The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited November 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
MANZANITA HEALTHCARE CENTER
CARMICHAEL, CA · Medicare-certified · 99 beds
In good standing
For-profitChain member
4 of 5 overall
Manzanita Healthcare Center in Carmichael has a 4 out of 5 overall rating, with strong staffing and quality scores but a weaker 2 out of 5 health inspection rating. Reported nurse staffing is 4.84 hours per resident day, above the 4.1-hour federal benchmark, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.8436 hrs/resident/day
Quality measures
Last inspection: November 13, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.8436.
Staffing detail
- Registered nurses
- 0.78
- Licensed practical nurses
- 1.30
- Nurse aides
- 2.76
- Weekend nursing
- 4.39
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 46%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
12%15%Worsening
Residents with a fall causing major injury
2.6%0%Improving
Residents with pressure ulcers (bedsores)
6%4.6%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
11.8%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
0%0%No change
Residents whose ability to walk got worse
—5.7%—
Long-stay residents on antianxiety or sleep medication
5.9%8.3%Worsening
Short-stay residents newly given an antipsychotic
1.9%0.8%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
19.2%3.4%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
99.8%100%No change
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to keep essential equipment working safely. Cited December 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: F
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited December 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
The home failed to clearly tell residents or their representatives that they could refuse a binding arbitration agreement. Cited December 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 847 — 42 CFR §483.70 — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CYPRESS HEALTHCARE GROUP · 13 homes · 3.5 stars avg
- Occupancy
- 90.5 residents on an average day (91% of 99 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 48 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.