 22, 2025 · Pharmacy Service
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Potential for harm · E April 24, 2025
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected May 22, 2025 · Nutrition and Dietary
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Potential for harm · E April 24, 2025
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.
Corrected May 22, 2025 · Nutrition and Dietary
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Potential for harm · F April 24, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 22, 2025 · Nutrition and Dietary
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Potential for harm · D April 24, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected May 22, 2025 · Administration
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Potential for harm · E April 24, 2025
Provide and implement an infection prevention and control program.
Corrected May 22, 2025 · Infection Control
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Potential for harm · D April 24, 2025
Implement a program that monitors antibiotic use.
Corrected May 22, 2025 · Infection Control
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Potential for harm · D October 30, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 5, 2024 · Quality of Life and Care
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Potential for harm · D August 6, 2024 · found via complaint
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected August 14, 2024 · Resident Rights
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Potential for harm · D June 6, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected July 2, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 6, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 2, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D June 6, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 2, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 24, 2025 | Fine | $26,685 |
| January 30, 2024 | Fine | $7,976 |
| December 11, 2023 | Fine | $4,194 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555889 · certified since September 9, 2014. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.