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Manzanita Healthcare Center

5318 Manzanita Avenue, Carmichael, CA 95608 · Sacramento County · (916) 331-8513

99 certified beds, about 94 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1978

Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 555083 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 15, 2026, inspectors cited 6 health deficiencies (the California average is 15.6, the national average 9.2).

Of 46 health citations since December 2023, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.75 hours per resident per day, against 4.52 across California and 3.86 nationally. Registered nurses accounted for 0.83 of those hours.

30.6% of nursing staff left within the year CMS measured (California average 36.7%).

CMS links it to Cypress Healthcare Group, an affiliated group of 13 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 46 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
26D
15E
4F
Potential for minimal harm
0A
0B
0C
April 15, 2026Standard inspection · 6 citations
  1. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 1, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food was prepared in a manner to maintain nutritive value for a census of 94 residents, when the carrots' recipe was not followed. This failure decreased the facility's potential to maintain the nutritive value of the food being served.
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 1, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store food in a sanitary manner for a census of 94 residents, when:1. Opened and expired food items were available for use and not labeled; and2. The dishwasher's temperature log for April 2026 had no temperature and chlorine monitoring for breakfast and lunch for two days. These failures had the potential to result in foodborne illnesses among vulnerable residents.
  3. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 1, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow and maintain an effective infection prevention and control program for a census of 94 residents, when: 1. Licensed Nurse (LN) 1 did not sanitize a reusable tray between Resident 114 and Resident 115's wound treatment; 2. LN 2 did not wear the required personal protective equipment (PPE, wearable gear like gowns, gloves and masks to protect individuals from physical, chemical, and airborne dangers in workplaces) while repositioning a resident on enhanced barrier precautions (EBP, an infection control method); 3. Certified Nurse Assistant (CNA) 1 and CNA 2 did not wear proper PPE when assisting a resident on neutropenic precautions (used to protect residents from getting infections because their immune system cannot properly fight bacteria); and 4. [...]
  4. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 1, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure an alleged violation of abuse was reported immediately for two of 27 sampled residents (Resident 41 and Resident 52), when the Department did not receive a report of the alleged violation after the abuse incident's occurrence. This failure decreased the facility's potential to protect vulnerable residents and provide a safe environment.
  5. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 1, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide services consistent with professional standards of quality for one of 27 sampled residents (Resident 104), when Resident 104's psyllium husk (a bulk forming laxative used to treat constipation and cholesterol management) powder order was not prescribed or administered in accordance with the manufacturer's guidelines. This failure increased Resident 104's potential to have unmet health needs.
  6. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 1, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications were properly stored and secured for a census of 94 residents, when Licensed Nurse (LN) 3 left medications unattended on top of the medication cart. This failure increased the residents' potential for unauthorized access to medications.
November 12, 2025Complaint inspection · 1 citation
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 21, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure one of five sampled residents (Resident 1) did not develop a pressure injury or pressure sore (PI, a localized, pressure-related damage to the skin and/or underlying tissue usually over a bony prominence) when they failed to follow and implement preventative interventions that included to turn and re-position frequently, monitor and assess for signs of skin breakdown, and, to use pressure relieving devices(s) for her chair and bed as outlined in their Care Plan Report (CP), titled Skin integrity care plan and Skin assessment and prevention of pressure injuries policy and procedures (P&P). [...]
August 12, 2025Complaint inspection · 1 citation
  1. D
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 14, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure an effective pest control program was implemented for a census of 85 residents, when flying insects were observed in four residents' rooms. This failure decreased the facility's potential to maintain a pest free environment for the residents.
April 14, 2025Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 17, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide adequate supervision for one of four sampled residents (Resident 1) when Resident 2 punched Resident 1 in the stomach which caused Resident 1 to fall and hit her head. This failure resulted in an injury to Resident 1's head.
February 6, 2025Standard inspection · 11 citations
  1. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure pharmacy services were maintained for a census of 96 residents, when: 1. Controlled drug (medication that may be abused or cause addiction) record form was not filled out and signed immediately at the time of medication administration for Resident 445; and 2. Unused or expired, controlled drugs were not destroyed according to the facility's policy. These failures had the potential for diversion or misuse of residents' controlled medications.
  2. E
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the medication error rate did not exceed five percent (%; unit of measure) for two of five sampled residents (Resident 140 and Resident 36). 1. Licensed Nurse 2 (LN 2) administered Resident 140's extended release (ER) isosorbide mononitrate (medication used to treat chest pain) 30 milligrams (mg; unit of measure) tablet not in accordance with physician order, when LN 2 crushed the ER tablet and released the medication all at once instead of gradually over time. This error had a potential to lead to an overdose or severe side effects. 2. LN 2 administered Resident 140's delayed release (DR) pantoprazole (a medication used to treat indigestion) 40 mg tablet not in accordance with physician order, when LN 2 crushed the DR tablet and released the medication all at once instead of gradually over time. [...]
  3. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications were stored correctly, when: 1. A medication was stored in the refrigerator, not according to manufacturer's specification; 2. A medication was stored at room temperature, not according to manufacturer's specification; and 3. A discontinued medication was not removed from the medication storage room and was still accessible to the staff. These failures had the potential for medication misuse, drug diversion, medication ineffectiveness, and medication administration errors.
  4. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the nutritive value of food was maintained, when broccoli was cooked for over two hours prior to lunch meal service. This failure had the potential of leading to nutrient deficiency for the 96 residents receiving facility prepared meals.
