Whitney Oaks Care Center
3529 Walnut Avenue · Carmichael, CA · 95608 · 9164888601
126 certified beds For profit - Corporation Chain: Pacs Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.99 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.37 | 0.55–0.75 |
| Weekend hours / resident-day | 3.74 | ≈ weekday level |
| Nursing turnover / year | 30% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (61 in the current record)
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Potential for harm · D December 23, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 16, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 1, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 10, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 29, 2025 · Resident Rights
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Potential for harm · E September 23, 2025 · found via complaint
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected September 30, 2025 · Resident Rights
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Potential for harm · D September 23, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 8, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 21, 2025 · Quality of Life and Care
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Potential for harm · D July 15, 2025 · found via complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected July 22, 2025 · Nursing and Physician Services
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Potential for harm · D June 12, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 23, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 11, 2025 · Resident Rights
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Potential for harm · D May 23, 2025
Ensure each resident receives an accurate assessment.
Corrected June 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 23, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 23, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected June 11, 2025 · Quality of Life and Care
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Potential for harm · D May 23, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 11, 2025 · Quality of Life and Care
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Potential for harm · D May 23, 2025
Provide appropriate foot care.
Corrected June 11, 2025 · Quality of Life and Care
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Potential for harm · D May 23, 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 June 11, 2025 · Quality of Life and Care
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Potential for harm · D May 23, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 11, 2025 · Quality of Life and Care
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Potential for harm · D May 23, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 11, 2025 · Pharmacy Service
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Potential for harm · D May 23, 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 June 11, 2025 · Pharmacy Service
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Potential for harm · D May 23, 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 June 11, 2025 · Pharmacy Service
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Potential for harm · E May 23, 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 June 11, 2025 · Nutrition and Dietary
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Potential for harm · F May 23, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 11, 2025 · Nutrition and Dietary
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Potential for harm · E May 23, 2025
Provide and implement an infection prevention and control program.
Corrected June 11, 2025 · Infection Control
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Potential for harm · D May 23, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected June 11, 2025 · Environmental
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Potential for harm · E August 8, 2024 · found via complaint
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 August 10, 2024 · Resident Rights
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Potential for harm · D July 18, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 30, 2024 · Resident Assessment and Care Planning
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
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056410 · certified since October 17, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.