Public Record
Manzanita Healthcare Center
Operated by Cypress Healthcare Group
From CMS
Facility profile
- CMS overall rating
- 4 / 5
- Certified beds
- 99
- Avg. residents per day
- 90.5
*CMS Five-Star
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California cost report
Food cost per resident day
Raw food costs divided by total patient days from the same HCAI filing. Each year is compared with the median across California HCAI filers that carry a Medicare provider number for that report year; the roughly 18 percent of filers without one are not in the comparison.
2024 raw food costs per resident day
$8.15
Filing period: to
California median $8.96 across 825 filers. This facility: 36.2th percentile of those filers.
Within its operator's California portfolio ( 41 filers): median $9.47.
RN, LVN, and CNA staffing mix
Census context: 33,781 total patient days in this filing.
| Role | Productive hours | Productive salaries | Hourly rate |
|---|---|---|---|
| RN | 10,601 | $781,477 | $73.72/hour |
| LVN | 39,719 | $1,856,853 | $46.75/hour |
| CNA | 89,287 | $2,274,259 | $25.47/hour |
2023 raw food costs per resident day
$10.75
Filing period: to
2023 raw food costs per resident day
$7.43
Filing period: to
California median $8.51 across 892 filers. This facility: 68.5th percentile of those filers.
Within its operator's California portfolio ( 39 filers): median $9.49.
RN, LVN, and CNA staffing mix
Census context: 19,326 total patient days in this filing.
| Role | Productive hours | Productive salaries | Hourly rate |
|---|---|---|---|
| RN | 11,050 | $661,301 | $59.85/hour |
| LVN | 33,238 | $1,568,005 | $47.18/hour |
| CNA | 63,798 | $1,552,045 | $24.33/hour |
Census context: 8,526 total patient days in this filing.
| Role | Productive hours | Productive salaries | Hourly rate |
|---|---|---|---|
| RN | 3,697 | $223,128 | $60.35/hour |
| LVN | 8,974 | $425,096 | $47.37/hour |
| CNA | 22,359 | $559,426 | $25.02/hour |
2022 raw food costs per resident day
$10.11
Filing period: to
California median $8.23 across 896 filers. This facility: 75.9th percentile of those filers.
Within its operator's California portfolio ( 41 filers): median $8.59.
RN, LVN, and CNA staffing mix
Census context: 21,449 total patient days in this filing.
| Role | Productive hours | Productive salaries | Hourly rate |
|---|---|---|---|
| RN | 15,874 | $904,547 | $56.98/hour |
| LVN | 36,351 | $1,619,386 | $44.55/hour |
| CNA | 73,184 | $1,636,739 | $22.36/hour |
*HCAI Long-Term Care Integrated Disclosure
Inspection record
On record from CMS
- Health citations
- 70
- Fire safety findings
- 16
- Inspections on file
- 14
- Last inspection
- 2025-11-13
*CMS
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Citations
70 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0342Generalno actual harm
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0291Generalpotential for harm
Install emergency lighting that can last at least 1 1/2 hours.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0293Generalpotential for harm
Have properly located and lighted "Exit" signs.
- 0804Generalpotential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 0761Generalpotential for harm
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.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0920Generalpotential for harm
Ensure proper usage of power strips and extension cords.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0712Generalno actual harm
Have simulated fire drills held at unexpected times.
- 0711Generalpotential for harm
Provide a written emergency evacuation plan.
- 0353Generalno actual harm
Inspect, test, and maintain automatic sprinkler systems.
- 0686Seriousactual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0686Seriousactual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0925Generalpotential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0676Generalpotential for harm
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0758Generalpotential for harm
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.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0761Generalpotential for harm
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.
- 0804Generalpotential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0813Generalpotential for harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0908Generalpotential for harm
Keep all essential equipment working safely.
- 0600Generalpotential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0919Generalpotential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0919Generalpotential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
- 0637Generalpotential for harm
Assess the resident when there is a significant change in condition
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0655Generalpotential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0685Generalpotential for harm
Assist a resident in gaining access to vision and hearing services.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0745Generalpotential for harm
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0758Generalpotential for harm
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.
- 0761Generalpotential for harm
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.
- 0801Generalpotential for harm
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.
- 0804Generalpotential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0847Generalpotential for harm
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0908Generalpotential for harm
Keep all essential equipment working safely.
- 0557Generalpotential for harm
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- 0578Generalpotential for harm
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.
- 0584Generalpotential for harm
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.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0689Seriousactual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0637Generalpotential for harm
Assess the resident when there is a significant change in condition
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0804Generalpotential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0657Generalpotential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0741Generalpotential for harm
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0740Generalpotential for harm
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- 0679Generalpotential for harm
Provide activities to meet all resident's needs.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection6 deficiencies
- View inspection reportInspection8 deficiencies
- Inspection1 deficiency
555083 11/13/2025 Manzanita Healthcare Center 5318 Manzanita Avenue Carmichael, CA 95608 F 0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. Level of Harm - Actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on…
Read full statement of deficiencies - View inspection reportInspection1 deficiency
- Inspection1 deficiency
555083 08/12/2025 Manzanita Healthcare Center 5318 Manzanita Avenue Carmichael, CA 95608 F 0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record…
Read full statement of deficiencies - Inspection1 deficiency
555083 04/14/2025 Manzanita Healthcare Center 5318 Manzanita Avenue Carmichael, CA 95608 F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent…
Read full statement of deficiencies - View inspection reportInspectionFire Safety6 deficiencies
- Inspection11 deficiencies
555083 02/06/2025 Manzanita Healthcare Center 5318 Manzanita Avenue Carmichael, CA 95608 F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or…
Read full statement of deficiencies - Inspection2 deficiencies
555083 12/19/2024 Manzanita Healthcare Center 5318 Manzanita Avenue Carmichael, CA 95608 F 0600 Level of Harm - Minimal harm or potential for actual harm Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Based…
Read full statement of deficiencies - Inspection2 deficiencies
555083 07/01/2024 Manzanita Healthcare Center 5318 Manzanita Avenue Carmichael, CA 95608 F 0658 Ensure services provided by the nursing facility meet professional standards of quality. Level of Harm - Minimal harm or potential for actual harm Based on interview and record review, the…
Read full statement of deficiencies
Showing the 10 most recent inspections. 8 earlier inspections are also on record.
Ownership
Cypress Healthcare Group
13nursing homes nationwide, in CMS records
All 13 are in California.
Counted from the chain CMS itself discloses for this home, which matches CMS Care Compare. ReadyRule's own common-control analysis is a separate and broader lens, and the two can differ.
FAQ
Questions and answers
- What is Manzanita Healthcare Center?
- Manzanita Healthcare Center is a Medicare- and Medicaid-certified nursing home in Carmichael, CA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 555083.
- What is the CMS rating for Manzanita Healthcare Center?
- Manzanita Healthcare Center has a CMS overall rating of 4 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Manzanita Healthcare Center have?
- Manzanita Healthcare Center is certified for 99 beds. It serves an average of 90.5 residents per day.
- How many citations does Manzanita Healthcare Center have?
- Manzanita Healthcare Center has 70 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Manzanita Healthcare Center last inspected?
- Manzanita Healthcare Center was last inspected on November 13, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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