  5. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide food storage and preparation, as well as maintain kitchen equipment and food contact surfaces in accordance with professional standards for food service safety, when: 1. Three baking sheets, one frying pan, one container for scoops, stove knobs, convention oven, and mixer were found dirty; 2. Ten pans, two frying pans, and blender were stored wet; 3. Pipes under three-compartment sink found rusted and dirty, floors were discolored with white and gray buildup, and counter had a white discolored area; 4. Yellow cutting board found with two deep grooves of about one and a half to two inches in length; 5. Four bulk storage containers were found with lids not closed tightly; and 6. Fan in dish machine area was found with black build-up on the blades. [...]
  6. E
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    F813 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide a resident refrigerator and microwave for a census of 96 to ensure safe food storage and reheating of food for later consumption. This failure had the potential to prevent residents from enjoying favorite foods, reduced resident food options, and potentially lead to weight loss.
  7. E
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain equipment in safe operating condition, when: 1. The Walk-in freezer was found with ice build-up on ceiling, floor, door, walls, and fan unit indicating potential temperature changes; 2. The dish machine's required minimum temperatures were not reached; and 3. The convection oven was not achieving the desired food temperature for the pork at or above 165 degrees Fahrenheit (F, a unit of measurement). These failures had the potential of leading to food borne illness for the 96 residents eating facility prepared meals.
  8. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain respect and dignity for one of 22 sampled residents (Resident 439), when Resident 439's bilateral buttocks' sides were exposed in the hallway during transfer. This failure decreased the facility's potential to maintain Resident 439's respect and dignity.
  9. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide an appropriate communication method for one of 22 sampled residents (Resident 70), when Licensed Nurse 7 (LN 7) was unable to find a communication board to communicate with Resident 70. This failure decreased the facility's potential to address Resident 70's basic needs.
  10. D
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to keep one of 22 sampled residents (Resident 64) free of unnecessary psychotropic medication (drug prescribed to affect the mind, emotions or behavior), when Resident 64 was receiving divalproex sodium (a psychotropic medication indicated for seizure treatment and mood disorders) for an inadequate indication. This failure increased Resident 64's potential for unwanted adverse effects such as sedation and falls.
  11. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow infection control practices for three of 22 sampled residents (Resident 441, Resident 69, and Resident 290), when: 1. Licensed Nurse 6 (LN 6) did not change gloves during wound care treatment for Resident 441; 2. LN 6 did not follow proper handwashing and glove changing procedures during wound treatment for Resident 69; and 3. Resident 290's midline (a thin, flexible tube inserted into a vein in the upper arm and used to administer medicines and fluid directly into blood) dressing on left upper arm (LUA) was soiled and not changed for nine days. These failures decreased the facility's potential to prevent spread of infections among vulnerable residents.
December 19, 2024Complaint inspection · 2 citations
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 19, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure one of three sampled residents (Resident 1) was free of physical abuse when Resident 1 was struck in the face by Resident 2. This failure resulted in Resident 1 sustaining a swollen bruise to her face and feeling unsafe.
  2. D
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 19, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a functioning call light system for two of four sampled residents (Resident 3 and Resident 4) when neither the outside light above their room lit nor the alarm sounded when the emergency call light was pushed in the bathroom. This failure had the potential to result in unmet care needs and placed the residents at risk for safety.
July 1, 2024Complaint inspection · 2 citations
  1. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 25, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide care according to accepted standards of quality for one of 3 sampled residents (Resident 3) when Resident 3 had no documented behavior monitoring for the use of an antipsychotic medication (medication that affects brain activity associated with mental processes and behavior). This failure had the potential to result in an ineffective management of Resident 3's psychological health needs.
  2. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 25, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to assess one of three sampled residents (Resident 1) at a high risk for elopement. This failure placed Resident 1 at an increased risk for elopement.
December 7, 2023Standard inspection · 22 citations
  1. F
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    F801 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 12, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that the Food/Nutrition Director had the qualifications needed to oversee the dietary department. This had had the potential of unsafe food practices and food borne illness for the 94 residents eating facility prepared foods.
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 12, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 94 residents eating facility prepared meals as evidenced by: 1) Food preparation items were found dirty; 2) Food preparation and service equipment were found substandard; 3) Food service items were found stacked wet; 4) Opened containers were found in dry storage; 5) Multiple food items not correctly dated; 6) Fruit/vegetable sink lacked an air gap; and 7) Expired food produce. These failures had the potential to cause foodborne illness (illness that results from ingestion of contaminated food) to residents receiving food prepared in the facility kitchen.
  3. F
    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
    F847 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 12, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents' rights were protected when entering into a binding arbitration agreement for a census of 97 when the agreement did not explicitly state the resident, or his or her responsible party (RP), had 30 days to rescind the agreement and did not contain an acknowledgement of the resident's or RP's understanding of the agreement. These failures had the potential to result in residents and/or their RPs entering into binding arbitration agreements without fully understanding the consequences.
  4. F
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 12, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to maintain the freezer in safe operating condition when ice buildup was noted on the door, curtains, walls and floor. This had the potential to affect the safety and quality of the food served at the facility for the 94 residents eating facility prepared meals.
  5. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 12, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to: 1. Have an efficient system in place to accurately document and secure emergency medications (E-kit) for a census of 97; and, 2. Store controlled medications (those with high potential for abuse or addiction) to limit access in accordance with facility policy. These failures had the potential for emergency medications to be unavailable when needed, the potential for not meeting the residents' therapeutic needs or worsening of their medical conditions, and potential for diversion of controlled medications.
  6. E
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 12, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure two of 27 sampled residents (Residents 44 and Resident 71) were free from unnecessary psychotropic (drugs that affects brain activities associated with mental processes and behavior) medications when: 1. Resident 44 received quetiapine (an antipsychotic) without target behavior monitoring and non-pharmacological (non-drug) interventions; and 2. Resident 71 received risperidone (an antipsychotic) without adequate indication and behavior monitoring. This failure had the potential to result in unnecessary use of medication.
  7. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 12, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications were stored safely for a census of 97 when: 1. Opened multi-dose medications and biologicals were dated with an open and discard date, expired medications were not available for resident use, pharmacy dispensed insulin (a medication to treat diabetes) were labeled, and medications were stored in the medication carts (med carts) in a safe and sanitary manner; and, 2. Medications were locked in a medication cart when unattended. These failures had the potential for residents to receive medications with unsafe and reduced potency from being used past their discard date, receive incorrect medications from inadequate labeling and unsafe storage, and the potential for medication misuse and diversion.
  8. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 12, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food served was palatable, attractive, and at a safe temperature for eight of 94 Residents (Resident 12, 23, 34, 39, 40, 184, 185, and 379) whose meals were delivered and served cold. These failures had the potential for decreased meal intake which could result in weight loss, decreased nutritive value, and negatively impact the residents' quality of life.
  9. E
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 12, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the call lights were within reach for four residents (Resident 27, Resident 36, Resident 62, and Resident 380) of 27 sampled residents, when the call lights were stuck behind the residents' beds and dressers on the floor. This failure decreased the residents' potential to get assistance from staff in a timely manner when needed.
  10. D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 12, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to maintain dignity for one of 27 sampled resident (Resident 14) when Resident 14's catheter bag (a bag that collects urine from an indwelling urinary catheter) was exposed. This failure had the potential to reduce Resident 14's right to respect and dignity.
  11. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 12, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure the Physician Orders for Life-Sustaining Treatment (POLST, a medical order that gives patients control over their care during a medical emergency) forms for two residents (Resident 187 and Resident 378), of 27 sampled residents, were valid in the electronic health records (EHRs) when POLST information did not match with EHR. This failure decreased the staff's potential to safely follow the residents' POLST during emergencies.
  12. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 12, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to maintain a comfortable and safe living environment for one of 27 sampled residents (Resident 49) when the bed provided for Resident 49 was very small and worn out. This failure increased resident 49's potential for discomfort, sleep disturbances, and injury.
  13. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 12, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to complete a significant change in status assessment (SCSA) in a timely manner for one of 27 sampled residents (Resident 47). This failure had the potential of not providing appropriate care and interventions to Resident 47 based on her current status.
  14. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 12, 2023
    Inspectors wroteBased on interview and record review, the facility failed to accurately assess one resident (Resident 36) of 27 sampled residents, when the Minimum Data Set (MDS; an assessment tool) inaccurately indicated Resident 36 had no behaviors. This failure decreased the facility's potential to identify residents' care needs.
  15. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 12, 2023
    Inspectors wroteBased on interview and record review, the facility failed to develop a baseline care plan for one resident (Resident 16) of 27 sampled residents within 48 hours after admission. This failure decreased the facility's potential to address the residents' initial goals and current health needs.
  16. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 12, 2023
    Inspectors wroteBased on interview and record review, the facility failed to develop a comprehensive person-centered care plan for one resident (Resident 36) of 27 sampled residents, when the care plan did not address Resident 36's behavioral needs and interventions. This failure decreased the facility's potential to address the residents' individualized and specific needs.
  17. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 12, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide services according to professional standards of quality for two residents (Resident 36 and Resident 47) of 27 sampled residents, when: 1. Resident 36's oxygen was not administered as indicated in physician's order; and, 2. Resident 47's physician order for the use of an external catheter was not obtained. These failures had the potential to jeopardize resident health when physician orders were not obtained or followed.
  18. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 12, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to assist one of 27 sampled residents (Resident 61) to receive a hearing assessment when Resident 61 had difficulty hearing. This failure decreased Resident 61's ability to communicate needs properly and negatively affected her psychosocial well-being.
  19. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 12, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide respiratory care for one of 27 sampled residents (Resident 185) when a Continuous Positive Airway Pressure machine (CPAP; a machine that uses mild air pressure to keep breathing airways open while sleeping) treatment had not been applied nightly as ordered by the physician (MD). This failure had the potential to negatively impact Resident 185's sleep and respiratory status.
  20. D
    Provide medically-related social services to help each resident achieve the highest possible quality of life.
    F745 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 12, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to provide medically related social services for one of 27 sampled residents (Resident 45) when Resident 45's request to acquire a 4-wheeled walker with a seat was not facilitated in a timely manner. This failure had the potential to decrease Resident 45's ability to maintain her highest practicable physical well-being.
  21. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 12, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a complete and accurate medical record for one resident (Resident 36) of 27 sampled residents, when the Medication Administration Record (MAR) did not include Resident 36's use of oxygen. This failure increased the facility's potential for oversight in Resident 36's assessment, care, and treatment.
  22. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 12, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to establish and maintain infection control practices designed to provide a sanitary environment for one of 27 sampled residents (Resident 129) when staff did not maintain hand hygiene practices and change gloves during wound care. This failure had the potential to result in transmission of infection in the facility and cause illness.

Fire safety inspections

21 fire safety citations on file: 8 on April 15, 2026, 6 on February 6, 2025, 7 on December 7, 2023.

Every fire safety citation21 citations
  1. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · April 15, 2026 · Corrected (the home has a date of correction)
  2. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · April 15, 2026 · Corrected (the home has a date of correction)
  3. D
    Have properly located and lighted "Exit" signs.
    K 293 · April 15, 2026 · Corrected (the home has a date of correction)
  4. D
    Provide a written emergency evacuation plan.
    K 711 · April 15, 2026 · Corrected (the home has a date of correction)
  5. D
    Ensure proper usage of power strips and extension cords.
    K 920 · April 15, 2026 · Corrected (the home has a date of correction)
  6. C
    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
    K 342 · April 15, 2026 · Corrected (the home has a date of correction)
  7. C
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 15, 2026 · Corrected (the home has a date of correction)
  8. C
    Have simulated fire drills held at unexpected times.
    K 712 · April 15, 2026 · Corrected (the home has a date of correction)
  9. F
    Conduct testing and exercise requirements.
    E 39 · February 6, 2025 · Corrected (the home has a date of correction)
  10. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 6, 2025 · Corrected (the home has a date of correction)
  11. D
    Install corridor and hallway doors that block smoke.
    K 363 · February 6, 2025 · Corrected (the home has a date of correction)
  12. D
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · February 6, 2025 · Corrected (the home has a date of correction)
  13. D
    Meet requirements for the use of electrical equipment.
    K 919 · February 6, 2025 · Corrected (the home has a date of correction)
  14. D
    Ensure proper usage of power strips and extension cords.
    K 920 · February 6, 2025 · Corrected (the home has a date of correction)
  15. F
    Conduct testing and exercise requirements.
    E 39 · December 7, 2023 · Corrected (the home has a date of correction)
  16. F
    Properly provide smoke detection systems in areas open to corridors.
    K 347 · December 7, 2023 · Corrected (the home has a date of correction)
  17. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 7, 2023 · Corrected (the home has a date of correction)
  18. F
    Install corridor and hallway doors that block smoke.
    K 363 · December 7, 2023 · Corrected (the home has a date of correction)
  19. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · December 7, 2023 · Corrected (the home has a date of correction)
  20. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · December 7, 2023 · Corrected (the home has a date of correction)
  21. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · December 7, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeCaliforniaUnited States
All nursing staff (RN, LPN and aides)4.754.523.86
Registered nurses0.830.670.69
All nursing staff on weekends4.314.093.42
Nurse aides2.72
Licensed practical nurses1.19
Nursing staff turnover (share who left in a year)30.6%36.7%45.8%
Registered nurse turnover43.8%38.1%42.9%
Administrators who left0

CMS expects 3.57 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.93 on weekdays and 4.31 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.65 in April to June 2025 to 4.75 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.750.834.934.31 0.0%0 of 9094
Oct to Dec 20254.840.785.024.39 0.0%0 of 9291
Jul to Sep 20254.690.744.874.21 0.0%0 of 9290
Apr to Jun 20254.650.644.844.17 0.0%0 of 9188
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
California, Jan to Mar 20264.360.594.523.972.3%0.5% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for California

JobMedianMiddle halfEmployed
California, all employers
CNAs (nursing assistants)$22.90$22.04 to $26.35110,060
LPNs and LVNs$38.34$35.98 to $45.0682,850
Registered nurses$67.44$58.87 to $83.25338,940
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

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For Manzanita Healthcare Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeCaliforniaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
0.010.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.21.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.41.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.81.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
2.69.814.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.74.34.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
11.712.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
19.522.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
12.811.212.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Manzanita Healthcare Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (60.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

60.6% this home

Better than the national rate

US median of homes 51.5% · California: 301 better, 190 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 195 eligible stays.

Potentially preventable readmissions

12.5% this home

No different from the national rate

US median of homes 10.7% · California: 10 better, 22 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 204 eligible stays.

Infections that led to a hospital stay

8.1% this home

No different from the national rate

US median of homes 7.1% · California: 8 better, 48 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 111 eligible stays.

Self-care and mobility at discharge

76.0% this home

Median of homes: California59.2% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 50 residents counted.

Falls with major injury

0.0% this home

Median of homes: California0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 104 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: California0.6% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 104 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: California96.2% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 26 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: BALEEN LLC. CMS links this home to Cypress Healthcare Group, a group of 13 nursing homes averaging 3.8 stars overall.

NameRoleTypeShareSince
Jackson, MatthewCorporate officerIndividual09/29/2023
Jackson, RobertCorporate officerIndividual09/29/2023
Sanofsky, JackCorporate officerIndividual09/29/2023
Dhir, SunilOperational/managerial controlIndividual01/01/2024
Fulkerson, JessicaOperational/managerial controlIndividual02/18/2025
Jackson, MatthewOperational/managerial controlIndividual09/29/2023
Jackson, RobertOperational/managerial controlIndividual09/29/2023
Kaur, ShalendarOperational/managerial controlIndividual01/01/2025
Sanofsky, JackOperational/managerial controlIndividual09/29/2023
Tyson, ZacharyOperational/managerial controlIndividual09/29/2023
Dhir, SunilAdp of the SNFIndividual12/10/2023
Fulkerson, JessicaAdp of the SNFIndividual02/18/2025
Jackson, MatthewAdp of the SNFIndividual09/29/2023
Jackson, RobertAdp of the SNFIndividual09/29/2023
Kaur, ShalendarAdp of the SNFIndividual01/01/2025
Sanofsky, JackAdp of the SNFIndividual09/29/2023
Tyson, ZacharyAdp of the SNFIndividual09/29/2023

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 8 problems in this area, most recently on April 15, 2026: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 8 problems in this area, most recently on April 15, 2026: "Ensure services provided by the nursing facility meet professional standards of quality."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 8 problems in this area, most recently on 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."
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on November 12, 2025: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."

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California contacts for a concern about a nursing home

These are the official offices in California. NursingHomeClear cannot take or act on complaints.

Common questions

What is Manzanita Healthcare Center's Medicare star rating?
CMS rates Manzanita Healthcare Center 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Manzanita Healthcare Center get at its last inspection?
6 health deficiencies at the standard inspection on April 15, 2026. The California average is 15.6.
Has Manzanita Healthcare Center been fined?
CMS lists no fines in the last three years.
Does Manzanita Healthcare Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Manzanita Healthcare Center?
CMS lists 17 owners and managers, and links the home to Cypress Healthcare Group. Legal business name: BALEEN LLC.

Sources

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